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Incidence and prevalence of Systemic Sclerosis (SSc) in Poland - differences between rural and urban regions.

Abstract [b] Abstract Introduction.[/b] Systemic sclerosis (SSc) is a rare and potentially severe connective tissue disease, characterized by skin fibrosis and involvement of internal organs. Because of its rarity and heterogeneous clinical presentation, reliable epidemiological studies on SSc have been particularly difficult to carry out. [b]Objectives[/b]. The purpose of this study was to present SSc epidemiology among hospitalized patients in Poland.
PMID
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Authors

Mayor MeshTerms
Keywords

Rare Diseases

epidemiology

hospitalization

Journal Title annals of agricultural and environmental medicine : aaem
Publication Year Start




PMID- 28664701
OWN - NLM
STAT- In-Process
DA  - 20170630
LR  - 20170630
IS  - 1898-2263 (Electronic)
IS  - 1232-1966 (Linking)
VI  - 24
IP  - 2
DP  - 2017 May 11
TI  - Incidence and prevalence of Systemic Sclerosis (SSc) in Poland - differences
      between rural and urban regions.
PG  - 240-244
LID - 72500 [pii]
LID - 10.5604/12321966.1233570 [doi]
AB  - [b] Abstract Introduction.[/b] Systemic sclerosis (SSc) is a rare and potentially
      severe connective tissue disease, characterized by skin fibrosis and involvement 
      of internal organs. Because of its rarity and heterogeneous clinical
      presentation, reliable epidemiological studies on SSc have been particularly
      difficult to carry out. [b]Objectives[/b]. The purpose of this study was to
      present SSc epidemiology among hospitalized patients in Poland. MATERIALS AND
      METHOD: The analysis was based on population-based administrative data, taken
      from a Polish hospital morbidity study carried out by the National Institute of
      Public Health between January 2008 - December 2012. [b]Results[/b]. Analyzed data
      covered 9,049 hospitalization records. The final sample comprised 3,653 patients 
      with first-time hospitalizations for SSc. The average age of the sample was 53
      years (SD 16.2; range 0-91 years); 84% of patients were female and 16% male.
      Based on hospitalization registers, the average SSc incidence was estimated to be
      1.9/100,000 per year and peak age of incidence was 55 years. The point prevalence
      was estimated to be 9.4/100,000 at the end of 2012. SSc was more common in
      females, with F:M ratio ranging from 6.2:1-4.6:1 depending on the year. Analysis 
      of hospitalization trends revealed that overall numbers of SSc hospitalizations
      increased, while first-time hospitalizations decreased between 2008-2012.
      Clusters of higher incidence were observed in more rural regions vs. urban
      regions. [b]Conclusion[/b]. Estimated incidence of SSc in Poland was comparable
      to reported incidence in other European countries. Analysis of demographic
      factors and reports of clusters of higher incidence may suggest the existence of 
      environmental risk factors for the development of SSc. These observations may
      require further research.
FAU - Kanecki, Krzysztof
AU  - Kanecki K
AD  - Department of Social Medicine and Public Health, Medical University of Warsaw,
      Poland.
FAU - Gorynski, Pawel
AU  - Gorynski P
AD  - National Institute of Public Health - National Institute of Hygiene, Poland.
FAU - Tarka, Patryk
AU  - Tarka P
AD  - Department of Social Medicine and Public Health, Medical University of Warsaw,
      Poland.
FAU - Wierzba, Waldemar
AU  - Wierzba W
AD  - University of Humanities and Economics in Lodz, Poland.
FAU - Tyszko, Piotr
AU  - Tyszko P
AD  - Institute of Rural Health, Lublin, Poland.
LA  - eng
PT  - Journal Article
PL  - Poland
TA  - Ann Agric Environ Med
JT  - Annals of agricultural and environmental medicine : AAEM
JID - 9500166
OTO - NOTNLM
OT  - Rare Diseases
OT  - epidemiology
OT  - hospitalization
EDAT- 2017/07/01 06:00
MHDA- 2017/07/01 06:00
CRDT- 2017/07/01 06:00
AID - 72500 [pii]
AID - 10.5604/12321966.1233570 [doi]
PST - ppublish
SO  - Ann Agric Environ Med. 2017 May 11;24(2):240-244. doi: 10.5604/12321966.1233570.