K B Tibazarwa1, J A Volmink, B M Mayosi. 1. Department of Medicine, J Floor Old Main Building, Groote Schuur Hospital, Cape Town, South Africa. bongani.mayosi@uct.ac.za
Abstract
BACKGROUND: There is no systematic overview of prospective studies of incidence of acute rheumatic fever (ARF) in the world. AIM: To summarise all population-based studies of the incidence of ARF world wide. METHOD: A systematic review of prospective population-based studies of the overall mean and annual specific incidence of the first episode of ARF was carried out. RESULTS: A systematic literature search identified 10 eligible studies from 10 countries on all continents, except Africa. The overall mean incidence rate of first attack of ARF was 5-51/100,000 population (mean 19/100,000; 95% CI 9 to 30/100,000). A low incidence rate of <or=10/100,000 per year was found in America and Western Europe, while a higher incidence (>10/100,000) was documented in Eastern Europe, Middle East (highest), Asia and Australasia. Studies with longitudinal data displayed a falling incidence rate over time. CONCLUSION: Despite an apparent fall in incidence over time, ARF incidence rates remain relatively high in non-Western countries. No information is available for Africa.
BACKGROUND: There is no systematic overview of prospective studies of incidence of acute rheumatic fever (ARF) in the world. AIM: To summarise all population-based studies of the incidence of ARF world wide. METHOD: A systematic review of prospective population-based studies of the overall mean and annual specific incidence of the first episode of ARF was carried out. RESULTS: A systematic literature search identified 10 eligible studies from 10 countries on all continents, except Africa. The overall mean incidence rate of first attack of ARF was 5-51/100,000 population (mean 19/100,000; 95% CI 9 to 30/100,000). A low incidence rate of <or=10/100,000 per year was found in America and Western Europe, while a higher incidence (>10/100,000) was documented in Eastern Europe, Middle East (highest), Asia and Australasia. Studies with longitudinal data displayed a falling incidence rate over time. CONCLUSION: Despite an apparent fall in incidence over time, ARF incidence rates remain relatively high in non-Western countries. No information is available for Africa.
Authors: Sophie C Hofferberth; Mossab Y Saeed; Lara Tomholt; Matheus C Fernandes; Christopher J Payne; Karl Price; Gerald R Marx; Jesse J Esch; David W Brown; Jonathan Brown; Peter E Hammer; Richard W Bianco; James C Weaver; Elazer R Edelman; Pedro J Del Nido Journal: Sci Transl Med Date: 2020-02-19 Impact factor: 17.956
Authors: Nathan Stehouwer; Emmy Okello; Vedant Gupta; Alison L Bailey; Richard Josephson; Sri Krishna Madan Mohan; Mohammed N Osman; Chris T Longenecker Journal: Glob Heart Date: 2017-09-01