The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.

Primary angle closure glaucoma (PACG) is higher in Asians than Europeans and Africans, with over 80% of PACG worldwide in Asia. Previous estimates of PACG were based largely on early studies, mostly using inappropriate case definitions. Therefore, we did a systematic review and meta-analysis to esti...

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Main Authors: Jin-Wei Cheng, Ying Zong, You-Yan Zeng, Rui-Li Wei
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4110010?pdf=render
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author Jin-Wei Cheng
Ying Zong
You-Yan Zeng
Rui-Li Wei
author_facet Jin-Wei Cheng
Ying Zong
You-Yan Zeng
Rui-Li Wei
author_sort Jin-Wei Cheng
collection DOAJ
description Primary angle closure glaucoma (PACG) is higher in Asians than Europeans and Africans, with over 80% of PACG worldwide in Asia. Previous estimates of PACG were based largely on early studies, mostly using inappropriate case definitions. Therefore, we did a systematic review and meta-analysis to estimate the prevalence of PACG in adult Asian populations and to quantify its association with age, gender, and region.All primary reports of population-based studies that reported the prevalence of PACG in adult Asian populations were identified. PACG case definition was compatible with the ISGEO definition. Twenty-nine population-based studies were included. The overall pooled prevalence estimates were calculated using a random effect model, and ethnicity-, age- and gender-specific pooled prevalence estimates were also calculated.The overall pooled prevalence of PACG in those of adult Asians was 0.75% (95% CI, 0.58, 0.96). Ethnicity-specific pooled prevalence estimates were 0.97% (0.22, 4.27) in Middle East group, 0.66% (0.23, 1.86) in South East Asia group, 0.46% (0.32, 0.64) in India group, 1.10% (0.85, 1.44) in China group, and 1.19% (0.35, 3.98) in Japan group, respectively. Age-specific prevalence was 0.21% (0.12, 0.37) for those 40-49 years, 0.54% (0.34, 0.85) for those 50-59 years, 1.26% (0.93, 1.71) for those 60-69 years, and 2.32% (1.74, 3.08) for those 70 years or above. The overall female to male ratio of the PACG prevalence was 1.51∶1 (95% CI 1.01, 2.28).PACG affects approximately 0.75% adult Asians, increasing double per decade, and 60% of cases being female. The prevalence rates vary greatly by ethnic region.
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spelling doaj.art-8c7a4443d23046298470700d9aeec9a02022-12-21T18:57:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10322210.1371/journal.pone.0103222The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.Jin-Wei ChengYing ZongYou-Yan ZengRui-Li WeiPrimary angle closure glaucoma (PACG) is higher in Asians than Europeans and Africans, with over 80% of PACG worldwide in Asia. Previous estimates of PACG were based largely on early studies, mostly using inappropriate case definitions. Therefore, we did a systematic review and meta-analysis to estimate the prevalence of PACG in adult Asian populations and to quantify its association with age, gender, and region.All primary reports of population-based studies that reported the prevalence of PACG in adult Asian populations were identified. PACG case definition was compatible with the ISGEO definition. Twenty-nine population-based studies were included. The overall pooled prevalence estimates were calculated using a random effect model, and ethnicity-, age- and gender-specific pooled prevalence estimates were also calculated.The overall pooled prevalence of PACG in those of adult Asians was 0.75% (95% CI, 0.58, 0.96). Ethnicity-specific pooled prevalence estimates were 0.97% (0.22, 4.27) in Middle East group, 0.66% (0.23, 1.86) in South East Asia group, 0.46% (0.32, 0.64) in India group, 1.10% (0.85, 1.44) in China group, and 1.19% (0.35, 3.98) in Japan group, respectively. Age-specific prevalence was 0.21% (0.12, 0.37) for those 40-49 years, 0.54% (0.34, 0.85) for those 50-59 years, 1.26% (0.93, 1.71) for those 60-69 years, and 2.32% (1.74, 3.08) for those 70 years or above. The overall female to male ratio of the PACG prevalence was 1.51∶1 (95% CI 1.01, 2.28).PACG affects approximately 0.75% adult Asians, increasing double per decade, and 60% of cases being female. The prevalence rates vary greatly by ethnic region.http://europepmc.org/articles/PMC4110010?pdf=render
spellingShingle Jin-Wei Cheng
Ying Zong
You-Yan Zeng
Rui-Li Wei
The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
PLoS ONE
title The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
title_full The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
title_fullStr The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
title_full_unstemmed The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
title_short The prevalence of primary angle closure glaucoma in adult Asians: a systematic review and meta-analysis.
title_sort prevalence of primary angle closure glaucoma in adult asians a systematic review and meta analysis
url http://europepmc.org/articles/PMC4110010?pdf=render
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