Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do

Finland is a relatively small genetic isolate with a genetically non-homogenous population. Available Finnish data on neuroepidemiology of adult-onset disorders are limited, and this paper describes the conclusions that can be drawn and their implications. Apparently, Finnish people have a (relative...

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Main Author: Jussi O. T. Sipilä
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/12/3972
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author Jussi O. T. Sipilä
author_facet Jussi O. T. Sipilä
author_sort Jussi O. T. Sipilä
collection DOAJ
description Finland is a relatively small genetic isolate with a genetically non-homogenous population. Available Finnish data on neuroepidemiology of adult-onset disorders are limited, and this paper describes the conclusions that can be drawn and their implications. Apparently, Finnish people have a (relatively) high risk of developing Unverricht-Lundborg disease (EPM1), Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS), Spinal muscular atrophy, Jokela type (SMAJ) and adult-onset dystonia. On the other hand, some disorders, such as Friedreich’s ataxia (FRDA) and Wilson’s disease (WD), are almost absent or completely absent in the population. Valid and timely data concerning even many common disorders, such as stroke, migraine, neuropathy, Alzheimer’s disease and Parkinson’s disease, are unavailable, and there are virtually no data on many less-common neurological disorders, such as neurosarcoidosis or autoimmune encephalitides. There also appear to be marked regional differences in the incidence and prevalence of many diseases, suggesting that non-granular nationwide data may be misleading in many cases. Concentrated efforts to advance neuroepidemiological research in the country would be of clinical, administrative and scientific benefit, but currently, all progress is blocked by administrative and financial obstacles.
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spelling doaj.art-b3d0fecddfdc4ae39539d51432a09f732023-11-18T10:59:13ZengMDPI AGJournal of Clinical Medicine2077-03832023-06-011212397210.3390/jcm12123972Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to DoJussi O. T. Sipilä0Department of Neurology, North Karelia Central Hospital, Siun Sote, 80210 Joensuu, FinlandFinland is a relatively small genetic isolate with a genetically non-homogenous population. Available Finnish data on neuroepidemiology of adult-onset disorders are limited, and this paper describes the conclusions that can be drawn and their implications. Apparently, Finnish people have a (relatively) high risk of developing Unverricht-Lundborg disease (EPM1), Multiple Sclerosis (MS), Amyotrophic Lateral Sclerosis (ALS), Spinal muscular atrophy, Jokela type (SMAJ) and adult-onset dystonia. On the other hand, some disorders, such as Friedreich’s ataxia (FRDA) and Wilson’s disease (WD), are almost absent or completely absent in the population. Valid and timely data concerning even many common disorders, such as stroke, migraine, neuropathy, Alzheimer’s disease and Parkinson’s disease, are unavailable, and there are virtually no data on many less-common neurological disorders, such as neurosarcoidosis or autoimmune encephalitides. There also appear to be marked regional differences in the incidence and prevalence of many diseases, suggesting that non-granular nationwide data may be misleading in many cases. Concentrated efforts to advance neuroepidemiological research in the country would be of clinical, administrative and scientific benefit, but currently, all progress is blocked by administrative and financial obstacles.https://www.mdpi.com/2077-0383/12/12/3972epidemiologyincidenceprevalenceregional differencesregistry
spellingShingle Jussi O. T. Sipilä
Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
Journal of Clinical Medicine
epidemiology
incidence
prevalence
regional differences
registry
title Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
title_full Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
title_fullStr Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
title_full_unstemmed Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
title_short Adult-Onset Neuroepidemiology in Finland: Lessons to Learn and Work to Do
title_sort adult onset neuroepidemiology in finland lessons to learn and work to do
topic epidemiology
incidence
prevalence
regional differences
registry
url https://www.mdpi.com/2077-0383/12/12/3972
work_keys_str_mv AT jussiotsipila adultonsetneuroepidemiologyinfinlandlessonstolearnandworktodo