Incidence of psoriasis among adults in the United States: A sex- and age-adjusted population analysis.


Journal

Journal of the American Academy of Dermatology
ISSN: 1097-6787
Titre abrégé: J Am Acad Dermatol
Pays: United States
ID NLM: 7907132

Informations de publication

Date de publication:
Apr 2021
Historique:
received: 24 03 2020
revised: 03 11 2020
accepted: 19 11 2020
pubmed: 1 12 2020
medline: 26 8 2021
entrez: 30 11 2020
Statut: ppublish

Résumé

Information on recent trends in overall and subgroup incidences in psoriasis is limited. To estimate current incidence of psoriasis in the United States, compare incidences among demographic subgroups, and evaluate recent disease trends. Retrospective cohort analysis of psoriasis patients identified with electronic health records between 2014 and 2018. Incidence rate in the overall population (n = 2,152,192) was 63.8 (95% confidence interval [CI] 61.8-65.8) per 100,000 person-years. Incidence increased with age and peaked among individuals aged 70 to 79 years (92.3 [95% CI 85.1-100.0] per 100,000 person-years). Incidence was similar between men (62.8 [95% CI 59.8-65.9] per 100,000 person-years) and women (64.8 [95% CI 62.2-67.4] per 100,000 person-years). Standardized incidence rate for Whites (75.3 [95% CI 72.7-78.0] per 100,000 person-years) was greater than that for Hispanic/Latino patients (52.2 [95% CI 44.9-60.3] per 100,000 person-years; P < .001), patients of other race (54.3 [95% CI 46.5-62.9] per 100,000 person-years; P < .001), and Blacks (24.9 [95% CI 21.4-28.8] per 100,000 person-years; P < .001). Incidence appears to be stable within a recent 5-year period. Estimates were derived from approximately 15% of the health care-seeking US population. Psoriasis incidence in the United States appears to increase with age, is similar between sexes, and is greatest among Whites.

Sections du résumé

BACKGROUND BACKGROUND
Information on recent trends in overall and subgroup incidences in psoriasis is limited.
OBJECTIVE OBJECTIVE
To estimate current incidence of psoriasis in the United States, compare incidences among demographic subgroups, and evaluate recent disease trends.
METHODS METHODS
Retrospective cohort analysis of psoriasis patients identified with electronic health records between 2014 and 2018.
RESULTS RESULTS
Incidence rate in the overall population (n = 2,152,192) was 63.8 (95% confidence interval [CI] 61.8-65.8) per 100,000 person-years. Incidence increased with age and peaked among individuals aged 70 to 79 years (92.3 [95% CI 85.1-100.0] per 100,000 person-years). Incidence was similar between men (62.8 [95% CI 59.8-65.9] per 100,000 person-years) and women (64.8 [95% CI 62.2-67.4] per 100,000 person-years). Standardized incidence rate for Whites (75.3 [95% CI 72.7-78.0] per 100,000 person-years) was greater than that for Hispanic/Latino patients (52.2 [95% CI 44.9-60.3] per 100,000 person-years; P < .001), patients of other race (54.3 [95% CI 46.5-62.9] per 100,000 person-years; P < .001), and Blacks (24.9 [95% CI 21.4-28.8] per 100,000 person-years; P < .001). Incidence appears to be stable within a recent 5-year period.
LIMITATIONS CONCLUSIONS
Estimates were derived from approximately 15% of the health care-seeking US population.
CONCLUSION CONCLUSIONS
Psoriasis incidence in the United States appears to increase with age, is similar between sexes, and is greatest among Whites.

Identifiants

pubmed: 33253841
pii: S0190-9622(20)33081-4
doi: 10.1016/j.jaad.2020.11.039
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1023-1029

Informations de copyright

Copyright © 2020 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest Dr Garg is an advisor for AbbVie, Amgen, Boehringer Ingelheim, Incyte, Janssen, Novartis, Pfizer, UCB, and Viela Bio, and receives research grants from AbbVie and the National Psoriasis Foundation. Authors Burshtein and Strunk have no conflicts of interest to declare.

Auteurs

Joshua Burshtein (J)

Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York.

Andrew Strunk (A)

Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York.

Amit Garg (A)

Department of Dermatology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York. Electronic address: amgarg@northwell.edu.

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