Cystic fibrosis epidemiology and demographics: Difference between revisions

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{{CMG}} {{AE}}
{{CMG}} {{AE}} {{SHH}}
{{Cystic fibrosis}}
{{Cystic fibrosis}}


==Overview==
==Overview==
The [[incidence]] of cystic fibrosis is approximately 1 in 2500 livebirths. It is a life-limiting disease (100% mortality rate), and a cure for the disease remains elusive. Most patients with cystic fibrosis are diagnosed in first 2 years of life. The onset of symptoms is before the first month of life in 12%, between 1-6 months of age in 75%, and between 6-12 months of age in 7% of patients. Although cystic fibrosis has been reported in all racial and [[Ethnic group|ethnic groups]], it mostly affects Caucasians of Northern European descent. It affects men and women equally.


==Epidemiology and Demographics==
==Epidemiology and Demographics==
===Incidence===
===Incidence===
*The incidence of cystic fibrosis is approximately 1 in 2500 livebirths.<ref name="pmid12606185">{{cite journal |vauthors=Ratjen F, Döring G |title=Cystic fibrosis |journal=Lancet |volume=361 |issue=9358 |pages=681–9 |year=2003 |pmid=12606185 |doi=10.1016/S0140-6736(03)12567-6 |url=}}</ref>
*The [[incidence]] of cystic fibrosis is approximately 40 in 100,000 live births worldwide.
*The [[incidence]] of cystic fibrosis is approximately 25 in 100,000 newborns in the US.<ref name="pmid28129811">{{cite journal |vauthors=Farrell PM, White TB, Ren CL, Hempstead SE, Accurso F, Derichs N, Howenstine M, McColley SA, Rock M, Rosenfeld M, Sermet-Gaudelus I, Southern KW, Marshall BC, Sosnay PR |title=Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation |journal=J. Pediatr. |volume=181S |issue= |pages=S4–S15.e1 |date=February 2017 |pmid=28129811 |doi=10.1016/j.jpeds.2016.09.064 |url=}}</ref><ref name="pmid12606185">{{cite journal |vauthors=Ratjen F, Döring G |title=Cystic fibrosis |journal=Lancet |volume=361 |issue=9358 |pages=681–9 |year=2003 |pmid=12606185 |doi=10.1016/S0140-6736(03)12567-6 |url=}}</ref>


===Prevalence===
===Prevalence===
*The incidence/prevalence of [disease name] is approximately [number range] per 100,000 individuals worldwide.
*Cystic fibrosis affects more than 30,000 people in the United States and 80,000 people worldwide.<ref name="pmid28441669">{{cite journal |vauthors=Brown SD, White R, Tobin P |title=Keep them breathing: Cystic fibrosis pathophysiology, diagnosis, and treatment |journal=JAAPA |volume=30 |issue=5 |pages=23–27 |date=May 2017 |pmid=28441669 |doi=10.1097/01.JAA.0000515540.36581.92 |url=}}</ref>
*In [year], the incidence/prevalence of [disease name] was estimated to be [number range] cases per 100,000 individuals worldwide.
*The prevalence of [disease/malignancy] is estimated to be [number] cases annually.


===Case-fatality rate/Mortality rate===
===Mortality rate===
*In [year], the incidence of [disease name] is approximately [number range] per 100,000 individuals with a case-fatality rate/mortality rate of [number range]%.
*Cystic fibrosis is a life-limiting disease (100% mortality rate), and a cure for the disease remains elusive.<ref name="pmid25764168">{{cite journal |vauthors=Pittman JE, Ferkol TW |title=The Evolution of Cystic Fibrosis Care |journal=Chest |volume=148 |issue=2 |pages=533–542 |date=August 2015 |pmid=25764168 |pmc=4524331 |doi=10.1378/chest.14-1997 |url=}}</ref>
*The case-fatality rate/mortality rate of [disease name] is approximately [number range].


===Age===
===Age===
*Patients of all age groups may develop [disease name].
*Most patients with cystic fibrosis are diagnosed in first 2 years of life. The onset of symptoms is before the first month of life in 12%, between 1-6 months of age in 75%, and between 6-12 months of age in 7% of patients.<ref name="pmid20478499">{{cite journal |vauthors=Ernst MM, Johnson MC, Stark LJ |title=Developmental and psychosocial issues in cystic fibrosis |journal=Child Adolesc Psychiatr Clin N Am |volume=19 |issue=2 |pages=263–83, viii |date=April 2010 |pmid=20478499 |pmc=2874200 |doi=10.1016/j.chc.2010.01.004 |url=}}</ref>
*The incidence of [disease name] increases with age; the median age at diagnosis is [#] years.
*[Disease name] commonly affects individuals younger than/older than [number of years] years of age.  
*[Chronic disease name] is usually first diagnosed among [age group].
*[Acute disease name] commonly affects [age group].


===Race===
===Race===
Cystic fibrosis mostly affects European descent, although it has been reported in all races and ethnicities.<ref name="pmid25404111">{{cite journal |vauthors=Cutting GR |title=Cystic fibrosis genetics: from molecular understanding to clinical application |journal=Nat. Rev. Genet. |volume=16 |issue=1 |pages=45–56 |year=2015 |pmid=25404111 |pmc=4364438 |doi=10.1038/nrg3849 |url=}}</ref>
* Although cystic fibrosis has been reported in all racial and [[Ethnic group|ethnic groups]], it mostly affects Caucasians of Northern European descent.
* Cystic fibrosis is the most [[lethal]] [[Genetic disorder|genetic disease]] among Caucasians
* Cystic fibrosis is approximately reported in different [[Ethnic group|ethnic groups]] as follow:<ref name="pmid25083129">{{cite journal |vauthors=Pettit RS, Fellner C |title=CFTR Modulators for the Treatment of Cystic Fibrosis |journal=P T |volume=39 |issue=7 |pages=500–11 |date=July 2014 |pmid=25083129 |pmc=4103577 |doi= |url=}}</ref><ref name="pmid25404111">{{cite journal |vauthors=Cutting GR |title=Cystic fibrosis genetics: from molecular understanding to clinical application |journal=Nat. Rev. Genet. |volume=16 |issue=1 |pages=45–56 |year=2015 |pmid=25404111 |pmc=4364438 |doi=10.1038/nrg3849 |url=}}</ref>
{|
! colspan="2" style="background: #4479BA; text-align: center;" |{{fontcolor|#FFF|'''Prevalence of cystic fibrosis according to race'''}}
|-
! style="background: #7d7d7d; text-align: center;" + |{{fontcolor|#FFF|'''Race'''}}
! style="background: #7d7d7d; text-align: center;" + |{{fontcolor|#FFF|'''Prevalence (per 100,000 person years)'''}}
|-
| style="background: #DCDCDC; text=align: center;" + |'''Caucasian'''
| style="background: #F5F5F5; text=align: center;" + | 40
|-
| style="background: #DCDCDC; text=align: center;" + |'''Hispanic'''
| style="background: #F5F5F5; text=align: center;" + | 7.4
|-
| style="background: #DCDCDC; text=align: center;" + |'''African-American'''
| style="background: #F5F5F5; text=align: center;" + | 6.6
|}


===Gender===
===Gender===
*[Disease name] affects men and women equally.
*Cystic fibrosis affects men and women equally. Women with cystic fibrosis have a shortened [[life expectancy]] compared to men.<ref name="pmid25495366">{{cite journal |vauthors=Harness-Brumley CL, Elliott AC, Rosenbluth DB, Raghavan D, Jain R |title=Gender differences in outcomes of patients with cystic fibrosis |journal=J Womens Health (Larchmt) |volume=23 |issue=12 |pages=1012–20 |date=December 2014 |pmid=25495366 |pmc=4442553 |doi=10.1089/jwh.2014.4985 |url=}}</ref>
*[Gender 1] are more commonly affected by [disease name] than [gender 2]. The [gender 1] to [gender 2] ratio is approximately [number > 1] to 1.
===Region===
*The majority of [disease name] cases are reported in [geographical region].
 
*[Disease name] is a common/rare disease that tends to affect [patient population 1] and [patient population 2].
 
===Developed Countries===
 
===Developing Countries===
 
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


[[Category:Medicine]]
[[Category:Up-To-Date]]
[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Pediatrics]]
[[Category:Pediatrics]]

Latest revision as of 20:34, 29 March 2018


Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

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Overview

The incidence of cystic fibrosis is approximately 1 in 2500 livebirths. It is a life-limiting disease (100% mortality rate), and a cure for the disease remains elusive. Most patients with cystic fibrosis are diagnosed in first 2 years of life. The onset of symptoms is before the first month of life in 12%, between 1-6 months of age in 75%, and between 6-12 months of age in 7% of patients. Although cystic fibrosis has been reported in all racial and ethnic groups, it mostly affects Caucasians of Northern European descent. It affects men and women equally.

Epidemiology and Demographics

Incidence

  • The incidence of cystic fibrosis is approximately 40 in 100,000 live births worldwide.
  • The incidence of cystic fibrosis is approximately 25 in 100,000 newborns in the US.[1][2]

Prevalence

  • Cystic fibrosis affects more than 30,000 people in the United States and 80,000 people worldwide.[3]

Mortality rate

  • Cystic fibrosis is a life-limiting disease (100% mortality rate), and a cure for the disease remains elusive.[4]

Age

  • Most patients with cystic fibrosis are diagnosed in first 2 years of life. The onset of symptoms is before the first month of life in 12%, between 1-6 months of age in 75%, and between 6-12 months of age in 7% of patients.[5]

Race

  • Although cystic fibrosis has been reported in all racial and ethnic groups, it mostly affects Caucasians of Northern European descent.
  • Cystic fibrosis is the most lethal genetic disease among Caucasians
  • Cystic fibrosis is approximately reported in different ethnic groups as follow:[6][7]
Prevalence of cystic fibrosis according to race
Race Prevalence (per 100,000 person years)
Caucasian 40
Hispanic 7.4
African-American 6.6

Gender

  • Cystic fibrosis affects men and women equally. Women with cystic fibrosis have a shortened life expectancy compared to men.[8]

References

  1. Farrell PM, White TB, Ren CL, Hempstead SE, Accurso F, Derichs N, Howenstine M, McColley SA, Rock M, Rosenfeld M, Sermet-Gaudelus I, Southern KW, Marshall BC, Sosnay PR (February 2017). "Diagnosis of Cystic Fibrosis: Consensus Guidelines from the Cystic Fibrosis Foundation". J. Pediatr. 181S: S4–S15.e1. doi:10.1016/j.jpeds.2016.09.064. PMID 28129811.
  2. Ratjen F, Döring G (2003). "Cystic fibrosis". Lancet. 361 (9358): 681–9. doi:10.1016/S0140-6736(03)12567-6. PMID 12606185.
  3. Brown SD, White R, Tobin P (May 2017). "Keep them breathing: Cystic fibrosis pathophysiology, diagnosis, and treatment". JAAPA. 30 (5): 23–27. doi:10.1097/01.JAA.0000515540.36581.92. PMID 28441669.
  4. Pittman JE, Ferkol TW (August 2015). "The Evolution of Cystic Fibrosis Care". Chest. 148 (2): 533–542. doi:10.1378/chest.14-1997. PMC 4524331. PMID 25764168.
  5. Ernst MM, Johnson MC, Stark LJ (April 2010). "Developmental and psychosocial issues in cystic fibrosis". Child Adolesc Psychiatr Clin N Am. 19 (2): 263–83, viii. doi:10.1016/j.chc.2010.01.004. PMC 2874200. PMID 20478499.
  6. Pettit RS, Fellner C (July 2014). "CFTR Modulators for the Treatment of Cystic Fibrosis". P T. 39 (7): 500–11. PMC 4103577. PMID 25083129.
  7. Cutting GR (2015). "Cystic fibrosis genetics: from molecular understanding to clinical application". Nat. Rev. Genet. 16 (1): 45–56. doi:10.1038/nrg3849. PMC 4364438. PMID 25404111.
  8. Harness-Brumley CL, Elliott AC, Rosenbluth DB, Raghavan D, Jain R (December 2014). "Gender differences in outcomes of patients with cystic fibrosis". J Womens Health (Larchmt). 23 (12): 1012–20. doi:10.1089/jwh.2014.4985. PMC 4442553. PMID 25495366.


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