Global Incidence of IgA Nephropathy by Race and Ethnicity: A Systematic Review
Key PointsIn 16 studies conducted abroad, IgA nephropathy incidence varied from 0.06 in South Africa to 4.2 per 100,000 in Japan.Globally, the incidence of IgA nephropathy seemed higher in Asians than in non-Asians and higher in male patients than in female patients.Five studies conducted in the Uni...
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| Vydané v: | Kidney360 Ročník 4; číslo 8; s. 1112 - 1122 |
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| Hlavní autori: | , , , , , , , |
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| Jazyk: | English |
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United States
American Society of Nephrology
01.08.2023
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| ISSN: | 2641-7650, 2641-7650 |
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| Abstract | Key PointsIn 16 studies conducted abroad, IgA nephropathy incidence varied from 0.06 in South Africa to 4.2 per 100,000 in Japan.Globally, the incidence of IgA nephropathy seemed higher in Asians than in non-Asians and higher in male patients than in female patients.Five studies conducted in the United States found no consistent difference in incidence between Black patients and White patients.BackgroundThe reported incidence of IgA nephropathy varies widely across studies and may vary on the basis of race/ethnicity. This study systematically reviewed the incidence of IgA nephropathy in the United States and other countries and explored variability on the basis of the racial/ethnic composition and other demographic characteristics of different populations.MethodsThis was a systematic review. Studies were eligible for inclusion if they contained data collected from January 1, 1974, to December 31, 2021, and reported IgA nephropathy incidence at a population level (i.e., cases of IgA nephropathy per 100,000 population).ResultsFive US and 16 international studies were included; three of the US studies reported the race-specific incidence of IgA nephropathy. In the United States, the reported incidence of IgA nephropathy ranged from 0.39 per 100,000 in Tennessee to 1.4 per 100,000 in Minnesota; internationally, IgA nephropathy ranged from 0.06 per 100,000 in South Africa to 4.2 per 100,000 in Japan. Findings regarding the incidence of IgA nephropathy in the United States by race were inconsistent: One study found a higher incidence among White patients compared with Black patients, one study found a lower incidence in White patients, and one study found no difference. Globally, the incidence of IgA nephropathy seemed to be higher in Asian than in non-Asian populations and higher in male patients than in female patients.ConclusionsReported incidence of IgA nephropathy varies widely; there is no consensus regarding the relationship between race and IgA nephropathy. Incidence rates seemed to be higher in Asians than non-Asians and in male patients than female patients. We recommend that future studies should report IgA nephropathy incidence rates by race/ethnicity and account for the demographic characteristics of the background population. |
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| AbstractList | Key PointsIn 16 studies conducted abroad, IgA nephropathy incidence varied from 0.06 in South Africa to 4.2 per 100,000 in Japan.Globally, the incidence of IgA nephropathy seemed higher in Asians than in non-Asians and higher in male patients than in female patients.Five studies conducted in the United States found no consistent difference in incidence between Black patients and White patients.BackgroundThe reported incidence of IgA nephropathy varies widely across studies and may vary on the basis of race/ethnicity. This study systematically reviewed the incidence of IgA nephropathy in the United States and other countries and explored variability on the basis of the racial/ethnic composition and other demographic characteristics of different populations.MethodsThis was a systematic review. Studies were eligible for inclusion if they contained data collected from January 1, 1974, to December 31, 2021, and reported IgA nephropathy incidence at a population level (i.e., cases of IgA nephropathy per 100,000 population).ResultsFive US and 16 international studies were included; three of the US studies reported the race-specific incidence of IgA nephropathy. In the United States, the reported incidence of IgA nephropathy ranged from 0.39 per 100,000 in Tennessee to 1.4 per 100,000 in Minnesota; internationally, IgA nephropathy ranged from 0.06 per 100,000 in South Africa to 4.2 per 100,000 in Japan. Findings regarding the incidence of IgA nephropathy in the United States by race were inconsistent: One study found a higher incidence among White patients compared with Black patients, one study found a lower incidence in White patients, and one study found no difference. Globally, the incidence of IgA nephropathy seemed to be higher in Asian than in non-Asian populations and higher in male patients than in female patients.ConclusionsReported incidence of IgA nephropathy varies widely; there is no consensus regarding the relationship between race and IgA nephropathy. Incidence rates seemed to be higher in Asians than non-Asians and in male patients than female patients. We recommend that future studies should report IgA nephropathy incidence rates by race/ethnicity and account for the demographic characteristics of the background population. |
| Author | Freedberg, Daniel E. Mathur, Mohit Neugut, Alfred I. Radhakrishnan, Jai Segall, Leslie Jacobson, Judith S. Kiryluk, Krzysztof Mohan, Sumit |
| Author_xml | – sequence: 1 givenname: Krzysztof orcidid: 0000-0002-5047-6715 surname: Kiryluk fullname: Kiryluk, Krzysztof organization: Division of Nephrology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York – sequence: 2 givenname: Daniel E. surname: Freedberg fullname: Freedberg, Daniel E. organization: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York – sequence: 3 givenname: Jai orcidid: 0000-0003-3157-5141 surname: Radhakrishnan fullname: Radhakrishnan, Jai organization: Division of Nephrology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York – sequence: 4 givenname: Leslie surname: Segall fullname: Segall, Leslie organization: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York – sequence: 5 givenname: Judith S. orcidid: 0000-0003-0916-6165 surname: Jacobson fullname: Jacobson, Judith S. organization: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York – sequence: 6 givenname: Mohit surname: Mathur fullname: Mathur, Mohit organization: Visterra, Inc., Waltham, Massachusetts – sequence: 7 givenname: Sumit orcidid: 0000-0002-5305-9685 surname: Mohan fullname: Mohan, Sumit organization: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York – sequence: 8 givenname: Alfred I. orcidid: 0000-0002-5949-4522 surname: Neugut fullname: Neugut, Alfred I. organization: Division of Hematology/Oncology, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York |
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| Copyright | Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Nephrology Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Nephrology 2023 |
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| Issue | 8 |
| Keywords | minority health and disparities epidemiology and outcomes IgA nephropathy chronic glomerulonephritis |
| Language | English |
| License | http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Notes | Correspondence: Dr. Alfred I. Neugut, Columbia University Irving Medical Center, 722 West 168th Street, Room 725, New York, NY 10032. Email: ain1@cumc.columbia.edu ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23 |
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| Snippet | Key PointsIn 16 studies conducted abroad, IgA nephropathy incidence varied from 0.06 in South Africa to 4.2 per 100,000 in Japan.Globally, the incidence of IgA... |
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| SubjectTerms | Glomerular and Tubulointerstitial Diseases Glomerulonephritis, IGA - ethnology Humans Incidence Original Investigation Racial Groups |
| Title | Global Incidence of IgA Nephropathy by Race and Ethnicity: A Systematic Review |
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