Evidence map›Paper›PMID 31351784›Full record

SynthesisJournal of autoimmunity2019

Changing epidemiology of immune-mediated inflammatory diseases in immigrants: A systematic review of population-based studies.

Manasi Agrawal, Shailja Shah, Anish Patel, Rachel Pinotti, Jean-Frederic Colombel, Johan Burisch

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of autoimmunity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  11. Trends of inflammatory bowel disease from the Global Burden of Disease Study (1990-2019).Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Article
  12. Is the Mediterranean Diet in Inflammatory Bowel Diseases Ready for Prime Time?Journal of the Canadian Association of Gastroenterology · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Manasi AgrawalThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: manasi.agrawal@mountsinai.org.
Shailja ShahDivision of Gastroenterology, Vanderbilt University, Nashville, TN, USA.
Anish PatelDivision of Gastroenterology, Brooke Army Medical Center, Ft. Sam Houston, TX, USA.
Rachel PinottiLevy Library, Icahn School of Medicine at Mount Sinai, NY, USA.
Jean-Frederic ColombelThe Dr. Henry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Johan BurischDivision of Gastroenterology, Hvidovre Hospital, Copenhagen, Denmark.
Icahn School of Medicine at Mount Sinai · USBrooke Army Medical Center · USHvidovre Hospital · DKMount Sinai Hospital · USVanderbilt University · US

Funding

AHRQ HHS K12 HS026395
6 · The paper itself

Abstract

backgroundImmune-mediated inflammatory diseases (IMIDs) are systemic diseases of multifactorial etiology that share aberrant immune responses as the common final pathway. With rising globalization, their incidence is increasing in developing countries and among immigrants. Our primary objective was to systematically review the epidemiology of IMIDs in immigrants and conduct a meta-analysis to estimate the risk of IMIDs in immigrant populations according to their origin and destination countries.

methodsWe systematically searched five biomedical databases and reviewed population-based studies, from inception through August 2018, that reported incidence or prevalence data of inflammatory bowel disease (IBD), multiple sclerosis (MS), type 1 diabetes (T1D), systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), ankylosing spondylitis (AS) or psoriasis and psoriatic arthritis (PPA) among immigrants and the host population.

resultsThe incidence and prevalence of IMIDs among immigrants differ from host populations, and evolve over subsequent generations. The risk of IBD among immigrants approximates that in hosts, especially among South Asians, with ulcerative colitis incidence changing prior to Crohn's disease incidence. MS risk is highest in Iranian immigrants, T1D in African immigrants and SLE in African and Iraqi immigrants. Data on other IMIDs are sparse. Significant heterogeneity between the studies precluded meta-analysis.

conclusionBased on our systematic review, the epidemiology of IMIDs among immigrants varies according to native and host countries, immigrant generation, and IMID type. The rapid evolution suggests a role for non-genetic factors and gene-environment interactions. Future studies should focus on these pattern shifts, given implications of rising global burden of IMIDs and immigration.

Indexed as

Emigrants and ImmigrantsHumansImmune System DiseasesIncidenceInflammationPrevalenceAutoimmunityEpidemiologyImmigrationImmune-mediated inflammatory diseasesPopulation-based studiesSystematic review

Identifiers

PMID31351784
PMCPMC7382899
OpenAlexW2963292159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.