Evidence map›Paper›PMID 31897952›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2020

Hospital and healthcare insurance system record-based epidemiological study of myasthenia gravis in southern and northern China.

Wei Fang, Yan Li, Rong Mo, Jianjian Wang, Li Qiu, Chuangyi Ou, Zhongqiang Lin, Zhidong Huang, Huiyu Feng, Xuetao He and 5 more

Abstract read
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Mortality of myasthenia gravis: a national population-based study in China.Annals of clinical and translational neurology · 2023
    Article
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  14. The epidemiology of myasthenia gravis.Journal of medicine and life
    Review
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

15 authors at 5 institutions in 2 countries.

Wei FangSchool of Earth and Environmental Sciences, Queens College, City University of New York, Queens, NY, USA.ORCID http://orcid.org/0000-0003-3810-6719
Yan LiDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Rong MoDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Jianjian WangDepartment of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, People's Republic of China.
Li QiuDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Chuangyi OuDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Zhongqiang LinDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Zhidong HuangDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Huiyu FengDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China.
Xuetao HeDepartment of Neurology, Guangdong Neuroscience Institute, Guangdong General Hospital and Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, People's Republic of China.
Weizhi WangDepartment of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, People's Republic of China.
Peipei XuFaculty of Geographical Science, Beijing Normal University, Beijing, People's Republic of China.
Lihua WangDepartment of Neurology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, People's Republic of China. wanglh211@163.com.
Hao RanSchool of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, People's Republic of China. Nicolas.ding@yahoo.com.
Weibin LiuDepartment of Neurology, The First Affiliated Hospital of Sun Yat-sen University, #58 Zhongshan 2nd Road, Guangzhou, 510080, Guangdong, People's Republic of China. neurologymg@163.com.ORCID http://orcid.org/0000-0001-8826-4091
Sun Yat-sen University · CNHarbin Medical University · CNBeijing Normal University · CNGuangdong General Hospital · CNQueens College, CUNY · US

Funding

2016 Pearl River Talents Scheme Fund (Overseas) CANHum (2017)32018 Guangdong Province Foundation and Applied Basic Research Special Fund for PhD Research Project Initiation CANSci (2017)1935National Natural Science Foundation of China (No30870850, No81071002, No81371386, No81773660Science and Technology Planned Project of Guangdong in China No2007B16002039the Clinical Study of 5010 Planned Project Sun Yat-sen University No2010003the National Natural Science Foundation Key International (Regional) Cooperation Research Project No81620108010Young Scientists Fund No81801249
6 · The paper itself

Abstract

objectiveThis is the first cross-region epidemiological study of myasthenia gravis (MG) in China. We estimated the incidence, prevalence, and medical costs of MG in southern China and explored the differences between the southern and northern Chinese populations.

methodsWe collected and analyzed records from 20 hospitals in the southern city, Guangzhou, 13 hospitals in the northern city, Harbin, and two healthcare insurance systems: job based and residence based in Guangzhou during 2000-2017.

results(1) The estimated annual incidence of MG was 1.55-3.66 per 100,000, and the estimated prevalence of MG was 2.19-11.07 per 100,000 in southern China based on insurance records. (2) The proportion of hospitalized MG patients in the south-based hospital records was three times as high as that in the north-based hospital records. (3) Female MG prevalence was significantly higher than male MG prevalence in Guangzhou, while the similar gender difference in Harbin was not statistically significant due to higher variation in earlier years. (4) The average expense was $35-42 for each outpatient service and $2526-2673 for each hospitalization expense in the south. (5) Contrary to the increase of insurance-based estimate of MG prevalence, the proportion of hospitalized MG patients did not increase over the years, suggesting rising awareness and utilization of health insurance.

conclusionsThe southern MG population had a significantly higher prevalence and a lower response threshold to medication than the northern MG population. These results are calling for further investigations on the genetic, cultural, and environmental variations of the Chinese MG populations between north and south.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolChinaFemaleHealth Care CostsHospitalizationHumansInfantInfant, NewbornInsurance, HealthMaleMiddle AgedEpidemiologyHealth insurance systemsHospital recordsMedical costsMyasthenia gravisSouthern and northern Chinese population

Identifiers

PMID31897952
OpenAlexW2996974594

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Registered trials

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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.