Evidence map›Paper›PMID 37616066›Full record

SynthesisBMJ paediatrics open2023

Global clinicoepidemiological pattern of childhood vitiligo: a systematic review and meta-analysis.

Saeedeh Farajzadeh, Maryam Khalili, Majid Mirmohammadkhani, Fatemeh Paknazar, Fereshte Rastegarnasab, Bahareh Abtahi-Naeini

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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 4 institutions in 3 countries.

Saeedeh FarajzadehLeishmaniasis Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Maryam KhaliliDepartment of Dermatology, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran Bahareh.abtahi@yahoo.com Maryam_khalili36@yahoo.com.
Majid MirmohammadkhaniSocial Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Fatemeh PaknazarSocial Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Fereshte RastegarnasabStudent Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID 0000-0003-2366-7804
Bahareh Abtahi-NaeiniPediatric Dermatology Division of Department of Pediatrics, Imam Hossein Children's Hospital, Isfahan University of Medical Sciences, Isfahan, Iran Bahareh.abtahi@yahoo.com Maryam_khalili36@yahoo.com.
Isfahan University of Medical Sciences · IRSemnan University of Medical Sciences · IRKerman University of Medical Sciences · IRYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood vitiligo differs from adult vitiligo in many aspects. To the best of the authors' knowledge, there is no systematic review of different clinicoepidemiological patterns of vitiligo in children. This study aimed to review the characteristics of vitiligo among the paediatric population.

methodsIn June 2022, a comprehensive search was conducted using MeSh-based keywords on online databases including PubMed, Scopus and Web of Sciences. The papers were assessed, and the eligible articles were selected. The selection of articles followed three distinct steps. The extracted clinicoepidemiological data were then imported into the STATA software for meta-analysis.

resultsThe meta-analysis of 17 studies with 4365 subjects yielded 2475 women (estimated=56.8%, 95% CI 54.45 to 59.22). The female-to-male ratio was determined to be 1.3:1. Meta-regression demonstrated a significant relationship between continents and gender (p=0.03). The most prevalent types of non-segmental vitiligo were vulgaris (42.49%), focal (27.21%) and acrofacial (17.8%). The pooled ratio of non-segmental to segmental was 4.6:1. The highest and lowest ratios were found in Africa with one study (estimated=11.56%, 95% CI -0.98 to 24.10) and America with two studies (estimated=3.02%, 95% CI 1.54 to 4.50), respectively. Using meta-regression, the relationship between continents and vitiligo type was found to be insignificant (p=0.47). Positive family history was recorded in 657 patients (estimated = 16.88%, 95% CI 13.37 to 20.39). Positive family history varied by country of study from 13.91% (Asia with 11 studies) to 27.01% (Europe with two studies) (p=0.11). Kobner phenomena and leukotrichia were noted in 687 (25.47%) and 461 (18.52%) patients, respectively.

conclusionThe review indicated that childhood vitiligo is more prevalent in women. Non-segmental forms of childhood vitiligo were the most common, including vulgaris, focal and acrofacial. The clinicoepidemiological pattern of childhood vitiligo is variable in different geographic areas.

Indexed as

HypopigmentationVitiligoAdultAfricaAsiaChildDatabases, FactualFemaleHumansMaleepidemiology

Identifiers

PMID37616066
PMCPMC10083860
OpenAlexW4383098559

What OpenQuestion holds

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LicenceCC BY-NC
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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.