Evidence map›Paper›PMID 38430514›Full record

SynthesisUnited European gastroenterology journal2024

Global trends in incidence and prevalence of achalasia, 1925-2021: A systematic review and meta-analysis.

Kwanjoo Lee, Sung Pyo Hong, In Kyung Yoo, Abdullah Özgür Yeniova, Jong Woo Hahn, Min Seo Kim, Soo-Young Yoon, Masoud Rahmati, Jun Hyuk Lee, Myeongcheol Lee and 2 more

Open access · hybridAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in United European gastroenterology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
14.8field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Achalasia in Geriatric Patients: A Comprehensive Overview.Digestive diseases and sciences · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Achalasia: Physician Practices and Knowledge in Türkiye.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2026
    Article
  8. Article
  9. Article
  10. Saudi Gastroenterology Association (SGA) clinical care pathway and standards of care for peroral endoscopic myotomy (POEM) in achalasia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. A rare cause of acute upper airway obstruction: a case report.International journal of emergency medicine · 2025
    Article
  16. Article
  17. Focus on Achalasia in the Omics Era.International journal of molecular sciences · 2024
    Review
  18. Atypical Appearance on Radioiodine Scintigraphy Due to Achalasia Cardia - A Potential Diagnostic Pitfall.Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India
    Article
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

12 authors at 8 institutions in 4 countries.

Kwanjoo LeeDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea.ORCID 0000-0002-6178-2400
Sung Pyo HongDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea.
In Kyung YooDigestive Disease Center, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, South Korea.
Abdullah Özgür YeniovaDivision of Gastroenterology, Department of Internal Medicine, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Turkey.
Jong Woo HahnDepartment of Pediatrics, Seoul National University College of Medicine, Seoul, South Korea.
Min Seo KimCardiovascular Disease Initiative, Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.
Soo-Young YoonDivision of Nephrology, Department of Internal Medicine, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.ORCID 0000-0002-0066-5390
Masoud RahmatiDepartment of Physical Education and Sport Sciences, Faculty of Literature and Human Sciences, Lorestan University, Khoramabad, Iran.
Jun Hyuk LeeHealth and Human Science, University of Southern California, Los Angeles, California, USA.
Myeongcheol LeeCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.
Wonyoung ChoCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.
Dong Keon YonCenter for Digital Health, Medical Science Research Institute, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, South Korea.
CHA University Bundang Medical Center · KRKyung Hee University Medical Center · KRBroad Institute · USKyung Hee University · KRSeoul National University · KRTokat Gaziosmanpaşa Üniversitesi · TRUniversity of Southern California · USVali Asr University of Rafsanjan · IR

Funding

Korea Health Technology R&D Project through the Korea Health Industry Development Institute HE23C002800National Research Foundation of Korea RS-2023-00248157
6 · The paper itself

Abstract

backgroundAchalasia poses a significant socioeconomic burden, yet global trends remain undocumented. This study aims to describe the worldwide trends in the incidence and prevalence of achalasia from 1925 to 2021 and explore their correlation with various factors through a comprehensive systematic review.

methodsWe searched the PubMed/MEDLINE, Embase, and Cochrane databases from inception to 30 June 2023, to identify studies reporting the incidence or prevalence of achalasia in the general population. This study utilized pooled estimates with 95% confidence intervals (CI) to estimate the incidence and prevalence of achalasia, and conducted various subgroup analyses.

resultsA total of 26 eligible studies covering approximately 269 million participants and 20,873 patients from 14 countries across five continents were included. Global pooled incidence and prevalence of achalasia were estimated to be 0.78 cases per 100,000 person-years (95% CI, 0.64-0.93; number of studies, 26; sample population, 269,315,171) and 10.82 cases per 100,000 person-years (95% CI, 8.15-13.48; number of studies, 14; sample population, 192,176,076), respectively. The incidence of achalasia was higher in Oceania (than Asia and Africa) and in adults (than children) after the introduction of the Chicago classification. Prevalence followed a similar pattern. The pooled incidence of achalasia showed an overall upward trend from 1925 to 2021 (1925-1999; 0.40 [0.32-0.49] vs. 2018-2021; 1.64 [1.33-1.95] cases per 100,000 person-years).

conclusionsThe incidence and prevalence of achalasia have notably increased, particularly with advancements in diagnosis, and show significant variation worldwide, despite the large heterogeneity within the sample population. Further studies are necessary to accurately assess the global incidence and prevalence of achalasia.

Indexed as

Esophageal AchalasiaGlobal HealthHumansIncidencePrevalenceachalasiaincidencemeta‐analysisprevalencesystematic review

Identifiers

PMID38430514
PMCPMC11328114
OpenAlexW4392350217

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.