Evidence map›Paper›PMID 39318625›Full record

SynthesisFrontiers in immunology2024

Variation in worldwide incidence of Guillain-Barré syndrome: a population-based study in urban China and existing global evidence.

Lu Xu, Chen Zhao, Yutong Bao, Yuchen Liu, Yuqing Liang, Jiyu Wei, Guozhen Liu, Jinxi Wang, Siyan Zhan, Shengfeng Wang and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
  5. Review
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  12. Tacrolimus associated Guillain-Barre syndrome.Archive of clinical cases · 2025
    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

11 authors.

Lu XuResearch Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Chen ZhaoDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Yutong BaoDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Yuchen LiuDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Yuqing LiangDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Jiyu WeiDepartment of Neurology, Peking University Third Hospital, Beijing, China.
Guozhen LiuDepartment of Research & Development, Peking University Health Information Technology Co., Ltd., Beijing, China.
Jinxi WangDepartment of Strategic Planning, Shanghai Songsheng Business Consulting Co., Ltd., Beijing, China.
Siyan ZhanResearch Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
Shengfeng WangKey Laboratory of Epidemiology of Major Diseases, Peking University, Ministry of Education, Beijing, China.
Dongsheng FanDepartment of Neurology, Peking University Third Hospital, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objectives: Geographical variation existed in the incidences of Guillain-Barré syndrome (GBS), but no national population-based study has evaluated the incidences of GBS in China. This study aimed to estimate the incidence of GBS in urban China and evaluate the worldwide variation in the incidence of GBS. Methods: Firstly, we did a population-based study to calculate the incidence of GBS in urban China based on the National Urban Medical Insurance database from 2013 to 2017. To identify GBS cases, natural language processing was used first for handling the lengthy and unstructured diagnostic information and then checked by prestigious neurologists. Secondly, a systematic review and meta-analysis were performed to analyze the incidence of GBS worldwide. Up to July 4, 2022, Medline, Embase, and Web of Science were retrieved to identify the population-based studies regarding the incidence of GBS. The basic information and the statistics regarding incidence were extracted. Quality assessment considered sample representativeness, condition assessment, and statistical methods. Results: A total of 1.44 billion person-years in insurance data was covered, with 3,534 GBS cases identified. The annual incidences of GBS in urban China between 2013 and 2017 ranged from 0.41 (95% CI: 0.27 to 0.58) to 0.58 (95% CI: 0.38 to 0.82) per 100,000 person-years. The incidence was the highest in Northwest China and the lowest in Northeast China. The meta-analysis included 122 articles. The quality assessment showed that the quality scores of 43.3% of studies were ≥ 0.75 (the total score is 1). The global incidence of GBS was 1.12 (95% CI: 0.98 to 1.27) per 100,000 person-years. The incidences in West Europe, South Asia, and North Europe were higher, while the incidences in Australia and New Zealand, Southeast Asia, and North Africa were lower. The incidence of enteric infections was positively associated with the incidence of GBS (coefficient=0.0000185, P=0.007). The incidence in Europe, Australia, and America rose significantly from 1960 to 2020 (coefficient=0.01, t=2.52, P=0.015). Discussion: There is a clear regional variation of the GBS incidence at both national and global levels. Careful control of enteric infections should be conducted to reduce the disease burden.

Indexed as

Guillain-Barre SyndromeChinaGlobal HealthHumansIncidenceUrban Populationepidemiologyglobal evidenceGuillain-Barré syndromeincidencepopulation-based

Identifiers

PMID39318625
PMCPMC11420027

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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.