Evidence map›Paper›PMID 40264149›Full record

SynthesisBMC public health2025

Herpes zoster incidence and burden in older Chinese: a systematic review and meta-analysis.

Bingbing Zheng, Dapeng Yin, Yifan Geng, Qiao Li, Wenting Cao, Mingzhang Yin, Yi Ning, Jindong Ding Petersen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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  8. 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

8 authors.

Bingbing ZhengSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China.
Dapeng YinHainan Provincial Center for Disease Control and Prevention, Haikou, 571129, China.
Yifan GengSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China.
Qiao LiSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China.
Wenting CaoSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China.
Mingzhang YinLibrary, Hainan Medical University, Haikou, 571199, China.
Yi NingSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China. NingYi@vip.163.com.ORCID http://orcid.org/0000-0002-7737-580X
Jindong Ding PetersenSchool of Public Health, Key Laboratory of Tropical Translational Medicine of Ministry of Education, Hainan Medical University, Haikou, 571199, Hainan Province, China. dingjindong_10@hotmail.com.ORCID http://orcid.org/0000-0001-6857-982X

Funding

Pfizer Investment Co., Ltd RH2300005242
6 · The paper itself

Abstract

backgroundPrevious studies have documented variations in herpes zoster (HZ) incidence across regions and periods. We aimed to synthesize data on HZ incidence, complications, and associated healthcare costs (inpatient and outpatient) in the Chinese population aged 50 years and older over the last two decades.

methodsWe searched studies published in English between January 1, 2000, and March 31, 2023 in PubMed, Cochrane Library, Embase, EBSCO, OVID, and Web of Science, supplemented by Chinese databases CNKI, Wan Fang, CQVIP, and Yiigle. Main search terms included 'Herpes Zoster', 'Herpesvirus 3, Human', 'Neuralgia Postherpetic', 'incidence', 'morbidity', 'epidemiology', 'complication', 'health care cost', 'expenditure', 'economic', and 'burden'. The Agency for Healthcare Research and Quality tool and Newcastle-Ottawa Scale were used for quality assessment.

resultsOf 6,958 studies, 19 (73,044,981 total population) were included for analysis (1,107,682 HZ cases, mean age 63.03 ± 8.30 years, 47.10% male). The pooled annual HZ incidence from 13 studies (2 with high quality, 11 with medium quality) from 2000 to 2020 was 6.28 per 1000 PYs (95%CI: 5.42, 7.15), with a significant increasing trend over the period (meta-regression coefficient: 0.0031, 95%CI: 0.0027, 0.0036), and more pronounced among females and those with advancing age. Neuralgia system disorders were the most frequently reported complications, followed by ear and eye diseases. Furthermore, HZ-associated inpatient costs showed a 4.4-fold dramatic increases, rising from 3260 RMB in 2010-2012 to 14,303 RMB per patient in 2017-2018, while outpatient costs remained growth from 336 RMB to 1329 RMB.

conclusionsDespite the medium overall quality of the studies, our findings highlight an urgent need for effective public health strategies including vaccine aimed at reducing HZ incidence and associated healthcare costs in China.

Indexed as

Cost of IllnessHealth Care CostsHerpes ZosterAgedChinaFemaleHumansIncidenceMaleMiddle AgedChineseHealthcare costHerpes zosterIncidenceSystematic review

Identifiers

PMID40264149
PMCPMC12013067

What OpenQuestion holds

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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.