关键词: Asia-Pacific Herpes zoster complications epidemiology healthcare burden shingles systematic literature review

Mesh : Humans Asia / epidemiology Australia / epidemiology Cost of Illness Herpes Zoster / epidemiology economics Incidence New Zealand / epidemiology Prevalence Quality of Life Adult

来  源:   DOI:10.1080/21645515.2024.2344983   PDF(Pubmed)

Abstract:
Herpes zoster (HZ) is a painful rash which typically affects older adults. This is of concern in Asia-Pacific given its aging population. As HZ epidemiology and burden are evolving, this systematic literature review aimed to update the current understanding of HZ burden and associated costs for selected Asia-Pacific locales. MEDLINE and Embase were searched for English articles of HZ studies conducted in Australia, China, Hong Kong, Japan, Korea, New Zealand, Singapore, and Taiwan. Eligible outcomes included HZ incidence and prevalence, occurrence of HZ-related complications, healthcare resource utilization, costs, and HZ-associated quality of life outcomes. This paper focused on HZ data in the general adult population (N = 90 articles). Substantial HZ-related disease and economic burden were observed in these locales, consistent with global trends. These findings reinforce the increasing burden of HZ and need for preventive strategies, which may include raising awareness and encouraging timely vaccination.
Herpes zoster, also known as shingles, is a painful rash that usually resolves after a few weeks, although some people experience serious or long-lasting complications. Shingles is common, affecting around one in every three individuals in their lifetime, and older persons are more likely to have shingles. Given the aging population in the Asia-Pacific region, shingles represents an increasingly important health issue as the proportion of older people increases. Vaccination can help prevent shingles and avoid its complications. New data on the trends and burden of shingles in this region are regularly generated. Therefore, in this study, we looked at studies from selected countries published over the past twenty years to summarize the latest available information on: how many people experience shingles in selected Asia-Pacific areas, how these individuals and societies are affected, and the related costs. Consistent with previous research, this study observed an increasing trend in the number of persons with shingles and costs of managing it, especially in older adults. In populations that are aging, there is a need for ways to reduce the risk of shingles and to lessen its burden on the healthcare system and society. Our findings can help to inform current development of strategies to reduce the risk of shingles, including education (on the burden and risk of shingles) and encouraging uptake of preventive measures.
摘要:
带状疱疹(HZ)是一种痛苦的皮疹,通常会影响老年人。鉴于亚太地区人口老龄化,这一点令人担忧。随着HZ流行病学和负担的演变,本系统文献综述旨在更新目前对选定亚太地区地区HZ负担和相关成本的理解。搜索了MEDLINE和Embase在澳大利亚进行的HZ研究的英文文章,中国,香港,Japan,韩国,新西兰,新加坡,和台湾。符合条件的结果包括HZ发病率和患病率,HZ相关并发症的发生,医疗保健资源利用,成本,和HZ相关的生活质量结果。本文主要研究一般成年人群的HZ数据(N=90篇)。在这些地区观察到大量与HZ相关的疾病和经济负担,符合全球趋势。这些发现加强了HZ日益增加的负担和对预防策略的需求,其中可能包括提高认识和鼓励及时接种疫苗。
带状疱疹,也被称为带状疱疹,是一种痛苦的皮疹,通常在几周后消退,虽然有些人会经历严重或持久的并发症。带状疱疹很常见,影响到他们一生中每三个人中就有一个,老年人更容易患带状疱疹。鉴于亚太地区人口老龄化,随着老年人比例的增加,带状疱疹代表着越来越重要的健康问题。接种疫苗可以帮助预防带状疱疹并避免其并发症。定期生成有关该地区带状疱疹趋势和负担的新数据。因此,在这项研究中,我们查看了过去二十年来发表的某些国家的研究,以总结有关以下方面的最新信息:在选定的亚太地区有多少人经历带状疱疹,这些个人和社会是如何受到影响的,以及相关费用。与以前的研究一致,这项研究观察到带状疱疹的人数和管理带状疱疹的成本呈上升趋势,尤其是老年人。在老龄化的人群中,有必要寻找方法来减少带状疱疹的风险,并减轻其对医疗保健系统和社会的负担。我们的发现有助于为当前制定降低带状疱疹风险的策略提供信息,包括教育(关于带状疱疹的负担和风险)和鼓励采取预防措施。
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