%0 Journal Article %T Epidemiology of malignant tumors in patients with pemphigus: an analysis of trends from 1955 to 2021. %A Luo Y %A Fei X %A Wang M %A Yang H %A Zhang Y %A Chen Y %A Luo Y %A Ding X %A Gao C %A Shen F %A Wang R %A Li B %A Kuai L %A Zheng Q %A Li M %A Song J %J Clin Exp Med %V 24 %N 1 %D 2024 May 17 %M 38758217 %F 5.057 %R 10.1007/s10238-024-01354-8 %X BACKGROUND: The incidence of malignant tumors has increased in patients with non-paraneoplastic pemphigus, although there has been no systematic analysis of global epidemiology.
OBJECTIVE: To explore the epidemiology of various types of non-paraneoplastic pemphigus associated with malignant tumors.
METHODS: Five databases from establishment through October 20, 2023, were searched. STATA SE 17 was used for the data analysis. Subgroup, meta-regression, and sensitivity analyses were used to evaluate the heterogeneity of pooled studies.
RESULTS: A total of 6679 participants were included in our meta-analysis from 16 studies. The aggregated prevalence of tumors in patients diagnosed with pemphigus was 8%. The prevalence was 7% in patients with pemphigus vulgaris, 10% in those with pemphigus foliaceus, and 12% in individuals diagnosed with other types of pemphigus. The prevalence was 8% in Asia, 11% in Europe, and 8% in North America. From a country-specific perspective, patients with pemphigus from Israel, Greece, and Germany exhibited a higher prevalence of tumors at 11%. Furthermore, when categorized by the duration of the study period, the highest prevalence was observed in studies spanning 10 to 20 years, at 11%.
CONCLUSIONS: These findings demonstrate the incidence and prevalence of malignant tumors in patients with non-paraneoplastic pemphigus, which may achieve early detection and intervention, and then reduce mortality rates.