A
systemic, chronic, and progressive inflammatory arthritis, ankylosing
spondylitis is the prototype of a family of related disorders known as
seronegative spondyloarthritis (SpA) and one of the most common rheumatic
diseases across the globe (Sieper et al., 2002). Ankylosing spondylitis
primarily affects the spine and sacroiliac (SI) joints and progresses into
severe inflammation that fuses the spine, leading to permanent painful
stiffness of the back. The long-term disability caused by ankylosing
spondylitis has a huge socioeconomic impact with direct monetary costs to
patients, families, and society (Salaffi et al., 2009). Ankylosing spondylitis
is typically diagnosed in young adults, by the third decade of life, and has a
seven- to nine-year delay of diagnosis (Kaipiainen-Seppänen et al., 1997).
Global diagnosed prevalence of the disease ranges from 0.01%–1.40%, with higher
prevalence in western European Caucasian populations (Bakland et al., 2005;
Hukuda et al., 2001). The epidemiology of ankylosing spondylitis follows a
specific geographic distribution mirroring the global variation in prevalence
of the HLA-B27 risk allele, with an average male-to-female sex ratio of 2:1
(Dean et al., 2013).
This
report provides an overview of the risk factors, comorbidities, and global
epidemiological trends for ankylosing spondylitis in the seven major markets
(7MM) (US, France, Germany, Italy, Spain, UK, and Japan). The report also
includes a 10-year epidemiological forecast for the diagnosed prevalent cases
of ankylosing spondylitis segmented by age (≥15 years) and sex. These diagnosed
prevalent cases are then further segmented by HLA-B27 seropositivity status.
Publisher
epidemiologists forecast an increase in the diagnosed prevalent cases of
ankylosing spondylitis in the 7MM, from 818,456 diagnosed prevalent cases in
2012 to 850,849 diagnosed prevalent cases in 2022, with an annual growth rate
(AGR) of 0.40%. Throughout the forecast period, the US will have the highest
number of diagnosed prevalent cases of ankylosing spondylitis, with 608,813
diagnosed prevalent cases in 2022.
This
forecast provides detailed and clinically relevant segmentations of ankylosing
spondylitis prevalent cases in the 7MM. These segmentations allow for an
improved understanding of the disease epidemiology and the ability to focus on
specific subgroups. Trends in the diagnosed prevalent cases of ankylosing
spondylitis are a direct result of changing population demographics in the 7MM.
The
analysis is strengthened by the use of sources with validated diagnostic
criteria and uniform methodology in each market, allowing for a meaningful
comparison of the diagnosed prevalent cases of ankylosing spondylitis across
the 7MM.
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