A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis
Infection of bones and joints remains one of the most commonly described complications of brucellosis in humans and is predominantly reported in all ages and sexes in high-risk regions, such as the Middle East, Asia, South and Central America, and Africa. We aimed to systematically review the litera...
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| Veröffentlicht in: | PLoS neglected tropical diseases 2019-01, Vol.13 (1), p.e0007112 |
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| description | Infection of bones and joints remains one of the most commonly described complications of brucellosis in humans and is predominantly reported in all ages and sexes in high-risk regions, such as the Middle East, Asia, South and Central America, and Africa. We aimed to systematically review the literature and perform a meta-analysis to estimate the global prevalence of osteoarticular brucellosis (OAB).
Major bibliographic databases were searched using keywords and suitable combinations. All studies reporting the incidence and clinical manifestations of osteoarticular brucellosis in humans, and demonstrated by two or more diagnostic methods (bacteriological, molecular, serological, and/or radiographic) were included. Random model was used, and statistical significance was set at 0.05.
A total of 56 studies met the inclusion criteria and were included in the systematic review and meta-analysis. There was an evidence of geographical variation in the prevalence of osteoarticular disease with estimates ranging from 27% in low-risk regions to 36% in high-risk regions. However, the difference was not significant. Thus, brucellosis patients have at least a 27% chance of developing osteoarticular disease.
The prevalence of OAB is not dependent on the endemicity of brucellosis in a particular region. Hence, further research should investigate the potential mechanisms of OAB, as well as the influence of age, gender, and other socioeconomic factor variations in its global prevalence, as this may provide insight into associated exposure risks and management of the disease. |
| doi_str_mv | 10.1371/journal.pntd.0007112 |
| format | Article |
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Major bibliographic databases were searched using keywords and suitable combinations. All studies reporting the incidence and clinical manifestations of osteoarticular brucellosis in humans, and demonstrated by two or more diagnostic methods (bacteriological, molecular, serological, and/or radiographic) were included. Random model was used, and statistical significance was set at 0.05.
A total of 56 studies met the inclusion criteria and were included in the systematic review and meta-analysis. There was an evidence of geographical variation in the prevalence of osteoarticular disease with estimates ranging from 27% in low-risk regions to 36% in high-risk regions. However, the difference was not significant. Thus, brucellosis patients have at least a 27% chance of developing osteoarticular disease.
The prevalence of OAB is not dependent on the endemicity of brucellosis in a particular region. Hence, further research should investigate the potential mechanisms of OAB, as well as the influence of age, gender, and other socioeconomic factor variations in its global prevalence, as this may provide insight into associated exposure risks and management of the disease.</description><identifier>ISSN: 1935-2735</identifier><identifier>ISSN: 1935-2727</identifier><identifier>EISSN: 1935-2735</identifier><identifier>DOI: 10.1371/journal.pntd.0007112</identifier><identifier>PMID: 30657765</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Agglutination tests ; Analysis ; Arthritis ; Beef cattle ; Biocompatibility ; Biology and Life Sciences ; Bones ; Brucellosis ; Brucellosis - epidemiology ; Brucellosis - pathology ; Care and treatment ; Complications ; Diagnostic systems ; Disease control ; Diseases ; Endemism ; Gender ; Global Health ; Health risks ; Host-bacteria relationships ; Humans ; Incidence ; Infections ; Inflammation ; Joints ; Joints (timber) ; Laboratories ; Literature reviews ; Mathematical models ; Medical research ; Medicine and Health Sciences ; Meta-analysis ; Musculoskeletal system ; Online databases ; Osteoarthritis - epidemiology ; Osteoarthritis - etiology ; Osteoarthritis - pathology ; Pain ; Pediatrics ; Prevalence ; Public health ; Regions ; Research and Analysis Methods ; Risk ; Risk Assessment ; Risk factors ; Risk management ; Social factors ; Socioeconomic data ; Socioeconomic factors ; Socioeconomics ; Systematic review ; Topography, Medical ; Tropical diseases ; Vertebra ; Vertebrae</subject><ispartof>PLoS neglected tropical diseases, 2019-01, Vol.13 (1), p.e0007112</ispartof><rights>COPYRIGHT 2019 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c624t-1b9941f8790032a2eb1ecb41718c21dbdb67d5963127d10c2dc7af0f7d19a0153</citedby><cites>FETCH-LOGICAL-c624t-1b9941f8790032a2eb1ecb41718c21dbdb67d5963127d10c2dc7af0f7d19a0153</cites><orcidid>0000-0002-4453-7788 ; 0000-0001-6045-5080</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355028/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355028/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30657765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Adetunji, Shakirat A</creatorcontrib><creatorcontrib>Ramirez, Gilbert</creatorcontrib><creatorcontrib>Foster, Margaret J</creatorcontrib><creatorcontrib>Arenas-Gamboa, Angela M</creatorcontrib><title>A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis</title><title>PLoS neglected tropical diseases</title><addtitle>PLoS Negl Trop Dis</addtitle><description>Infection of bones and joints remains one of the most commonly described complications of brucellosis in humans and is predominantly reported in all ages and sexes in high-risk regions, such as the Middle East, Asia, South and Central America, and Africa. We aimed to systematically review the literature and perform a meta-analysis to estimate the global prevalence of osteoarticular brucellosis (OAB).
Major bibliographic databases were searched using keywords and suitable combinations. All studies reporting the incidence and clinical manifestations of osteoarticular brucellosis in humans, and demonstrated by two or more diagnostic methods (bacteriological, molecular, serological, and/or radiographic) were included. Random model was used, and statistical significance was set at 0.05.
A total of 56 studies met the inclusion criteria and were included in the systematic review and meta-analysis. There was an evidence of geographical variation in the prevalence of osteoarticular disease with estimates ranging from 27% in low-risk regions to 36% in high-risk regions. However, the difference was not significant. Thus, brucellosis patients have at least a 27% chance of developing osteoarticular disease.
The prevalence of OAB is not dependent on the endemicity of brucellosis in a particular region. Hence, further research should investigate the potential mechanisms of OAB, as well as the influence of age, gender, and other socioeconomic factor variations in its global prevalence, as this may provide insight into associated exposure risks and management of the disease.</description><subject>Agglutination tests</subject><subject>Analysis</subject><subject>Arthritis</subject><subject>Beef cattle</subject><subject>Biocompatibility</subject><subject>Biology and Life Sciences</subject><subject>Bones</subject><subject>Brucellosis</subject><subject>Brucellosis - epidemiology</subject><subject>Brucellosis - pathology</subject><subject>Care and treatment</subject><subject>Complications</subject><subject>Diagnostic systems</subject><subject>Disease control</subject><subject>Diseases</subject><subject>Endemism</subject><subject>Gender</subject><subject>Global Health</subject><subject>Health risks</subject><subject>Host-bacteria relationships</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Inflammation</subject><subject>Joints</subject><subject>Joints (timber)</subject><subject>Laboratories</subject><subject>Literature reviews</subject><subject>Mathematical models</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Meta-analysis</subject><subject>Musculoskeletal system</subject><subject>Online databases</subject><subject>Osteoarthritis - 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epidemiology</topic><topic>Brucellosis - pathology</topic><topic>Care and treatment</topic><topic>Complications</topic><topic>Diagnostic systems</topic><topic>Disease control</topic><topic>Diseases</topic><topic>Endemism</topic><topic>Gender</topic><topic>Global Health</topic><topic>Health risks</topic><topic>Host-bacteria relationships</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infections</topic><topic>Inflammation</topic><topic>Joints</topic><topic>Joints (timber)</topic><topic>Laboratories</topic><topic>Literature reviews</topic><topic>Mathematical models</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Meta-analysis</topic><topic>Musculoskeletal system</topic><topic>Online databases</topic><topic>Osteoarthritis - epidemiology</topic><topic>Osteoarthritis - etiology</topic><topic>Osteoarthritis - pathology</topic><topic>Pain</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Regions</topic><topic>Research and Analysis Methods</topic><topic>Risk</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Risk management</topic><topic>Social factors</topic><topic>Socioeconomic data</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Systematic review</topic><topic>Topography, Medical</topic><topic>Tropical diseases</topic><topic>Vertebra</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adetunji, Shakirat A</creatorcontrib><creatorcontrib>Ramirez, Gilbert</creatorcontrib><creatorcontrib>Foster, Margaret J</creatorcontrib><creatorcontrib>Arenas-Gamboa, Angela M</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PLoS neglected tropical diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adetunji, Shakirat A</au><au>Ramirez, Gilbert</au><au>Foster, Margaret J</au><au>Arenas-Gamboa, Angela M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis</atitle><jtitle>PLoS neglected tropical diseases</jtitle><addtitle>PLoS Negl Trop Dis</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>13</volume><issue>1</issue><spage>e0007112</spage><pages>e0007112-</pages><issn>1935-2735</issn><issn>1935-2727</issn><eissn>1935-2735</eissn><abstract>Infection of bones and joints remains one of the most commonly described complications of brucellosis in humans and is predominantly reported in all ages and sexes in high-risk regions, such as the Middle East, Asia, South and Central America, and Africa. We aimed to systematically review the literature and perform a meta-analysis to estimate the global prevalence of osteoarticular brucellosis (OAB).
Major bibliographic databases were searched using keywords and suitable combinations. All studies reporting the incidence and clinical manifestations of osteoarticular brucellosis in humans, and demonstrated by two or more diagnostic methods (bacteriological, molecular, serological, and/or radiographic) were included. Random model was used, and statistical significance was set at 0.05.
A total of 56 studies met the inclusion criteria and were included in the systematic review and meta-analysis. There was an evidence of geographical variation in the prevalence of osteoarticular disease with estimates ranging from 27% in low-risk regions to 36% in high-risk regions. However, the difference was not significant. Thus, brucellosis patients have at least a 27% chance of developing osteoarticular disease.
The prevalence of OAB is not dependent on the endemicity of brucellosis in a particular region. Hence, further research should investigate the potential mechanisms of OAB, as well as the influence of age, gender, and other socioeconomic factor variations in its global prevalence, as this may provide insight into associated exposure risks and management of the disease.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30657765</pmid><doi>10.1371/journal.pntd.0007112</doi><orcidid>https://orcid.org/0000-0002-4453-7788</orcidid><orcidid>https://orcid.org/0000-0001-6045-5080</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access; Public Library of Science (PLoS) |
| subjects | Agglutination tests Analysis Arthritis Beef cattle Biocompatibility Biology and Life Sciences Bones Brucellosis Brucellosis - epidemiology Brucellosis - pathology Care and treatment Complications Diagnostic systems Disease control Diseases Endemism Gender Global Health Health risks Host-bacteria relationships Humans Incidence Infections Inflammation Joints Joints (timber) Laboratories Literature reviews Mathematical models Medical research Medicine and Health Sciences Meta-analysis Musculoskeletal system Online databases Osteoarthritis - epidemiology Osteoarthritis - etiology Osteoarthritis - pathology Pain Pediatrics Prevalence Public health Regions Research and Analysis Methods Risk Risk Assessment Risk factors Risk management Social factors Socioeconomic data Socioeconomic factors Socioeconomics Systematic review Topography, Medical Tropical diseases Vertebra Vertebrae |
| title | A systematic review and meta-analysis of the prevalence of osteoarticular brucellosis |
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