Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study
Purpose The incidence of Tourette syndrome and chronic tic disorders has seldom been evaluated in Asia. Methods Using the National Taiwan Insurance Research Database, the annual standardized incidence and prevalence of Tourette syndrome (TS) and chronic tic disorders were estimated from 2007 to 2015...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2022-08, Vol.57 (8), p.1711-1721 |
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| creator | Chou, I-Jun Hung, Po-Cheng Lin, Jainn-Jim Hsieh, Meng-Ying Wang, Yi-Shan Kuo, Cheng-Yen Kuo, Chang-Fu Lin, Kuang-Lin Wang, Huei-Shyong |
| description | Purpose
The incidence of Tourette syndrome and chronic tic disorders has seldom been evaluated in Asia.
Methods
Using the National Taiwan Insurance Research Database, the annual standardized incidence and prevalence of Tourette syndrome (TS) and chronic tic disorders were estimated from 2007 to 2015. The pre-existing comorbidity at disease diagnosis was also evaluated.
Results
From 2007 to 2015, the age- and sex-standardized incidence increased from 5.34 (95% confidence interval [CI] 5.06–5.62) per 100,000 person-years to 6.87 (95% CI 6.53–7.21) per 100,000 person-years. In children and adolescents, the age- and sex-standardized incidence increased from 19.58 (95% CI 18.42–20.75) per 100,000 person-years to 31.79 (95% CI 30.09–33.49) per 100,000 person-years. In adults, the age- and sex-standardized incidence decreased from 2.01 (95% CI 1.79–2.23) per 100,000 person-years to 1.24 (95% CI 1.07–1.42) per 100,000 person-years. The incidence rate ratio (IRR) between males and females was 3.74 (95% CI 3.32–4.22). The age- and sex-standardized prevalence increased from 37.51 (95% CI 36.75–38.27) per 100,000 people in 2007 to 84.18 (95% CI 83.02–85.35) per 100,000 people in 2015. The rate risk (RR) between males and females was 3.65 (95% CI 3.53–3.78).
Conclusion
The annual incidence rates of TS and chronic tic disorders increased in childhood and adolescence but decreased in adulthood from 2007 to 2015. The prevalence rates increased over the same period. |
| doi_str_mv | 10.1007/s00127-022-02253-7 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2655100831</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A710624726</galeid><sourcerecordid>A710624726</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-efbee4b49c67f142186d27c320774d9bdf6a201c25b6740f3cb8e145154aba2b3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvLH-CALHHpJcVfsRNuVUWhUiUu27Pl2JPiKrGDnbTaf49305YPIWSN7LGfdzTjF6F3lJxRQtTHTAhlqiKM7aPmlXqBNlRwXrWsqV-iDWnLWbW1OEJvcr4jhPBW8dfoiNdCKsr5Bt1fBesdBAvYBIenBPdmOKSxx9u4JJhnwHkXXIrjytjvKQZv8VzC-RyTg5SxD3hr_IMJn7DBwcw-hodSGE9xWoZDWnUmg8N5XtzuBL3qzZDh7eN-jG4uP28vvlbX375cXZxfV1YINlfQdwCiE62VqqeC0UY6pixnRCnh2s710jBCLas7qQTpue0aoKKmtTCdYR0_Rqdr3SnFHwvkWY8-WxgGEyAuWTNZ1-UvG04L-uEv9K6MH0p3hWpJIymRv1G35Zu0D32ck7H7ovpcFYIJxWShzv5BleVg9DYG6H25_0PAVoFNMecEvZ6SH03aaUr03my9mq2L0fpgtlZF9P6x46UbwT1LntwtAF-BXJ7CLaRfI_2n7E9curO5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2690861061</pqid></control><display><type>article</type><title>Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study</title><source>Springer Nature - Complete Springer Journals</source><creator>Chou, I-Jun ; Hung, Po-Cheng ; Lin, Jainn-Jim ; Hsieh, Meng-Ying ; Wang, Yi-Shan ; Kuo, Cheng-Yen ; Kuo, Chang-Fu ; Lin, Kuang-Lin ; Wang, Huei-Shyong</creator><creatorcontrib>Chou, I-Jun ; Hung, Po-Cheng ; Lin, Jainn-Jim ; Hsieh, Meng-Ying ; Wang, Yi-Shan ; Kuo, Cheng-Yen ; Kuo, Chang-Fu ; Lin, Kuang-Lin ; Wang, Huei-Shyong</creatorcontrib><description>Purpose
The incidence of Tourette syndrome and chronic tic disorders has seldom been evaluated in Asia.
Methods
Using the National Taiwan Insurance Research Database, the annual standardized incidence and prevalence of Tourette syndrome (TS) and chronic tic disorders were estimated from 2007 to 2015. The pre-existing comorbidity at disease diagnosis was also evaluated.
Results
From 2007 to 2015, the age- and sex-standardized incidence increased from 5.34 (95% confidence interval [CI] 5.06–5.62) per 100,000 person-years to 6.87 (95% CI 6.53–7.21) per 100,000 person-years. In children and adolescents, the age- and sex-standardized incidence increased from 19.58 (95% CI 18.42–20.75) per 100,000 person-years to 31.79 (95% CI 30.09–33.49) per 100,000 person-years. In adults, the age- and sex-standardized incidence decreased from 2.01 (95% CI 1.79–2.23) per 100,000 person-years to 1.24 (95% CI 1.07–1.42) per 100,000 person-years. The incidence rate ratio (IRR) between males and females was 3.74 (95% CI 3.32–4.22). The age- and sex-standardized prevalence increased from 37.51 (95% CI 36.75–38.27) per 100,000 people in 2007 to 84.18 (95% CI 83.02–85.35) per 100,000 people in 2015. The rate risk (RR) between males and females was 3.65 (95% CI 3.53–3.78).
Conclusion
The annual incidence rates of TS and chronic tic disorders increased in childhood and adolescence but decreased in adulthood from 2007 to 2015. The prevalence rates increased over the same period.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-022-02253-7</identifier><identifier>PMID: 35467133</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescents ; Adults ; Age ; Children ; Comorbidity ; Confidence intervals ; Disorders ; Epidemiology ; Females ; Hospitals ; Males ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Mortality ; National health insurance ; Original Paper ; Patients ; Pediatrics ; Population ; Population-based studies ; Psychiatry ; Sex ; Tourette syndrome ; Tourette's syndrome</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2022-08, Vol.57 (8), p.1711-1721</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-efbee4b49c67f142186d27c320774d9bdf6a201c25b6740f3cb8e145154aba2b3</citedby><cites>FETCH-LOGICAL-c442t-efbee4b49c67f142186d27c320774d9bdf6a201c25b6740f3cb8e145154aba2b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-022-02253-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-022-02253-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35467133$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chou, I-Jun</creatorcontrib><creatorcontrib>Hung, Po-Cheng</creatorcontrib><creatorcontrib>Lin, Jainn-Jim</creatorcontrib><creatorcontrib>Hsieh, Meng-Ying</creatorcontrib><creatorcontrib>Wang, Yi-Shan</creatorcontrib><creatorcontrib>Kuo, Cheng-Yen</creatorcontrib><creatorcontrib>Kuo, Chang-Fu</creatorcontrib><creatorcontrib>Lin, Kuang-Lin</creatorcontrib><creatorcontrib>Wang, Huei-Shyong</creatorcontrib><title>Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Purpose
The incidence of Tourette syndrome and chronic tic disorders has seldom been evaluated in Asia.
Methods
Using the National Taiwan Insurance Research Database, the annual standardized incidence and prevalence of Tourette syndrome (TS) and chronic tic disorders were estimated from 2007 to 2015. The pre-existing comorbidity at disease diagnosis was also evaluated.
Results
From 2007 to 2015, the age- and sex-standardized incidence increased from 5.34 (95% confidence interval [CI] 5.06–5.62) per 100,000 person-years to 6.87 (95% CI 6.53–7.21) per 100,000 person-years. In children and adolescents, the age- and sex-standardized incidence increased from 19.58 (95% CI 18.42–20.75) per 100,000 person-years to 31.79 (95% CI 30.09–33.49) per 100,000 person-years. In adults, the age- and sex-standardized incidence decreased from 2.01 (95% CI 1.79–2.23) per 100,000 person-years to 1.24 (95% CI 1.07–1.42) per 100,000 person-years. The incidence rate ratio (IRR) between males and females was 3.74 (95% CI 3.32–4.22). The age- and sex-standardized prevalence increased from 37.51 (95% CI 36.75–38.27) per 100,000 people in 2007 to 84.18 (95% CI 83.02–85.35) per 100,000 people in 2015. The rate risk (RR) between males and females was 3.65 (95% CI 3.53–3.78).
Conclusion
The annual incidence rates of TS and chronic tic disorders increased in childhood and adolescence but decreased in adulthood from 2007 to 2015. The prevalence rates increased over the same period.</description><subject>Adolescents</subject><subject>Adults</subject><subject>Age</subject><subject>Children</subject><subject>Comorbidity</subject><subject>Confidence intervals</subject><subject>Disorders</subject><subject>Epidemiology</subject><subject>Females</subject><subject>Hospitals</subject><subject>Males</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>National health insurance</subject><subject>Original Paper</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Population</subject><subject>Population-based studies</subject><subject>Psychiatry</subject><subject>Sex</subject><subject>Tourette syndrome</subject><subject>Tourette's syndrome</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU1v1DAQhi0EokvLH-CALHHpJcVfsRNuVUWhUiUu27Pl2JPiKrGDnbTaf49305YPIWSN7LGfdzTjF6F3lJxRQtTHTAhlqiKM7aPmlXqBNlRwXrWsqV-iDWnLWbW1OEJvcr4jhPBW8dfoiNdCKsr5Bt1fBesdBAvYBIenBPdmOKSxx9u4JJhnwHkXXIrjytjvKQZv8VzC-RyTg5SxD3hr_IMJn7DBwcw-hodSGE9xWoZDWnUmg8N5XtzuBL3qzZDh7eN-jG4uP28vvlbX375cXZxfV1YINlfQdwCiE62VqqeC0UY6pixnRCnh2s710jBCLas7qQTpue0aoKKmtTCdYR0_Rqdr3SnFHwvkWY8-WxgGEyAuWTNZ1-UvG04L-uEv9K6MH0p3hWpJIymRv1G35Zu0D32ck7H7ovpcFYIJxWShzv5BleVg9DYG6H25_0PAVoFNMecEvZ6SH03aaUr03my9mq2L0fpgtlZF9P6x46UbwT1LntwtAF-BXJ7CLaRfI_2n7E9curO5</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Chou, I-Jun</creator><creator>Hung, Po-Cheng</creator><creator>Lin, Jainn-Jim</creator><creator>Hsieh, Meng-Ying</creator><creator>Wang, Yi-Shan</creator><creator>Kuo, Cheng-Yen</creator><creator>Kuo, Chang-Fu</creator><creator>Lin, Kuang-Lin</creator><creator>Wang, Huei-Shyong</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20220801</creationdate><title>Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study</title><author>Chou, I-Jun ; Hung, Po-Cheng ; Lin, Jainn-Jim ; Hsieh, Meng-Ying ; Wang, Yi-Shan ; Kuo, Cheng-Yen ; Kuo, Chang-Fu ; Lin, Kuang-Lin ; Wang, Huei-Shyong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-efbee4b49c67f142186d27c320774d9bdf6a201c25b6740f3cb8e145154aba2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescents</topic><topic>Adults</topic><topic>Age</topic><topic>Children</topic><topic>Comorbidity</topic><topic>Confidence intervals</topic><topic>Disorders</topic><topic>Epidemiology</topic><topic>Females</topic><topic>Hospitals</topic><topic>Males</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Mortality</topic><topic>National health insurance</topic><topic>Original Paper</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Population</topic><topic>Population-based studies</topic><topic>Psychiatry</topic><topic>Sex</topic><topic>Tourette syndrome</topic><topic>Tourette's syndrome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chou, I-Jun</creatorcontrib><creatorcontrib>Hung, Po-Cheng</creatorcontrib><creatorcontrib>Lin, Jainn-Jim</creatorcontrib><creatorcontrib>Hsieh, Meng-Ying</creatorcontrib><creatorcontrib>Wang, Yi-Shan</creatorcontrib><creatorcontrib>Kuo, Cheng-Yen</creatorcontrib><creatorcontrib>Kuo, Chang-Fu</creatorcontrib><creatorcontrib>Lin, Kuang-Lin</creatorcontrib><creatorcontrib>Wang, Huei-Shyong</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chou, I-Jun</au><au>Hung, Po-Cheng</au><au>Lin, Jainn-Jim</au><au>Hsieh, Meng-Ying</au><au>Wang, Yi-Shan</au><au>Kuo, Cheng-Yen</au><au>Kuo, Chang-Fu</au><au>Lin, Kuang-Lin</au><au>Wang, Huei-Shyong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiatry Psychiatr Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>57</volume><issue>8</issue><spage>1711</spage><epage>1721</epage><pages>1711-1721</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><abstract>Purpose
The incidence of Tourette syndrome and chronic tic disorders has seldom been evaluated in Asia.
Methods
Using the National Taiwan Insurance Research Database, the annual standardized incidence and prevalence of Tourette syndrome (TS) and chronic tic disorders were estimated from 2007 to 2015. The pre-existing comorbidity at disease diagnosis was also evaluated.
Results
From 2007 to 2015, the age- and sex-standardized incidence increased from 5.34 (95% confidence interval [CI] 5.06–5.62) per 100,000 person-years to 6.87 (95% CI 6.53–7.21) per 100,000 person-years. In children and adolescents, the age- and sex-standardized incidence increased from 19.58 (95% CI 18.42–20.75) per 100,000 person-years to 31.79 (95% CI 30.09–33.49) per 100,000 person-years. In adults, the age- and sex-standardized incidence decreased from 2.01 (95% CI 1.79–2.23) per 100,000 person-years to 1.24 (95% CI 1.07–1.42) per 100,000 person-years. The incidence rate ratio (IRR) between males and females was 3.74 (95% CI 3.32–4.22). The age- and sex-standardized prevalence increased from 37.51 (95% CI 36.75–38.27) per 100,000 people in 2007 to 84.18 (95% CI 83.02–85.35) per 100,000 people in 2015. The rate risk (RR) between males and females was 3.65 (95% CI 3.53–3.78).
Conclusion
The annual incidence rates of TS and chronic tic disorders increased in childhood and adolescence but decreased in adulthood from 2007 to 2015. The prevalence rates increased over the same period.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35467133</pmid><doi>10.1007/s00127-022-02253-7</doi><tpages>11</tpages></addata></record> |
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| subjects | Adolescents Adults Age Children Comorbidity Confidence intervals Disorders Epidemiology Females Hospitals Males Medical research Medicine Medicine & Public Health Medicine, Experimental Mortality National health insurance Original Paper Patients Pediatrics Population Population-based studies Psychiatry Sex Tourette syndrome Tourette's syndrome |
| title | Incidence and prevalence of Tourette syndrome and chronic tic disorders in Taiwan: a nationwide population-based study |
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