Evidence map›Paper›PMID 40907992›Full record

SynthesisPediatric dermatology

Prevalence, Age of Onset, Age at Diagnosis, and Family History of Hidradenitis Suppurativa in Pediatric Populations: A Systematic Review and Meta-Analysis.

Grace Xiong, Mohamed Ali, Erfan Ghani Kakhki, Annie Xiong, Raed Alhusayen, David Croitoru, Cathryn Sibbald, Vincent Piguet, Ilya Mukovozov

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Pediatric dermatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Grace XiongMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0001-0427-950X
Mohamed AliMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Erfan Ghani KakhkiMichael G. DeGroote School of Medicine, McMaster University, Hamilton, Ontario, Canada.
Annie XiongFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0009-0003-6784-9375
Raed AlhusayenDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
David CroitoruDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Cathryn SibbaldDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-9288-1121
Vincent PiguetDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Ilya MukovozovDivision of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-1058-9413

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterized by recurrent nodules and abscesses in intertriginous areas, ultimately resulting in scarring and formation of sinus tracts. HS significantly impacts quality of life and can also affect pediatric populations. We aimed to determine the prevalence, family history, age of onset, and age at diagnosis of HS in pediatric populations.

methodsA random-effects meta-analysis of observational studies was conducted following MOOSE guidelines. Five databases were searched through May 2024.

resultsThirty seven observational studies were included, representing 6941 patients from 13 countries. The weighted mean age was 14.7 years (range: 4-18). Ethnoracial distribution included White (36.5%), Black (38.3%), Hispanic (13.9%), Asian (0.8%), Indigenous (0.2%), Middle Eastern (0.7%), multiracial (1.2%), and unspecified populations (8.4%). Among studies reporting severity, 42.5% had Hurley Stage I, 46.3% Stage II, and 11.2% Stage III. The prevalence of HS in pediatric populations was 0.03% (95% CI [0.0001, 0.0005]), with 38% of patients having a family history of HS (95% CI [0.30, 0.45]). Pediatric-onset HS predominantly affects females (78%, 95% CI [0.76, 0.80]). The average age of onset of HS in pediatric populations was 11.3 years (95% CI [10.15, 12.39]), but diagnosis typically occurred at 14.0 years (95% CI [12.65, 15.28]), indicating a delay in diagnosis. Female predominance of HS was associated with earlier age of onset and age at diagnosis, while no significant correlations between family history, age of onset, or age at diagnosis were identified.

conclusionThis study highlights the characteristics of pediatric-onset HS and emphasizes the need for earlier detection to expedite diagnosis and initiation of treatment.

Indexed as

Hidradenitis SuppurativaAdolescentAge of OnsetChildChild, PreschoolFemaleHumansMalePrevalenceage at diagnosisage of onsetfamily historyhidradenitis suppurativamedical dermatologymeta‐analysispediatric dermatologyprevalencesystematic review

Identifiers

PMID40907992
PMCPMC12646978

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.