Evidence map›Paper›PMID 41519725›Full record

ArticleBMC infectious diseases2026

Epidemiology of herpes zoster and postherpetic neuralgia in Japan: analysis of a large-scale claims database.

Maho Adachi-Katayama, Naoki Kanda, Seiya Sasakura, Shuji Hatakeyama

Abstract read
In one paragraph

Article in BMC infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

4 authors.

Maho Adachi-KatayamaDivision of Infectious Diseases, Department of Infection and Immunity, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.
Naoki KandaDivision of Infectious Diseases, Department of Infection and Immunity, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.
Seiya SasakuraDivision of Infectious Diseases, Department of Infection and Immunity, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.
Shuji HatakeyamaDivision of Infectious Diseases, Department of Infection and Immunity, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan. hatakeyamas@jichi.ac.jp.ORCID http://orcid.org/0000-0003-2684-1695

Funding

MEXT KAKENHI 24K10538Progress of the next Cross-ministerial Strategic Innovation Promotion Program on "Integrated Health Care System" JPJ012425
6 · The paper itself

Abstract

backgroundHerpes zoster (HZ) is a global public health concern. Although HZ vaccination is expected to reduce both HZ and its complications, comprehensive epidemiological data to guide vaccination strategies are scarce.

methodsWe conducted a large-scale analysis of a claims database in Japan to examine standardized incidence rates of HZ and postherpetic neuralgia (PHN) from April 2014 to March 2023. We also evaluated the risks of hospitalization and PHN after HZ, and analyzed varicella incidence using national surveillance data.

resultsThe overall standardized incidence rates were 9.58 and 1.00 per 1,000 person-years for HZ and PHN, respectively. From 2014 to 2023, these rates increased, with estimated annual percent changes of 1.16% (95% confidence interval, 0.52–2.00) for HZ and 0.99% (0.09–3.04) for PHN. The incidence of HZ increased steadily with age: 7.17 in the 40–49 age group, 9.73 in the 50–59 age group, 13.96 in the 60–69 age group, 17.99 in the 70–79 age group, and 18.81 in those aged ≥ 80 years. The effect of aging was more pronounced for PHN, with corresponding rates of 0.37, 0.78, 1.78, 2.97, and 2.98, respectively. The overall risks of hospitalization and PHN following HZ were 4.8% and 10.4%, respectively, with risk ratios approximately 2–3 times higher in those aged ≥ 70 years than in those aged 50–59. HZ incidence was higher in summer and showed little association with varicella incidence.

conclusionsOur findings provide evidence to inform individuals and policymakers in developing strategies to prevent HZ and its complications.

Indexed as

Herpes ZosterNeuralgia, PostherpeticAdolescentAdultAgedAged, 80 and overDatabases, FactualFemaleHospitalizationHumansIncidenceJapanMaleMiddle AgedYoung AdultClaims databaseEpidemiologyHerpes zosterPostherpetic neuralgiaVaricella-zoster virus

Identifiers

PMID41519725
PMCPMC12882626

What Socratic holds

Textmetadata
LicenceCC BY
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.