Review Article

Psoriasis and Risk of Uveitis: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included incident studies.

Egeberg et al. [17]Chi et al. [16]

Country of originDenmarkTaiwan
Study designCohort studyCohort study
Year of publication20152017
CasesCases of adults (18 years or older) with psoriasis were identified from the Danish National Patient Registry during 1 January 1997 to 31 December 2011. This registry covers all citizens of Denmark.
Diagnosis of psoriasis was made based on the presence of diagnostic codes of psoriasis (ICD-8 code of 696.10 or 696.19 or ICD-10 code of L40, which are codes for psoriasis in general) or the presence of at least two prescriptions of topical vitamin D derivatives in the absence of ICD-8 code of 696.09 or ICD-10 code of M070-M073, which are the codes for psoriatic arthritis.
Cases with diagnosis of uveitis prior to index date were not included.
Cases of psoriasis were identified from the National Health Insurance Research Database during 2000 to 2011. This registry covers 99% of the citizens of Taiwan.
Diagnosis of psoriasis was made based on the presence of diagnostic codes of psoriasis (ICD-9-CM code of 696, 696.1, or 696.8, which are codes for psoriasis in general), in the absence of ICD-9-CM code of 696.0, which is the code for psoriatic arthritis.
Cases with diagnosis of uveitis prior to index date were not included.
ComparatorsComparators were the rest of patients in the database who did not carry the diagnostic codes of psoriasis/psoriatic arthritis.
Comparators with diagnosis of uveitis prior to index date were not included.
Gender- and age-matched comparators without a diagnosis code for psoriasis were randomly selected from the 2005 Longitudinal Health Insurance Database, which is a random subset of one million enrollees in the National Health Insurance Research Database for the year 2005.
Comparators with diagnosis of uveitis prior to index date were not included.
Diagnosis of incident uveitisThe presence of the first diagnosis code for uveitis in the database after the index date.The presence of the first diagnosis code for uveitis in the database after the index date (at least twice for outpatient visit or once for hospital admission).
Number of subjects (cases/comparators)74,129/5,434,749147,954/147,954
Percentage of female gender (cases/comparators)50.6/51.641.2/41.2
Mean age in years (cases/comparators)40.7/43.344.4/44.4
Follow-upUntil 31 December 2011, a diagnosis of end point, migration, or death from any causes.Until incident uveitis, 31 December 2012, or withdrawal from the National Health Insurance program.
Confounder assessed in the multivariate analysisAge, gender, socioeconomic status, and comorbiditiesAge, gender, hypertension, dyslipidaemia, and diabetes
Quality assessmentSelection: 4 stars
Comparability: 1 star
Outcome: 3 stars
Selection: 4 stars
Comparability: 2 stars
Outcome: 3 stars