In the Results subsection of the Abstract, there are errors in the third and fourth sentence of the paragraph. The correct sentences are: The prevalence of MS in men and women was estimated to be 16.5/ 100,000 (95% CI: 13.3–20.5) and 44.8/ 100,000 (95% CI: 36.2–55.4), respectively. The incidence of MS in men was estimated to be 1.2/ 100,000 (95% CI: 1.0–1.4) and the incidence of MS in women was 48.2/ 100,000 (95% CI: 39.3–59.1).
In the 3.1. Study characteristics and methodological quality subsection of the Results, there is an error in the third sentence of the paragraph. The correct sentence is: Finally, 39 articles (included 92 studies for prevalence and 34 studies for incidence) entered the meta-analysis process after qualitative assessment.
In the 3.4. Prevalence of MS based on gender subsection of the Results, there is an error in the first sentence of the paragraph. The correct sentence is: The prevalence of MS in men and women was estimated to be 16.5/ 100,000 (95% CI: 13.3–20.5) and 44.8/ 100,000 (95% CI: 36.2–55.4), respectively (Fig 4).
In the 3.7. Incidence of MS based on gender subsection of the Results, there is an error in the first sentence of the paragraph. The correct sentence is: The incidence of MS in men was estimated to be 1.2/ 100,000 (95% CI: 1.0–1.4) and the incidence of MS in women was 48.2/ 100,000 (95% CI: 39.3–59.1) (Fig 6).
There is an error in Table 2. Please see the correct Table 2 here.
Table 2. MS prevalence based on region, gender, provinces, year of study and design.
| Variable | Studies (N)* | Sample (N) | Heterogeneity | 95% CI | Pooled (Per 100,000) |
|||
|---|---|---|---|---|---|---|---|---|
| MS | All | I2 | P-Value | |||||
| Region | 12 different | 1 | 19524 | 46695319 | - | - | 41.2–42.4 | 42.4 |
| All Iran | 2 | 51962 | 145645451 | 99.97 | < 0.001 | 20.4–57.4 | 34.2 | |
| Center | 47 | 174229 | 368149059 | 99.94 | < 0.001 | 28.6–43.1 | 35.1 | |
| East | 8 | 3756 | 24011421 | 99.62 | < 0.001 | 5.3–18.1 | 9.8 | |
| North | 14 | 11640 | 32250226 | 99.50 | < 0.001 | 18.7–32.0 | 24.5 | |
| South | 13 | 17466 | 40504544 | 99.69 | < 0.001 | 25.6–44.6 | 33.8 | |
| West | 7 | 4237 | 12534786 | 98.01 | < 0.001 | 22.4–41.9 | 30.6 | |
| Test for subgroup differences: Q = 45.66, df(Q) = 6, P< 0.001 | ||||||||
| Gender | Male | 31 | 25711 | 76907082 | 94.77 | <0.0001 | 13.3–20.5 | 16.5 |
| Female | 31 | 74356 | 75432131 | 99.87 | < 0.001 | 36.2–55.4 | 44.8 | |
| Rate ratio of female to male: OR = 3.01 (2.79–2 = 3.24, P<0.001) | ||||||||
| Province | 12 different major provinces of Iran | 1 | 19524 | 46695319 | - | - | 41.2–42.4 | 41.8 |
| Alborz | 1 | 1737 | 2412513 | - | - | 68.7–75.5 | 72.0 | |
| All Iran | 2 | 51962 | 145645451 | 99.97 | < 0.001 | 20.4–57.4 | 34.2 | |
| Ardabil | 1 | 506 | 1248488 | - | - | 37.1–44.2 | 40.5 | |
| Bushehr | 1 | 33 | 103949 | - | - | 22.6–44.7 | 31.7 | |
| Chahar Mahaal and Bakhtiari | 1 | 537 | 895263 | - | - | 55.1–65.3 | 60.0 | |
| East Azerbaijan | 4 | 6971 | 1508315 | 99.74 | < 0.001 | 25.8–67.4 | 41.7 | |
| Fars | 4 | 11867 | 18441692 | 99.12 | < 0.001 | 52.3–76.9 | 63.4 | |
| Golestan | 1 | 373 | 1777014 | - | - | 19.0–23.2 | 21.0 | |
| Guilan | 2 | 1643 | 4961748 | 97.19 | < 0.001 | 24.5–43.9 | 32.8 | |
| Hamadan | 1 | 985 | 1758268 | - | - | 52.6–59.6 | 56.0 | |
| Hormozgan | 1 | 300 | 1578183 | - | - | 17.0–21.3 | 19.0 | |
| Ilam | 1 | 162 | 557599 | - | - | 24.9–33.9 | 29.1 | |
| Isfahan | 7 | 21302 | 32559015 | 99.79 | < 0.001 | 43.5–79.3 | 58.7 | |
| Kerman | 3 | 2102 | 6085168 | 85.39 | < 0.001 | 31.0–40.4 | 35.4 | |
| Kermanshah | 2 | 818 | 3890454 | 86.51 | < 0.001 | 17.4–25.3 | 21.0 | |
| Khuzestan | 4 | 3164 | 14295552 | 98.11 | < 0.001 | 15.3–26.2 | 20.1 | |
| Kohgiluyeh and Boyer-Ahmad | 3 | 1163 | 2030302 | 96.72 | < 0.001 | 40.3–76.8 | 55.7 | |
| Kordestan | 1 | 612 | 1493645 | - | - | 37.9–44.4 | 41.0 | |
| Lorestan | 1 | 351 | 1754244 | - | - | 18.0–22.2 | 20.0 | |
| Markazi | 1 | 862 | 1413959 | - | - | 57.0–65.2 | 61.0 | |
| Mazandaran | 2 | 1781 | 5996375 | 99.43 | < 0.001 | 14.4–53.9 | 27.9 | |
| North Khorasan | 3 | 332 | 2547026 | 92.70 | < 0.001 | 8.3–18.8 | 12.5 | |
| Qazvin | 1 | 192 | 1201565 | - | - | 13.9–18.4 | 16.0 | |
| Qom | 2 | 1180 | 2303344 | 0 | 0.60 | 4.03–44.9 | 42.5 | |
| Razavi Khorasan | 2 | 2879 | 11587481 | 99.82 | < 0.001 | 7.9–59.0 | 21.6 | |
| Semnan | 1 | 353 | 631218 | - | - | 50.4–62.1 | 55.9 | |
| Sistan and Balouchestan | 5 | 771 | 11761406 | 75.34 | < 0.001 | 5.6–7.5 | 6.5 | |
| South Khorasan | 2 | 140 | 1298954 | 99.77 | < 0.001 | 3.2–27.3 | 9.3 | |
| Tehran | 28 | 146270 | 322611718 | 99.96 | < 0.001 | 20.7–36.7 | 27.6 | |
| West Azerbaijan | 1 | 1309 | 3080576 | - | - | 4.03–44.9 | 42.5 | |
| Yazd | 1 | 440 | 1074428 | - | - | 37.3–45.0 | 41.0 | |
| Zanjan | 1 | 193 | 1015734 | - | - | 16.5–21.9 | 19.0 | |
| Test for subgroup differences: Q = 2559.92, df(Q) = 32, P< 0.001 | ||||||||
| Year of study | < 1990 | 2 | 1110 | 17539552 | 69.13 | 0.072 | 5.7–7.0 | 6.3 |
| 1990–1994 | 5 | 4382 | 47222144 | 97.14 | < 0.001 | 7.6–10.8 | 9.1 | |
| 1995–1999 | 5 | 9763 | 53251981 | 98.62 | < 0.001 | 15.1–21.3 | 17.9 | |
| 2000–2004 | 5 | 20412 | 60955029 | 99.27 | < 0.001 | 27.9–38.6 | 32.8 | |
| 2005–2009 | 20 | 58545 | 182277428 | 99.82 | < 0.001 | 15.5–23.6 | 19.1 | |
| 2010–2014 | 51 | 151690 | 280165726 | 99.81 | < 0.001 | 35.8–45.8 | 40.5 | |
| 2015–2018 | 4 | 36912 | 28378946 | 99.76 | < 0.001 | 50.7–85.0 | 65.6 | |
| Test for subgroup differences: Q = 744.07, df(Q) = 6, P< 0.001 | ||||||||
| Study design | Population based | 82 | 266175 | 627821102 | 99.83 | < 0.001 | 27.0–35.9 | 31.1 |
| Cross-sectional | 10 | 16639 | 41969704 | 99.92 | < 0.001 | 11.7–27.3 | 17.9 | |
| Test for subgroup differences: Q = 5.89, df(Q) = 1, P = 0.015 | ||||||||
N: Number; CI: confidence interval
* Some studies have been included and estimated the prevalence and incidence for more than 1 year and also regions. Each data was considered separately because of assessing the slope of prevalence and incidence in the years and estimating which region is the highest or lowest
Reference
- 1.Azami M, YektaKooshali MH, Shohani M, Khorshidi A, Mahmudi L (2019) Epidemiology of multiple sclerosis in Iran: A systematic review and meta-analysis. PLoS ONE 14(4): e0214738 10.1371/journal.pone.0214738 [DOI] [PMC free article] [PubMed] [Google Scholar]
