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  1. Fulltext Sex ratio and age of onset in AQP4 antibody-associated NMOSD: a review and meta-analysis
    Arnett S, Chew SH, Leitner U, Hor JY, Paul F, Yeaman MR, et al.
    J Neurol, 2024 Aug;271(8):4794-4812.
    PMID: 38958756 DOI: 10.1007/s00415-024-12452-8
    BACKGROUND: Aquaporin-4 (AQP4) antibody-associated neuromyelitis optica spectrum disorder (NMOSD) is an antibody-mediated inflammatory disease of the central nervous system. We have undertaken a systematic review and meta-analysis to ascertain the sex ratio and mean age of onset for AQP4 antibody associated NMOSD. We have also explored factors that impact on these demographic data.

    METHODS: A systematic search of databases was conducted according to the PRISMA guidelines. Articles reporting sex distribution and age of onset for AQP4 antibody-associated NMSOD were reviewed. An initially inclusive approach involving exploration with regression meta-analysis was followed by an analysis of just AQP4 antibody positive cases.

    RESULTS: A total of 528 articles were screened to yield 89 articles covering 19,415 individuals from 88 population samples. The female:male sex ratio was significantly influenced by the proportion of AQP4 antibody positive cases in the samples studied (p 

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