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Table 1 Summary of 39 studies with norovirus (NoV) incidence or prevalence data among older adults

From: A decade of norovirus disease risk among older adults in upper-middle and high income countries: a systematic review

Author (Ref)

Country

Study years

Study design

Lab Method

Risk estimation methoda

Age

Data source/population

Outcome of interest

Trivedi [89]

US

2009–2010

Retrospective cohort

NSb

C

NS

NORS and Medicare/LTCFsc in 3 states

All cause hospitalizations and deaths during outbreaks

Hall [51]

US

1999–2007

Retrospective regression analysis

NS

C

All

National Center for Health Statistics/nationwide GEd deaths

Incidence and attributable proportion of unspecified GE deaths

Shahid [109]

US

2007

Retrospective laboratory review

Elisa

B

All

In- and outpatient laboratory samples/city-wide patients tested for NoV

Characteristics of NoV positive specimens

Lopman [70]

US

1996–2007

Retrospective regression analysis

NS

C

All

National Inpatient Sample/nationwide GE hospital discharges

Incidence and attributable proportion of unspecified GE discharges

Rosenthal [38]

US

2003–2006

Prospective surveillance

PCR

A

18–106 y

AGEeoutbreaks/LTCFs in 1 state

Attack rates, case-hospitalization and fatality rates during NoV outbreaks

Chui [71]

US

1991–2004

Retrospective database review

NS

D

65– <85 y

Medicare and Medicaid and US Census/nationwide hospitalizations

Incidence of specific gastrointestinal disease hospitalizations

Gastañaduy [45]

US

2001–2009

Retrospective regression analysis

NS

C

All

MarketScan Insurance Claims/US emergency and outpatient visits among insured

Incidence of emergency and outpatient visits for cause-specified and unspecified GE attributed to NoV

Leshem [35]

US

2010–2013

Retrospective analysis surveillance

PCR

A

All

Sentinel community NOV surveillance (NORS and CaliciNet)/community outbreaks in 5 states

Age-specific NoV distribution during GII.4 outbreaks

Leshem [110]

US

2010–2012

Retrospective analysis surveillance

PCR

A

All

Sentinel community NoV surveillance (NORS and CaliciNet)/community outbreaks in 27 states

Age-specific NoV distribution during GI.6 outbreaks

Hall [111]

US

1979–2010

Literature review

NS

E

All

Published studies with population-based incidence rates of NoV/US studies

Summary NoV incidence estimates

Ruzante [72]

Canada

2001–2004

Retrospective database review

NS

D

All

Canadian Institute for Health Information, Vital Statistics Registry, National Notifiable Diseases database/nationwide hospitalizations and deaths

Age-specific hospitalization and mortality incidence rates based on NoV-specific diagnostic coding

Friesema [87]

NL

2005–2007

Prospective surveillance

PCR

A

42–100 y

NoV outbreaks/LTCFs with nursing wards in 6 local health services

Characteristics of NoV outbreaks by genotype and symptoms

Van Asten [77]

NL

1999–2007

Retrospective analysis surveillance

NS

C

≥65 y

Statistics Netherlands (mortality), weekly laboratory surveillance/nationwide unspecified GE

Attributable proportion of all-cause deaths

Van Asten [68]

NL

1994–2006

Retrospective analysis surveillance

NS

C

≥65 y

Netherlands Information Network of GPs, NoV surveillance, National Medical Register, Statistics Netherland/nationwide unspecified GE

Incidence and attributable proportion of unspecified GE deaths

Verhoef [80]

NL

2009

Retrospective analysis surveillance analysis

NS

C

All

SENSOR study, German notifiable disease data, other literature/nationwide

Age-specific mortality, disease burden and burden due to foodborne NoV GE

Spackova [82]

Germany

2002–2008

Retrospective analysis surveillance

NS

A

All

Hospitalization reports: German notifiable disease data/nationwide

Nosocomial GE due to enteric pathogens including NoV

Werber [63]

Germany

2004–2008

Retrospective analysis surveillance

PCR

A

All

German notifiable disease data, Federal Statistical Office/nationwide

Incidence, deaths and potential life lost due to pathogen-specific GE

Bernard [32]

Germany

2001–2009

Retrospective analysis surveillance

PCR

A

All

German notifiable disease data, Federal Statistical Office/nationwide

Age-specific incidence, hospitalization and mortality due to NoV

Gustavsson [55]

Sweden

2008–2009

Retrospective case–control

PCR

B

≥60 y

Hospital database/hospitalized adults at one hospital

30 and 90 day survival rates

Fernandez [65]

Spain

2000–2007

Retrospective laboratory-based

PCR

B

All

Patient laboratory stool samples

Age-specific prevalence of enteric pathogens in GE cases

Arias [112]

Spain

2004–2005

Prospective surveillance

PCR

A

All

Mandatory physician reported outbreaks/Catalonia region

Age-specific incidence of GE

Manso [67]

Spain

2010–2011

Prospective laboratory-based

PCR

B

All

In- and outpatient laboratory stool samples/hospital complex

Age-specific prevalence of enteric pathogens in GE cases

Huhulescu [64]

Austria

2007

Prospective cohort

PCR

A

All

Outpatients/3 physician clinics

Pathogen-specific prevalence in GE

Harris [78]

England/Wales

2001–2006

Retrospective regression analysis

NS

C

≥65 y

Community pathogen surveillance; mortality statistics: Health Protection Agency, Office of National Statistics/England and Wales

Attributable proportion of GE deaths

Haustein [69]

England

2000–2006

Retrospective regression analysis

NS

C

≥18 y

Hospital Episode Statistics and LabBase Health Protection Agency/nationwide

Incidence and attributable proportion of hospital admissions

Philips [42]

England

1993–1996

Prospective cohort

PCR

A

All

Outpatients/70 GP clinics nationwide

Age-specific NoV incidence

Philips [113]

England

1993–1996

Prospective cohort

PCR

A

All

Community and outpatient non-GE patients/cohort and 70 GP clinics nationwide

Prevalence of asymptomatic NoV

Rovida [76]

Italy

2011–2012

Retrospective laboratory-based

PCR

B

All

Inpatient laboratory samples (stool)/one hospital

Pathogen-specific prevalence of GE

Kirk [83]

Australia

2002–2008

Retrospective surveillance analysis

NS

A

Adults

GE outbreaks OzFoodNet/LTCFs nationwide

Pathogen-specific GE outbreak incidence and characteristics of GE outbreaks

Davis [88]

Australia

2004–2007

Retrospective surveillance analysis

PCR

A

NS

GE outbreaks OzFoodNet/LTCFs in Queensland

Characteristics of NoV outbreaks in LTCFs

Tian [66]

China

2008–2009

Prospective cohort

PCR

B

≥14y

Outpatients with AGE/GE Department one hospital

NoV prevalence by age

Chan [74]

Hong Kong

2012–2013

Prospective cohort

PCR

B

All

Inpatients with NoV+ AGE/one hospital

NoV GII.4 distribution by age

Ho [37]

Hong Kong

2001–2006

Prospective laboratory-based analysis

PCR

A

All

Laboratory stool samples from inpatient, outpatients and outbreak cases with AGE/nationwide

Characteristics of NoV outbreaks by age, genotype and season

Tseng [114]

Taiwan

2005–2007

Prospective surveillance

PCR

B

>15 y

AGE cases at residential psychiatric care institution/one care center

Pathogen-specific GE hospitalization rate

Tang [75]

Taiwan

2011–2012

Prospective cohort

PCR

B

All

AGE symptomatic and asymptomatic in-, out- and emergency patients/one hospital

NoV prevalence by AGE symptom status

Lim [15]

Singapore

2004–2011

Retrospective laboratory

PCR

B

All

AGE stool samples/one hospital laboratory

Age-specific distribution of NoV positive samples

Al-Thani [73]

Qatar

2009

Prospective cohort

PCR

B

All

AGE emergency patients/one hospital

Enteric pathogen distribution by age

Greig [85]

Global

1997–2007

Literature review

NS

E

NS

GE outbreaks in LTCFs/global

Characteristics of enteric outbreaks by pathogen and transmission

Utsumi [86]

Global

1966–2008

Literature review

NS

E

NS

Infectious disease outbreaks in LTCFs/global

Characteristics of infectious disease outbreaks by pathogen

  1. aMethod: A = laboratory confirmed or epidemiologically-linked population-based surveillance; B = laboratory-confirmed clinic/hospital setting; C = indirect attribution from regression modeling; D = hospital database study select enteric illness codes without extrapolation E = literature review
  2. bNS not specified; NS diagnostic methods may have included molecular methods; NS age often reported for LTCFs generally serving older adults
  3. cLTCF long term care facility
  4. dGE gastroenteritis
  5. eAGE acute gastroenteritis