In the 7MM, the total prevalent cases of ALS was around 67,000 in 2023, which is expected to grow during the study period (2020-2034).
The United States contributed to the largest diagnosed prevalent population of ALS, acquiring ~40% of the 7MM in 2023.
Amongst EU4 and the UK, the age group of 70-79 accounted for the highest cases in 2023, followed by 60-69 and 50-59 years.
The major sites of onset of ALS are the bulbar, and spinal, along with other uncertain regions. In 2023, the patients with the spinal as a site of onset accounted highest cases in the US, i.e., 15,000, followed by the bulbar site of onset.
In 2023, the patients with the spinal as a site of onset accounted for around 7,000 cases in Japan
The "Amyotrophic Lateral Sclerosis -Epidemiology Forecast - 2034" report delivers an in-depth understanding of ALS, historical and forecasted epidemiology in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.
Geography Covered
The United States
EU4 (Germany, France, Italy, and Spain) and the United Kingdom
ALS, often referred to as Lou Gehrig's disease, is a progressive neurodegenerative disorder affecting the nerve cells in the brain and spinal cord, leading to muscle weakness, paralysis, and ultimately respiratory failure. While the exact cause remains unclear, a combination of genetic and environmental factors likely contributes to its onset. Diagnosis relies on neurological examination and various tests to rule out other conditions.
Amyotrophic Lateral Sclerosis Diagnosis
Diagnosing ALS involves a thorough neurological examination, medical history review, and various tests to exclude other possible conditions. Electromyography (EMG) and nerve conduction studies evaluate nerve and muscle function, while imaging scans like MRI rule out alternative causes of symptoms. Despite these efforts, ALS diagnosis remains challenging without a definitive test. Early and accurate diagnosis is crucial for initiating symptom management and support services. Biomarkers, like cerebrospinal fluid neurofilament levels, though not yet integrated into clinical practice, show promise for diagnosis and monitoring effects. They could aid in patient stratification and research studies, particularly in cases where symptoms are ambiguous or overlap with other conditions.
Amyotrophic Lateral Sclerosis Epidemiology
The ALS epidemiology chapter in the report provides historical as well as forecasted epidemiology segmented by the Total Prevalent Population of ALS, Diagnosed Prevalence of ALS, Type-specific Distribution of ALS, Gender-specific Distribution of ALS, Mutation-specific Distribution of ALS, Distribution Based on Site of Onset of ALS, and Age-specific Distribution of ALS in the 7MM market covering the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan from 2020 to 2034.
Among the 7MM, the US accounted for the highest prevalent cases of ALS in 2023, with around 24,000 cases; these cases are expected to increase during the forecast period.
Amongst EU4 and the UK, the diagnosed prevalent cases of ALS were highest in Germany, while the lowest number of cases was in Spain in 2023.
The major sites of onset of ALS are the bulbar, and spinal, along with other uncertain regions. In 2023, the patients with the spinal as a site of onset accounted highest cases in the US, i.e., 15,000, followed by the bulbar site of onset.
According to the estimates, in Japan, it is observed that ALS was most prevalent in the 70-79 years age group, followed by 60-69 years, and 50-59 years.
Scope of the Report
The report covers a segment of key events, an executive summary, descriptive overview of ALS, explaining its causes, signs and symptoms, and pathogenesis.
Comprehensive insight into the epidemiology segments and forecasts, and disease progression has been provided.
The report provides an edge while developing business strategies, understanding trends, expert insights/KOL views, and patient journey in the 7MM.
A detailed review of current challenges in establishing the diagnosis.
What are the disease risk, burdens, and unmet needs of Amyotrophic Lateral Sclerosis? What will be the growth opportunities across the 7MM concerning the patient population with Amyotrophic Lateral Sclerosis?
What is the historical and forecasted Amyotrophic Lateral Sclerosis patient pool in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan?
Which age group of Amyotrophic Lateral Sclerosis has a high patient share?
Reasons to Buy
Insights on patient burden/disease, evolution in diagnosis, and factors contributing to the change in the epidemiology of the disease during the forecast years.
To understand the age-specific Amyotrophic Lateral Sclerosis prevalence cases in varying geographies over the coming years.
To understand the perspective of key opinion leaders around the current challenges with establishing the diagnosis.
Detailed insights on various factors hampering disease diagnosis and other existing diagnostic challenges.
Table of Contents
1. KEY INSIGHTS2. REPORT INTRODUCTION
3. ALS EPIDEMIOLOGY OVERVIEW AT A GLANCE
3.1. PATIENT SHARE (%) DISTRIBUTION OF ALS IN 2023 3.2. PATIENT SHARE (%) DISTRIBUTION OF ALS IN 2034
6.1. INTRODUCTION 6.2. TYPES OF ALS 6.2.1. Sporadic ALS 6.2.2. Genetic or Familial ALS 6.3. CAUSES 6.3.1. Genetics 6.3.2. Environmental factors 6.4. RISK FACTORS 6.5. SYMPTOMS 6.6. CLINICAL FEATURES 6.6.1. Clinical presentation 6.6.2. Amyotrophic lateral sclerosis phenotypes 6.6.3. Subtypes of ALS based on relative UMN versus LMN involvement 6.6.4. Subtypes of motor neuron disease based on the regional distribution of involvement 6.6.5. Subtypes of ALS based on additional frontotemporal involvement 6.7. PATHOGENESIS 6.7.1. Failure of proteostasis 6.7.2. Disturbed RNA metabolism 6.7.3. Cytoskeletal disturbances and axonal transport defects 6.8. BIOMARKER 6.9. PREDICTION OF PROGNOSIS 6.10. DIFFERENTIAL DIAGNOSIS 6.11. DIAGNOSIS
7. EPIDEMIOLOGY AND PATIENT POPULATION OF THE 7MM
7.1. KEY FINDINGS 7.2. ASSUMPTIONS AND RATIONALE 7.3. TOTAL PREVALENT POPULATION OF ALS IN THE 7MM 7.4. TOTAL DIAGNOSED PREVALENT POPULATION OF ALS IN THE 7MM 7.5. UNITED STATES 7.5.1. Diagnosed Prevalence of ALS in the United States 7.5.2. Type-specific Distribution of ALS in the United States 7.5.3. Gender-specific Distribution of ALS in the United States 7.5.4. Mutation-specific Distribution of ALS in the United States 7.5.5. Distribution Based on Site of Onset of ALS in the United States 7.5.6. Age-specific Distribution of ALS in the United States 7.6. EU4 AND UK 7.6.1. Diagnosed Prevalence of ALS in EU4 and the UK 7.6.2. Type-specific Distribution of ALS in EU4 and the UK 7.6.3. Gender-specific Distribution of ALS in EU4 and the UK 7.6.4. Mutation-specific Distribution of ALS in EU4 and the UK 7.6.5. Distribution Based on Site of Onset of ALS in EU4 and the UK 7.6.6. Age-specific Distribution of ALS in EU4 and the UK 7.7. JAPAN 7.7.1. Diagnosed Prevalence of ALS in Japan 7.7.2. Type-specific Distribution of ALS in Japan 7.7.3. Gender-specific Distribution of ALS in Japan 7.7.4. Mutation-specific Distribution of ALS in Japan 7.7.5. Distribution Based on Site of Onset of ALS in Japan 7.7.6. Age-specific Distribution of ALS in Japan
8. APPENDIX
8.1. BIBLIOGRAPHY 8.2. REPORT METHODOLOGY
9. Publisher Capabilities10. DISCLAIMER11. About the Publisher
List of Tables
Table 1: Summary of Amyotrophic lateral sclerosis (ALS) Epidemiology (2020-2034) Table 2: List of differential diagnosis and clinical overlap with ALS Table 3: Summary table of ALS and key differentiating factors with each mimic/variant Table 4: Diagnostic tests for ALS Table 5: Revised El Escorial Criteria for ALS Table 6: Total Prevalent Population of ALS in the 7MM (2020-2034) Table 7: Total Diagnosed Prevalent Population of ALS in the 7MM (2020-2034) Table 8: Total Diagnosed Prevalent Population of ALS in the United States (2020-2034) Table 9: Type-specific Distribution of ALS in the United States (2020-2034) Table 10: Gender-specific Distribution of ALS in the United States (2020-2034) Table 11: Mutation-specific Distribution of ALS in the United States (2020-2034) Table 12: Distribution Based on Site of Onset of ALS in the United States (2020-2034) Table 13: Age-specific Distribution of ALS in the United States (2020-2034) Table 14: Diagnosed Prevalence of ALS in EU4 and the UK (2020-2034) Table 15: Type-specific Distribution of ALS in EU4 and the UK (2020-2034) Table 16: Gender-specific Distribution of ALS in EU4 and the UK (2020-2034) Table 17: Mutation-specific Distribution of ALS in EU4 and the UK (2020-2034) Table 18: Distribution Based on Site of Onset of ALS in EU4 and the UK (2020-2034) Table 19: Mutation-specific Distribution of ALS in EU4 and the UK (2020-2034) Table 20: Total Diagnosed Prevalent Population of ALS in Japan (2020-2034) Table 21: Type-specific Distribution of ALS in Japan (2020-2034) Table 22: Gender-specific Distribution of ALS in Japan (2020-2034) Table 23: Mutation-specific Distribution of ALS in Japan (2020-2034) Table 24: Distribution Based on Site of Onset of ALS in the Japan (2020-2034) Table 25: Age-specific Distribution of ALS in Japan (2020-2034)
List of Figures
Figure 1: Phenotypic presentations of ALS Figure 2: Clustering of ALS genes in pathogenic pathways Figure 3: Total Prevalent Population of ALS in the 7MM (2020-2034) Figure 4: Total Diagnosed Prevalent Population of ALS in the 7MM (2020-2034) Figure 5: Diagnosed Prevalence of ALS in the United States (2020-2034) Figure 6: Type-specific Distribution of ALS in the United States (2020-2034) Figure 7: Gender-specific Distribution of ALS in the United States (2020-2034) Figure 8: Mutation-specific Distribution of ALS in the United States (2020-2034) Figure 9: Distribution Based on Site of Onset of ALS in the United States (2020-2034) Figure 10: Age-specific Distribution of ALS in the United States (2020-2034) Figure 11: Diagnosed Prevalence of ALS in EU4 and the UK (2020-2034) Figure 12: Type-specific Distribution of ALS in EU4 and the UK (2020-2034) Figure 13: Gender-specific Distribution of ALS in EU4 and the UK (2020-2034) Figure 14: Mutation-specific Distribution of ALS in EU4 and the UK (2020-2034) Figure 15: Distribution Based on Site of Onset of ALS in EU4 and the UK (2020-2034) Figure 16: Age-specific Distribution of ALS in EU4 and the UK (2020-2034) Figure 17: Diagnosed Prevalence of ALS in Japan (2020-2034) Figure 18: Type-specific Distribution of ALS in Japan (2020-2034) Figure 19: Gender-specific Distribution of ALS in Japan (2020-2034) Figure 20: Mutation-specific Distribution of ALS in Japan (2020-2034) Figure 21: Distribution Based on Site of Onset of ALS in Japan (2020-2034) Figure 22: Age-specific Distribution of ALS in Japan (2020-2034)
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