Incidence and prevalence of inflammatory bowel diseases in gastroenterology primary care setting |
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| Authors: | Antonio Tursi Walter Elisei Marcello Picchio |
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| Institution: | 1. Gastroenterology Service, ASL BAT, Andria, BT, Italy;2. Division of Gastroenterology, ASL RMH, Albano Laziale, Roma, Italy;3. Division of General Surgery, “P. Colombo” Hospital, ASL RMH, Velletri, Rome, Italy;1. Cardiology Division, Interventional Cardiology Unit, University Hospital of Geneva, Switzerland;2. Geriatrician, Clinique de Joli-Mont, Geneva, Switzerland;3. Internal Medicine, Geriatric and rehabilitation Department, University Hospital of Geneva, Switzerland;4. Cardiovascular Anaesthesiology, University Hospital of Geneva, Switzerland;5. Cardiovascular Surgery, University Hospital of Geneva, Switzerland;6. Intensive Care Unit, University Hospital of Geneva, Switzerland;1. Department of Surgical, Oncological and Oral Sciences, Sector of Oral Medicine “V. Margiotta”, University of Palermo, Via del Vespro 129, 90127 Palermo, Italy;2. Unit of Oncology, Department of Oncology and Haematology, Azienda Ospedaliera di Alessandria (City Hospital), Via Venezia n. 16, 15100 Alessandria, Italy;3. Department of Health Sciences “G. D''Alessandro”, University of Palermo, Via del Vespro 143, 90127 Palermo, Italy;4. Section of Maxillofacial Surgery, ARNAS Ospedale Civico, Piazza N. Leotta 4, 90127 Palermo, Italy;5. Section of Oral Surgery, Department of Surgery, University of Pisa, Via Roma 67, 56126 Pisa, Italy;6. Department of Odontostomatologic, Orthodontic and Surgical Disciplines, Second University of Naples, Via Cotugno1, 80135 Naples, Italy;7. Department of Odontostomatology and Surgery, University of Bari, Piazza Giulio Cesare 11, 70124 Bari, Italy;8. Department of Clinical Medicine and Emerging Diseases, University of Palermo, Via del Vespro 143, 90127 Palermo, Italy;9. Unit of Maxillofacial Surgery and Odontostomatology, San Sebastiano Hospital, Via F. Palasciano, 81100 Caserta, Italy;10. Department of Head and Neck Surgery, Second University of Naples, Piazza L. Miraglia 1, 80138 Naples, Italy;11. Department of Otolaryngologic/Dental/Ophthalmological and Cervicofacial Sciences, University of Parma, Via Gramsci 14, 43100 Parma, Italy;1. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada;2. Department of Medicine, McMaster University, Hamilton, ON, Canada;3. IRCCS—Istituto di Ricerche Farmacologiche “Mario Negri”, Milan, Italy;4. Geriatric Unit, Ospedali Civili, Department of Medical and Surgery Sciences, University of Brescia, Italy;5. Internal Medicine, IRCCS Policlinico San Donato, Department of Medical and Surgery, University of Milan, Italy;6. Biomedical Department of Internal Medicine, University of Palermo, Italy;7. Divisione I Clinica Medica, Department of Internal Medicine and Medical Specialities, Sapienza University of Rome, Rome, Italy;8. Scientific Direction, IRCCS Ca'' Granda Maggiore Hospital Foundation, Milan, Italy;1. Département d''Hématologie, Hôpital Saint-Antoine, Centre de Référence des Microangiopathies thrombotiques, France;2. Hôpital Saint Antoine, AP-HP, Université Pierre et Marie Curie (UPMC), Paris, France;3. Unité Inserm U1009, Institut Gustave Roussy, Villejuif, France;4. Inserm UMR 925, UFR de Médecine, 3 Rue des Louvels, 80036 Amiens, France;5. CHU Amiens, Service d''Immunologie, Place Victor Pauchet, 80054 Amiens, France;6. Service de Dermatologie, CHU d''Amiens, Hôpital Sud, Rue René Laennec, 80054 Amiens, France;7. Institut Jacques Monod, UMR7592 CNRS, Paris and Université Paris 6 et 7, France;1. Respiratory Medicine and Infectious Diseases, Oita University Faculty of Medicine, 1-1 Idaigaoka, Yufu, Japan;2. Clinical Research Center of Respiratory Medicine, Tenshindo Hetsugi Hospital, 5956 Nakahetsugi, Oita, Japan |
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| Abstract: | BackgroundThe incidence of inflammatory bowel diseases (IBDs) has markedly increased over the last years, but no epidemiological study has been performed in gastroenterology primary care setting. We describe the epidemiology of IBD in a gastroenterology primary care unit using its records as the primary data source.MethodsCase finding used predefined read codes to systematically search computer diagnostic and prescribing records from January 2009 to December 2012. A specialist diagnosis of Ulcerative colitis (UC), Crohn's disease (CD), inflammatory bowel disease unclassified (IBDU) or segmental colitis associated with diverticulosis (SCAD), based on clinical, histological or radiological findings, was a prerequisite for the inclusion in the study. Secondary, infective and apparent acute self-limiting colitis were excluded.ResultsWe identified 176 patients with IBD in a population of 94,000 with a prevalence 187.2/100,000 (95% CI: 160.6–217.0). Between 2009 and 2012 there were 61 new cases. In particular, there were 23 new cases of UC, 19 new cases of CD, 15 new cases of SCAD, and 4 new cases of IBDU. The incidence of IBD was 16.2/100,000 (95% CI 12.5–20.7) per year. The incidence per year was 6/100,000 (95% CI 3.8 to 8.9) for UC, 5/100,000 (95% CI 3.0–7.7) for CD, 4/100,000 (95% CI 2.3–6.5) for SCAD, and 1/100,000 (95% CI 0.3–2.6) for IBDU.ConclusionsWe assessed for the first time which is the prevalence and incidence of IBD in a gastroenterology primary care unit. This confirms that specialist primary care unit is a key factor in providing early diagnosis of chronic diseases. |
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