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  • Burisch, JohanDepartment of gastroenterology, North Zealand Hospital, University of Copenhagen, Denmark (författare)

Disease course of inflammatory bowel disease unclassified in a European population-based inception cohort : an Epi-IBD study

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-01-21
  • John Wiley & Sons,2019
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-70825
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-70825URI
  • https://doi.org/10.1111/jgh.14563DOI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies:Kirsten og Freddy Johansens Fond  Nordsjaellands Hospital Forskningsrad  
  • BACKGROUND: A definitive diagnosis of Crohn's disease (CD) or ulcerative colitis (UC) is not always possible and a proportion of patients will be diagnosed as inflammatory bowel disease unclassified (IBDU). The aim of the study was to investigate the prognosis of patients initially diagnosed with IBDU and the disease course during the following five years.METHODS: The Epi-IBD study is a prospective population-based cohort of 1,289 IBD patients diagnosed in centres across Europe. Clinical data were captured prospectively throughout the follow-up period.RESULTS: Overall, 476 (37%) patients were initially diagnosed with CD, 701 (54%) with UC, and 112 (9%) with IBDU. During follow-up, 28 (25%) IBDU patients were changed diagnoses to either UC (n=20, 71%) or CD (n=8, 29%) after a median of six months (IQR: 4-12), while 84 (7% of the total cohort) remained IBDU. A total of 17 (15%) IBDU patients were hospitalized for their IBD during follow-up, while 8 (7%) patients underwent surgery. Most surgeries (n=6, 75%) were performed on patients whose diagnosis was later changed to UC; three of these colectomies led to a definitive diagnosis of UC. Most patients (n=107, 96%) received 5-aminosalicylic acid, while 11 (10%) patients received biologicals, of whom five remained classified as IBDU.CONCLUSIONS: In a population-based inception cohort, 7% of IBD patients were not given a definitive diagnosis of IBD after five years of follow-up. One in four patients with IBDU eventually were classified as CD or UC. Overall, the disease course and medication burden in IBDU patients were mild.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Chetcuti Zammit, StefaniaDivision of Gastroenterology, Mater Dei Hospital, Msida, Malta (författare)
  • Ellul, PierreDivision of Gastroenterology, Mater Dei Hospital, Msida, Malta (författare)
  • Turcan, SvetlanaDepartment of Gastroenterology, State University of Medicine and Pharmacy of the Republic of Moldova, Chisinau, Republic of Moldova (författare)
  • Duricova, DanaIBD clinical and research centre, ISCARE., Prague, Czech Republic (författare)
  • Bortlik, MartinIBD clinical and research centre, ISCARE., Prague, Czech Republic; Institute of Pharmacology, 1st Faculty of Medicine, Charles University in Prague, Prague (författare)
  • Winther Andersen, KarinaMedical Department, Regional Hospital of Viborg, Viborg, Denmark (författare)
  • Andersen, VibekeMedical Department, Regional Hospital of Viborg, Viborg, Denmark; Focused research unit for Molecular Diagnostic and Clinical Research (MOK), IRS-Center Sonderjylland, Hospital of Southern Jutland, Aabenraa, Denmark; Institute of Molecular Medicine, University of Southern Denmark, Odense, Denmark (författare)
  • Kaimakliotis, Ioannis P.Nicosia private practice, Nicosia, Cyprus (författare)
  • Fumery, MathurinGastroenterology Unit, Epimad Registry, CHU Amiens Sud, Avenue Laennec-Salouel, Amiens University Hospital, Amiens, France (författare)
  • Gower-Rousseau, CorinnePublic Health, Epidemiology and Economic Health, Registre Epimad, Lille University and Hospital, Lille, France; Lille Inflammation Research International Center LIRIC, Lille University, Lille, France (författare)
  • Girardin, GiuliaDepartment of Surgical, Oncological and gastroenterological Sciences, Azienda, University of Padua, Padua, Italy (författare)
  • Valpiani, DanielaU.O. Gastroenterologia ed Endoscopia digestiva, Hospital Morgagni Pierantoni, Forlì, Italy (författare)
  • Goldis, AdrianClinic of Gastroenterology, University of Medicine 'Victor Babes', Timisoara, Romania (författare)
  • Brinar, MarkoDivision of Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia (författare)
  • Čuković-Čavka, SilvijaDivision of Gastroenterology and Hepatology, University Hospital Center Zagreb, Zagreb, Croatia (författare)
  • Oksanen, PiaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland; University of Tampere, Tampere, Finland (författare)
  • Collin, PekkaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland; University of Tampere, Tampere, Finland (författare)
  • Barros, LuisaDepartment of Gastroenterology, Centro Hospitalar de São João EPE, Porto, Portugal (författare)
  • Magro, FernandoDepartment of Gastroenterology, Centro Hospitalar de São João EPE, Porto, Portugal; Department of Biomedicine, Institute of Pharmacology, Faculty of Medicine of Porto University, Porto, Portugal (författare)
  • Misra, RaviIBD Department, St Marks Hospital, Imperial College London, London, UK (författare)
  • Arebi, NailaIBD Department, St Marks Hospital, Imperial College London, London, UK (författare)
  • Eriksson, Carl,1981-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Gastroenterology(Swepub:oru)clen (författare)
  • Halfvarson, Jonas,1970-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology(Swepub:oru)jshn (författare)
  • Kievit, Hendrika Adriana LindaDepartment of Medicine, Herning Central Hospital, Herning, Denmark (författare)
  • Pedersen, NataliaGastroenterology Department, Slagelse Hospital, Slagelse, Denmark (författare)
  • Kjeldsen, JensGastroenterology Department, Odense University Hospital, Odense, Denmark (författare)
  • Myers, SallyIBD Unit, Hull & East Yorkshire NHS Trust, Hull, UK (författare)
  • Sebastian, ShajiIBD Unit, Hull & East Yorkshire NHS Trust, Hull, UK (författare)
  • Katsanos, Konstantinos H.Department of Gastroenterology, University Hospital of Ioannina, Ioannina, Greece (författare)
  • Christodoulou, Dimitrios K.Department of Gastroenterology, University Hospital of Ioannina, Ioannina, Greece (författare)
  • Midjord, JóngerðMedical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands (författare)
  • Nielsen, Kári RubekMedical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands (författare)
  • Kiudelis, GediminasInstitute for Digestive Research, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania (författare)
  • Kupcinskas, LimasInstitute for Digestive Research, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; Department of Gastroenterology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania (författare)
  • Nikulina, InnaDepartment of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russian Federation (författare)
  • Belousova, ElenaDepartment of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russian Federation (författare)
  • Schwartz, DoronDepartment of Gastroenterology and Hepatology, Soroka Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel (författare)
  • Odes, SelwynDepartment of Gastroenterology and Hepatology, Soroka Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel (författare)
  • Salupere, RiinaDepartment of Gastroenterology and Hepatology, Soroka Medical Center and Ben Gurion University of the Negev, Beer Sheva, Israel (författare)
  • Carmona, AmaliaDepartment of Gastroenterology. Hospital POVISA, Vigo, Spain (författare)
  • Pineda, Juan R.Department of Gastroenterology. Hospital Alvaro Cunqueiro, Instituto Investigación Sanitaria Galicia Sur, EOXI de Vigo, Vigo, Spain (författare)
  • Vegh, Zsuzsanna1st Department of Medicine, Semmelweis University, Budapest, Hungary (författare)
  • Lakatos, Peter L.1st Department of Medicine, Semmelweis University, Budapest, Hungary; Division of Gastroenterology, McGill University Health Center, Montreal, Canada (författare)
  • Langholz, EbbeDepartment of Gastroenterology, Herlev and Gentofte Hospital, University of Copenhagen, Denmark (författare)
  • Munkholm, PiaDepartment of gastroenterology, North Zealand Hospital, University of Copenhagen, Denmark (författare)
  • Epi-IBD, group (författare)
  • Department of gastroenterology, North Zealand Hospital, University of Copenhagen, DenmarkDivision of Gastroenterology, Mater Dei Hospital, Msida, Malta (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Gastroenterology and Hepatology: John Wiley & Sons34:6, s. 996-10030815-93191440-1746

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