East-West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort

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East-West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort

Burisch, J. (författare): Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark

Pedersen, N. (författare): Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark

Cukovic-Cavka, S. (författare): Division of Gastroenterology and Hepatology, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia,Hull and East Yorkshire NHS Trust and Hull and York Medical School, Hull Royal Infirmary, Hull, UK,Hull and E Yorkshire NHS Trust and Hull and York, England

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Brinar, M. (författare): Division of Gastroenterology and Hepatology, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia

Kaimakliotis, I. (författare): Nicosia private practice, Nicosia, Cyprus

Duricova, D. (författare): Charles University of Prague, Czech Republic,IBD Centre ISCARE, Charles University, Prague, Czech Republic,Department of Gastroenterology and Hepatology, Soroka Medical Centre and Ben Gurion University of the Negev, Beer Sheva, Israel,UO Gastroenterologia, Azienda Ospedaliera-Università di Padova, Padova, Italy,Clinic of Gastroenterology, University of Medicine ‘Victor Babes’, Timisoara, Romania,Gastroenterology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain,University of Medical Victor Babes, Romania,Complexo Hospital University of Vigo, Spain

Shonova, O. (författare): Gastroenterology Department, Hospital České Budějovice, České Budějovice, Czech Republic,Department of Gastroenterology and Hepatology, Soroka Medical Centre and Ben Gurion University of the Negev, Beer Sheva, Israel

Vind, I. (författare): Department of Medicine, Amager Hospital, Amager, Denmark

Avnstrom, S. (författare): Department of Medicine, Amager Hospital, Amager, Denmark

Thorsgaard, N. (författare): Department of Medicine, Herning Central Hospital, Herning, Denmark

Andersen, V. (författare): Medical Department, Viborg Regional Hospital, Viborg, Denmark; Medical Department, Hospital of Southern Jutland, Aabenraa, Denmark; University of Southern Denmark, Odense, Denmark

Krabbe, S. (författare): Medical Department, Viborg Regional Hospital, Viborg, Denmark

Dahlerup, J.F. (författare): Department of Medicine V (Hepatology and Gastroenterology), Aarhus University Hospital, Arhus, Denmark

Salupere, R. (författare): Division of Endocrinology and Gastroenterology, Tartu University Hospital, Tartu, Estonia

Nielsen, K.R. (författare): National Hospital Faroe Isl, Denmark,Medical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands

Olsen, J. (författare): National Hospital Faroe Isl, Denmark,Medical Department, The National Hospital of the Faroe Islands, Torshavn, Faroe Islands

Manninen, P. (författare): Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland

Collin, P. (författare): Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland

Tsianos, E.V. (författare): 1st Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece

Katsanos, K.H. (författare): 1st Division of Internal Medicine and Hepato-Gastroenterology Unit, University Hospital, Ioannina, Greece

Ladefoged, K. (författare): Medical Department, Dronning Ingrids Hospital, Nuuk, Greenland,Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania,Az Osped Osped Cremona, Italy Lithuanian University of Health Science, Lithuania

Lakatos, L. (författare): 1st Department of Medicine, Semmelweis University, Budapest, Hungary,Hospital de Vale de Sousa, Porto, Portugal

Bjornsson, E. (författare): Department of Internal Medicine, Section of Gastroenterology and Hepatology, The National University Hospital, Reykjavik, Iceland

Ragnarsson, G. (författare): Department of Internal Medicine, Section of Gastroenterology and Hepatology, The National University Hospital, Reykjavik, Iceland

Bailey, Y. (författare): Department of Gastroenterology, Adelaide and Meath Hospital, TCD, Dublin, Ireland

Odes, S. (författare): Ben Gurion University of Negev, Israel Ben Gurion University of Negev, Israel

Schwartz, D. (författare): Ben Gurion University of Negev, Israel Ben Gurion University of Negev, Israel

Martinato, M. (författare): UO Gastroenterologia, Azienda Ospedaliera—Università di Padova, Padova, Italy,Gastroenterology Unit, Careggi Hospital, Florence, Italy,UO Gastroenterologia ed Endoscopia Digestiva, Ospedale Morgagni-Pierantoni, Forlì, Italy,Azienda Osped Arcispedale S Maria Nuova, Italy

Lupinacci, G. (författare): UO Gastroenterol Endoscopia Digest, Italy,UO di Medicina e Gastroenterologia, Az Ospedaliera Ospedale di Cremona, Cremona, Italy; UO di Gastroenterologia e Endoscopia Digestiva, Az Ospedaliera Ospedale Maggiore di Crema, Crema, Italy

Milla, M. (författare): Careggi Hospital, Italy

De Padova, A. (författare): Osped Morgagni Pierantoni, Italy,UO Gastroenterologia ed Endoscopia Digestiva, Ospedale Morgagni-Pierantoni, Forlì, Italy

D'lnca, R. (författare): Azienda Ospedaliera—Università di Padova, Padova, Italy

Beltrami, M. (författare): Azienda Osped Arcispedale S Maria Nuova, Italy

Kupcinskas, L. (författare): Az Osped Osped Cremona, Italy Lithuanian University of Health Science, Lithuania

Kiudelis, G. (författare): Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania

Turcan, S. (författare): Department of Gastroenterology, State University of Medicine and Pharmacy of the Republic of Moldova, Chisinau, Republic of Moldova

Tighineanu, O. (författare): Department of Paediatric Gastroenterology, Centre of Mother and Child, Chisinau, Republic of Moldova

Mihu, I. (författare): Department of Paediatric Gastroenterology, Centre of Mother and Child, Chisinau, Republic of Moldova

Magro, F. (författare): Hospital Sao Joao, Portugal Oporto Medical Sch, Portugal University of Porto, Portugal,Department of Gastroenterology, Hospital de São João, Porto, Portugal; Institute of Pharmacology and Therapeutics, Oporto Medical School, Porto, Portugal; Hospital de Vale de Sousa, Porto, Portugal

Barros, L.F. (författare): Hospital Vale Sousa, Portugal

Goldis, A. (författare): University of Medical Victor Babes, Romania,Clinic of Gastroenterology, University of Medicine ‘Victor Babes’, Timisoara, Romania

Lazar, D. (författare): University of Medical Victor Babes, Romania

Belousova, E. (författare): Moscow Regional Research Clin Institute, Russia,Department of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia

Nikulina, I. (författare): Moscow Regional Research Clin Institute, Russia,Department of Gastroenterology, Moscow Regional Research Clinical Institute, Moscow, Russia

Hernandez, V. (författare): Complexo Hospital University of Vigo, Spain,Gastroenterology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain

Martinez-Ares, D. (författare): Complexo Hospital University of Vigo, Spain

Almer, Sven (författare): Karolinska Institutet,Östergötlands Läns Landsting,Linköpings universitet,Avdelningen för inflammationsmedicin,Hälsouniversitetet,Magtarmmedicinska kliniken,Division of Gastroenterology and Hepatology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden; Department of Gastroenterology/UHL, County Council of Östergötland, Linköping, Sweden

Zhulina, Yaroslava, 1973- (författare): Region Örebro län,Department of Medicine, Division of Gastroenterology, Örebro University Hospital, Örebro, Sweden

Halfvarson, Jonas, 1970- (författare): Region Örebro län,Örebro universitet, Institutionen för hälsovetenskap och medicin,Department of Medicine, Division of Gastroenterology, Örebro University Hospital, Örebro, Sweden

Arebi, N. (författare): University of London Imperial Coll Science Technology and Med, England,Sir Alan Park's Physiology Unit, St Mark's Hospital, Imperial College London, London, UK

Sebastian, S. (författare): Hull and E Yorkshire NHS Trust and Hull and York, England

Lakatos, P.L. (författare): Semmelweis University, Budapest, Hungary

Langholz, E. (författare): Gentofte University Hospital, Denmark,Department of Medical Gastroenterology, Gentofte Hospital, Copenhagen, Denmark

Munkholm, P. (författare): Digestive Disease Centre, Medical Section, Herlev University Hospital, Copenhagen, Denmark

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(creator_code:org_t)

2013-04-20
2014
Engelska.
Ingår i: Gut. - : BMJ Publishing Group. - 0017-5749 .- 1468-3288. ; 63:4, s. 588-597

Relaterad länk:: https://www.hirsla.l...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.1...; https://urn.kb.se/re...; http://kipublication...; visa färre...

Tidskriftsartikel (refereegranskat)

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Objective The incidence of inflammatory bowel disease (IBD) is increasing in Eastern Europe. The reasons for these changes remain unknown. The aim of this study was to investigate whether an East–West gradient in the incidence of IBD in Europe exists.Design A prospective, uniformly diagnosed, population based inception cohort of IBD patients in 31 centres from 14 Western and eight Eastern European countries covering a total background population of approximately 10.1 million people was created. One-third of the centres had previous experience with inception cohorts. Patients were entered into a low cost, web based epidemiological database, making participation possible regardless of socioeconomic status and prior experience.Results 1515 patients aged 15 years or older were included, of whom 535 (35%) were diagnosed with Crohn's disease (CD), 813 (54%) with ulcerative colitis (UC) and 167 (11%) with IBD unclassified (IBDU). The overall incidence rate ratios in all Western European centres were 1.9 (95% CI 1.5 to 2.4) for CD and 2.1 (95% CI 1.8 to 2.6) for UC compared with Eastern European centres. The median crude annual incidence rates per 100 000 in 2010 for CD were 6.5 (range 0–10.7) in Western European centres and 3.1 (range 0.4–11.5) in Eastern European centres, for UC 10.8 (range 2.9–31.5) and 4.1 (range 2.4–10.3), respectively, and for IBDU 1.9 (range 0–39.4) and 0 (range 0–1.2), respectively. In Western Europe, 92% of CD, 78% of UC and 74% of IBDU patients had a colonoscopy performed as the diagnostic procedure compared with 90%, 100% and 96%, respectively, in Eastern Europe. 8% of CD and 1% of UC patients in both regions underwent surgery within the first 3 months of the onset of disease. 7% of CD patients and 3% of UC patients from Western Europe received biological treatment as rescue therapy. Of all European CD patients, 20% received only 5-aminosalicylates as induction therapy.Conclusions An East–West gradient in IBD incidence exists in Europe. Among this inception cohort—including indolent and aggressive cases—international guidelines for diagnosis and initial treatment are not being followed uniformly by physicians.

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Av författaren/redakt...: Burisch, J.; Pedersen, N.; Cukovic-Cavka, S ...; Brinar, M.; Kaimakliotis, I.; Duricova, D.; visa fler...; Shonova, O.; Vind, I.; Avnstrom, S.; Thorsgaard, N.; Andersen, V.; Krabbe, S.; Dahlerup, J.F.; Salupere, R.; Nielsen, K.R.; Olsen, J.; Manninen, P.; Collin, P.; Tsianos, E.V.; Katsanos, K.H.; Ladefoged, K.; Lakatos, L.; Bjornsson, E.; Ragnarsson, G.; Bailey, Y.; Odes, S.; Schwartz, D.; Martinato, M.; Lupinacci, G.; Milla, M.; De Padova, A.; D'lnca, R.; Beltrami, M.; Kupcinskas, L.; Kiudelis, G.; Turcan, S.; Tighineanu, O.; Mihu, I.; Magro, F.; Barros, L.F.; Goldis, A.; Lazar, D.; Belousova, E.; Nikulina, I.; Hernandez, V.; Martinez-Ares, D ...; Almer, Sven; Zhulina, Yarosla ...; Halfvarson, Jona ...; Arebi, N.; Sebastian, S.; Lakatos, P.L.; Langholz, E.; Munkholm, P.; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

Artiklar i publikationen: Gut

Av lärosätet: Linköpings universitet; Örebro universitet; Karolinska Institutet

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East-West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort

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