Literature DB >> 12523598

Secular trends in incidence and 30-day case fatality of acute pancreatitis in North Jutland County, Denmark: a register-based study from 1981-2000.

A Floyd1, L Pedersen, G Lauge Nielsen, O Thorladcius-Ussing, H T Sorensen.   

Abstract

BACKGROUND: The incidence rate of acute pancreatitis has been reported as having increased during recent decades in Western countries. Reported mortality lies around 10% and has improved during the past 20 years. The incidence rate and 30-day case fatality rate of acute pancreatitis in North Jutland County, Denmark were examined for the period 1981 to 2000.
METHODS: Data were collected from the Hospital Discharge Registry of North Jutland County for the period 1981-2000. Sex- and age-standardized incidence rates and 30-day case fatality rate of a first attack of acute pancreatitis were calculated. Data on endoscopic procedures were assessed for the period 1992 to 2000 and on certain drugs for 1991 to 1999.
RESULTS: The incidence rate of acute pancreatitis in women increased from 17.1 per 100,000 person-years in 1981 (95% confidence interval (CI), 12.6-23.2) to 37.8 per 100,000 person-years in 2000 (95% CI, 31.0-46.1). The corresponding increase in men was from 18 per 100,000 person-years in 1981 (95% CI, 13.3-24.2) to 27.1 per 100,000 person-years in 2000 (95% CI, 21.5-34.3). The incidence rate of acute pancreatitis increased with age in both sexes. The overall 30-day case fatality rate was 7.5% (95% CI, 6.5-8.7) increasing with age, adjusted odds ratio (OR) = 6.4 (95% CI, 3.5-11.6) and decreased with time, adjusted OR = 0.7 (95% CI, 0.4-1.0).
CONCLUSION: The incidence of acute pancreatitis has increased, and in women surpassed that in men in 1999 and 2000. Short-term prognosis has improved.

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Year:  2002        PMID: 12523598     DOI: 10.1080/003655202762671369

Source DB:  PubMed          Journal:  Scand J Gastroenterol        ISSN: 0036-5521            Impact factor:   2.423


  31 in total

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Authors:  J G Williams; S E Roberts; M F Ali; W Y Cheung; D R Cohen; G Demery; A Edwards; M Greer; M D Hellier; H A Hutchings; B Ip; M F Longo; I T Russell; H A Snooks; J C Williams
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Review 6.  The changing character of acute pancreatitis: epidemiology, etiology, and prognosis.

Authors:  Albert B Lowenfels; Patrick Maisonneuve; Thomas Sullivan
Journal:  Curr Gastroenterol Rep       Date:  2009-04

7.  Incidence and mortality of acute and chronic pancreatitis in the Netherlands: a nationwide record-linked cohort study for the years 1995-2005.

Authors:  B W Marcel Spanier; Marco J Bruno; Marcel G W Dijkgraaf
Journal:  World J Gastroenterol       Date:  2013-05-28       Impact factor: 5.742

8.  Surgical management of failed endoscopic treatment of pancreatic disease.

Authors:  Kimberly A Evans; Colby W Clark; Stephen B Vogel; Kevin E Behrns
Journal:  J Gastrointest Surg       Date:  2008-08-15       Impact factor: 3.452

9.  Hospital admission for acute pancreatitis in an English population, 1963-98: database study of incidence and mortality.

Authors:  Michael J Goldacre; Stephen E Roberts
Journal:  BMJ       Date:  2004-06-19

10.  JPN Guidelines for the management of acute pancreatitis: epidemiology, etiology, natural history, and outcome predictors in acute pancreatitis.

Authors:  Miho Sekimoto; Tadahiro Takada; Yoshifumi Kawarada; Koichi Hirata; Toshihiko Mayumi; Masahiro Yoshida; Masahiko Hirota; Yasutoshi Kimura; Kazunori Takeda; Shuji Isaji; Masaru Koizumi; Makoto Otsuki; Seiki Matsuno
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