Literature DB >> 18005244

The incidence of Crohn's disease in Cardiff over the last 75 years: an update for 1996-2005.

S Gunesh1, G A O Thomas, G T Williams, A Roberts, A B Hawthorne.   

Abstract

BACKGROUND: The incidence of Crohn's disease rose rapidly in industralized countries over the past 50 years, but it is unclear whether the incidence is still rising or has reached a plateau. AIMS: To update the long-term incidence study of Crohn's disease in Cardiff for 1996-2005, to investigate whether incidence is still rising and to study changes in disease characteristics over time.
METHOD: Crohn's cases identified by retrospective analysis of hospital records as in previous studies in Cardiff.
RESULTS: Two hundred and twelve cases were identified. Corrected incidence for this decade was 66 x 10(6) per year (95% confidence interval: 58-76), showing a continuing rise compared to previous decades. The proportion with colonic disease at presentation continues to rise (43%) with a corresponding fall in those with terminal ileal disease. There remains a strong female preponderance (F:M 1.6:1) as in previous studies. The incidence in children under age 16 continues to rise, and the median age at diagnosis has fallen slightly.
CONCLUSION: Crohn's disease incidence continues to rise slowly in Cardiff with a continuing increase in those presenting with colonic disease, which is now the commonest disease pattern.

Entities:  

Mesh:

Year:  2007        PMID: 18005244     DOI: 10.1111/j.1365-2036.2007.03576.x

Source DB:  PubMed          Journal:  Aliment Pharmacol Ther        ISSN: 0269-2813            Impact factor:   8.171


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