Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011

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Autore principale: Beatriz Iade
Natura: Artículo científico
Lingua:en
Pubblicazione: Sociedad Argentina de Gastroenterología 2018
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author Beatriz Iade
author_facet Beatriz Iade
contents Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011 Beatriz Iade Gaby Beatriz Buenavida Andrea Casañas Medicina incidence Crohn’s disease ulcerative colitis Inflammatory bowel disease Incidence of inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), seems to be increasing, but data about IBD epidemiology in Latin America remains scarce. This study aimed to determine the incidence of IBD in Uruguay for the period 2007-2011. A retrospective, registry-based study was performed, with data between January 2007 and December 2011 of two medical centers from Uruguay - Montevideo (220,687 members) and Salto (51,235 members). Patients were excluded if the diagnosis occurred outside this period, if it was not confirmed after one year of follow-up or if presenting unclassified IBD. Poisson regression was used to evaluate differences in incidence rates by sex and age at diagnosis. The U Mann Whitney test and Fisher’s exact test were used to compare age at diagnosis and sex distribution between centers and UC vs. CD patients. 67 new IBD cases were identified during 2007-2011. The adjusted IBD incidence was 5.22 /105 person-years with a UC/CD ratio of 7.7. Overall, women presented higher incidence of IBD (3.54 /105 person-years, p-value = 0.028). Incidence was also higher for patients aged 20-44 years (9.12 /105 person-years). Among IBD patients, 65.7% were female, mean age at diagnosis was 37.2 ± 17.25 years and 10.4% had family history of IBD. There were no significant differences between centers regarding sex and age at diagnosis of IBD patients. Despite industrialization, Uruguay continues to be a region of low IBD incidence, with UC being more common than CD. This trend is in line with epidemiological data from other Latin American countries. 2018 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199359103003 https://www.redalyc.org/journal/1993/199359103003/ https://www.redalyc.org/journal/1993/199359103003/html/ https://www.redalyc.org/journal/1993/199359103003/199359103003.epub https://www.redalyc.org/journal/1993/199359103003/movil en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.4 Vol.48
format Artículo científico
id redalyc_199359103003
language en
publishDate 2018
publisher Sociedad Argentina de Gastroenterología
spellingShingle Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011
Beatriz Iade
Medicina
incidence
Crohn’s disease
ulcerative colitis
Inflammatory bowel disease
Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011 Beatriz Iade Gaby Beatriz Buenavida Andrea Casañas Medicina incidence Crohn’s disease ulcerative colitis Inflammatory bowel disease Incidence of inflammatory bowel diseases (IBD), including Crohn’s disease (CD) and ulcerative colitis (UC), seems to be increasing, but data about IBD epidemiology in Latin America remains scarce. This study aimed to determine the incidence of IBD in Uruguay for the period 2007-2011. A retrospective, registry-based study was performed, with data between January 2007 and December 2011 of two medical centers from Uruguay - Montevideo (220,687 members) and Salto (51,235 members). Patients were excluded if the diagnosis occurred outside this period, if it was not confirmed after one year of follow-up or if presenting unclassified IBD. Poisson regression was used to evaluate differences in incidence rates by sex and age at diagnosis. The U Mann Whitney test and Fisher’s exact test were used to compare age at diagnosis and sex distribution between centers and UC vs. CD patients. 67 new IBD cases were identified during 2007-2011. The adjusted IBD incidence was 5.22 /105 person-years with a UC/CD ratio of 7.7. Overall, women presented higher incidence of IBD (3.54 /105 person-years, p-value = 0.028). Incidence was also higher for patients aged 20-44 years (9.12 /105 person-years). Among IBD patients, 65.7% were female, mean age at diagnosis was 37.2 ± 17.25 years and 10.4% had family history of IBD. There were no significant differences between centers regarding sex and age at diagnosis of IBD patients. Despite industrialization, Uruguay continues to be a region of low IBD incidence, with UC being more common than CD. This trend is in line with epidemiological data from other Latin American countries. 2018 artículo científico 2469-1119 https://www.redalyc.org/articulo.oa?id=199359103003 https://www.redalyc.org/journal/1993/199359103003/ https://www.redalyc.org/journal/1993/199359103003/html/ https://www.redalyc.org/journal/1993/199359103003/199359103003.epub https://www.redalyc.org/journal/1993/199359103003/movil en http://www.redalyc.org/revista.oa?id=1993 Acta Gastroenterológica Latinoamericana application/pdf Sociedad Argentina de Gastroenterología Acta Gastroenterológica Latinoamericana (Argentina) Num.4 Vol.48
title Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011Incidencia de la enfermedad inflamatoria intestinal en dos centros médicos en Uruguay durante el período 2007-2011
topic Medicina
incidence
Crohn’s disease
ulcerative colitis
Inflammatory bowel disease
url https://www.redalyc.org/articulo.oa?id=199359103003
https://www.redalyc.org/journal/1993/199359103003/
https://www.redalyc.org/journal/1993/199359103003/html/
https://www.redalyc.org/journal/1993/199359103003/199359103003.epub
https://www.redalyc.org/journal/1993/199359103003/movil