Inflammatory bowel disease patients who leave hospital against medical advice: Predictors and temporal trends

2009 ◽  
Vol 15 (6) ◽  
pp. 845-851 ◽  
Author(s):  
Gilaad G. Kaplan ◽  
Remo Panaccione ◽  
James N. Hubbard ◽  
Geoffrey C. Nguyen ◽  
Abdel Aziz M. Shaheen ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Temporal Trends ◽  
Medical Advice ◽  
Against Medical Advice ◽  
Inflammatory Bowel

99 – Inflammatory Bowel Disease in Uk Primary Care: Temporal Trends in Epidemiology During the Early 21ST Century

2019 ◽  
Vol 156 (6) ◽  
pp. S-23-S-24
Author(s):  
Thomas J. Pasvol ◽  
Laura Horsfall ◽  
Stuart Bloom ◽  
Anthony W. Segal ◽  
Caroline Sabin ◽  
...  
Keyword(s):  
Primary Care ◽  
Inflammatory Bowel Disease ◽  
21St Century ◽  
Bowel Disease ◽  
Temporal Trends ◽  
Early 21St Century ◽  
Inflammatory Bowel ◽  
The Early 21St Century

Geographical Variation and Factors Associated With Inflammatory Bowel Disease in a Central Canadian Province

2019 ◽  
Author(s):  
Mahmoud Torabi ◽  
Charles N Bernstein ◽  
B Nancy Yu ◽  
Lahiru Wickramasinghe ◽  
James F Blanchard ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Indigenous People ◽  
Bowel Disease ◽  
Geographical Variation ◽  
Temporal Trends ◽  
Poisson Model ◽  
Sociodemographic Characteristics ◽  
Central Regions ◽  
Inflammatory Bowel ◽  
The University

Abstract Background We investigated temporal trends, geographical variation, and geographical risk factors for incidence of inflammatory bowel disease (IBD). Methods We used the University of Manitoba IBD Epidemiology Database to identify incident IBD cases diagnosed between 1990 and 2012, which were then geocoded to 296 small geographic areas (SGAs). Sociodemographic characteristics of the SGAs (proportions of immigrants, visible minorities, Indigenous people, and average household income) were obtained from the 2006 Canadian Census. The geographical variation of IBD incidence was modeled using a Bayesian spatial Poisson model. Time trends of IBD incidence were plotted using Joinpoint regression. Results The incidence of IBD decreased over the study years from 23.6 (per 100,000 population) in 1990 to 16.3 (per 100,000 population) in 2012. For both Crohn’s disease (CD) and ulcerative colitis (UC), the highest incidence was in Winnipeg and the southern and central regions of Manitoba, whereas most of northern Manitoba had lower incidence. There was no effect of sociodemographic characteristics of SGAs, other than the proportion of Indigenous people, which was associated with lower IBD incidence. Conclusions Although the incidence of IBD in Manitoba is decreasing over time, we have identified geographic areas with persistently higher IBD incidence that warrant further study for etiologic clues.

scholarly journals P631 Food triggers in inflammatory bowel disease from the patients’ and doctors’ perspective

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S568-S568
Author(s):  
M Cappello ◽  
L Guida ◽  
F M Di Giorgio ◽  
A Busacca ◽  
L Carrozza ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Dairy Products ◽  
Healthcare Professionals ◽  
Medical Advice ◽  
Processed Meat ◽  
Tertiary Center ◽  
Fried Foods ◽  
Inflammatory Bowel ◽  
Carbonated Drinks

Abstract Background Diet is receiving growing attention as a key environmental factor involved in the pathogenesis of Inflammatory Bowel Disease (IBD). Dietary components have a relevant role in triggering symptoms from the patients’perspective, but there is a gap between patients’ and doctors’ beliefs. Every patient has collected his or her own list of prohibited foods and reports a clinical benefit from avoiding such foods. Elimination of nutrients can lead to nutritional deficiencies and impact on style and quality of life. The aim of this study is to identify frequently avoided foods in a Mediterranean cohort of patients with IBD. Methods Consecutive patients with IBD attending our tertiary center for infusion of biologics or for follow-up visits were enrolled. Demographics and disease characteristics UC or CD) were recorded in a dedicated database. A questionnaire investigated food avoided and reasons for dietary changes, if self-driven or advised by doctors or other healthcare professionals. Results 167 patients agreed to participate in the study. Eighty-one patients (48.8%) had UC, 86 (51.5%) had CD. Mean age was 48.6 ± 16 (range 18–77 years), 57.5% were males. Patients were in clinical remission or with mild activity. Most patients, about 80%, and especially patients with CD avoided certain foods considered as triggers, and this avoidance was usually practiced in both exacerbations of the disease and remission periods. This occurred upon medical advice in a minority of patients, especially for vegetable avoidance (13.2%). Foods more frequently avoided were spicy foods, seasoned foods, fried foods, milk and dairy products, carbonated drinks, spirits, vegetables, legumes, and whole grain bread. Processed meat was avoided in about 6.6% (only in 1.8% upon medical advice) and coffee in 12.6%. A lactose-free diet was advised by the treating physicians only in 14.3% of patients. 4 patients were on a glutenfree diet because of a self-reported gluten sensitivity. The role of other healthcare professionals (dietitician, nurses) was marginal in their food choices. Conclusion Most of the patients set diet on self-experience and give up many foods. Our results are comparable with those of previous studies. Spicy foods, seasoned and fried foods, carbonated drinks, and dairy products are on top of the list. Legumes and vegetables, the cornerstones of the Mediterranean diet, are also avoided even though the evidence that dietary fibers can induce relapse is lacking. The benefit reported could be related to the effect on IBS-related symptoms frequent in IBD in remission. Further studies and a greater involvement of doctors in providing dietary recommendations are warranted.

scholarly journals The Changing Epidemiology of Inflammatory Bowel Disease: What Goes Up May Come Down

2019 ◽  
Vol 26 (4) ◽  
pp. 591-592 ◽  
Author(s):  
Hamed Khalili
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Disease Incidence ◽  
Temporal Trends ◽  
Epidemiologic Studies ◽  
Incidence Rates ◽  
Western World ◽  
Geographic Variations ◽  
Newly Industrialized Countries ◽  
Inflammatory Bowel

Abstract Recent epidemiologic studies have shown that although the incidence of inflammatory bowel disease (IBD) is rapidly increasing in newly industrialized countries, at the turn of the 21st century the incidence had stabilized in the Western world. In this issue of Inflammatory Bowel Diseases, Torabi and colleagues present their findings on the temporal trends and geographic variations in IBD incidence in Manitoba from 1990 to 2012 using the Manitoba Health population registry and the University of Manitoba IBD epidemiology database. Their results demonstrate an overall decrease in the incidence of IBD during the study period. They also found significant regional variations in disease incidence within Manitoba, with rates of new diagnosis of IBD remaining high in several regions. Lastly, the study found that a higher proportion of the indigenous population had a lower rate of IBD. These findings provide new insights on the changing epidemiology of IBD in the Western world. The overall declining incidence of IBD and identification of persistently low and high-risk populations in Manitoba, which traditionally has had some of the highest incidence rates of IBD, is intriguing and can provide new avenues of research for epidemiologists in the field.

A 30-year Trend Analysis in the Epidemiology of Inflammatory Bowel Disease in the Songpa-Kangdong District of Seoul, Korea in 1986–2015

2019 ◽  
Vol 13 (11) ◽  
pp. 1410-1417 ◽  
Author(s):  
Sang Hyoung Park ◽  
Ye-Jee Kim ◽  
Kyoung Hoon Rhee ◽  
Young-Ho Kim ◽  
Sung Noh Hong ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Temporal Trends ◽  
Perianal Fistula ◽  
Population Based ◽  
Incidence Rates ◽  
Female Ratio ◽  
Male Predominance ◽  
Adjusted Incidence Rate ◽  
Inflammatory Bowel

Abstract Background and Aims Although the incidence of inflammatory bowel disease [IBD] is increasing in Asia, data on long-term epidemiological trends are limited. We performed a 30-year longitudinal study to investigate temporal trends in the epidemiology of Crohn’s disease [CD] and ulcerative colitis [UC] in Seoul, Korea. Methods This population-based study included 1431 IBD patients [418 CD, 1013 UC] diagnosed between 1986 and 2015 in the Songpa-Kangdong district of Seoul, Korea. Temporal trends in incidence, prevalence, and disease phenotype at diagnosis were analysed. Results The adjusted mean annual incidence rates of CD and UC per 100 000 inhabitants increased from 0.06 (95% confidence interval [CI], 0.05–0.07) and 0.29 [95% CI, 0.27–0.31], respectively, in 1986–1990 to 2.44 [95% CI, 2.38–2.50] and 5.82 [95% CI, 5.73–5.92], respectively, in 2011–2015. Average annual percentage change in IBD incidence was 12.3% in 1986–1995, 12.3% in 1996–2005, and 3.3% in 2006–2015. The male-to-female ratio of the adjusted incidence rate was 3.3:1 for CD and 1.2:1 for UC. Perianal fistula/abscess was present in 43.3% of patients before or at CD diagnosis. At diagnosis, 54.3% of UC patients presented only with proctitis. The adjusted prevalence rate in 2015 was 31.59/100 000 [95% CI, 31.10–32.07] for CD and 76.66/100 000 [95% CI, 75.91–77.42] for UC. Conclusions The incidence and prevalence of IBD in Korea have continued to increase over the past three decades. Korean patients have distinct demographic and phenotypic characteristics, including a male predominance and high frequency of perianal fistula/abscess in CD and high proportion of proctitis in UC.

scholarly journals The Multiple Waves of COVID-19 in Patients With Inflammatory Bowel Disease: A Temporal Trend Analysis

2022 ◽  
Author(s):  
Gilaad G Kaplan ◽  
Fox E Underwood ◽  
Stephanie Coward ◽  
Manasi Agrawal ◽  
Ryan C Ungaro ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Latin America ◽  
North America ◽  
Trend Analysis ◽  
Bowel Disease ◽  
Temporal Trend ◽  
Temporal Trends ◽  
International Registry ◽  
Inflammatory Bowel

Abstract Background Cases of coronavirus disease 2019 (COVID-19) have emerged in discrete waves. We explored temporal trends in the reporting of COVID-19 in inflammatory bowel disease (IBD) patients. Methods The Surveillance Epidemiology of Coronavirus Under Research Exclusion for Inflammatory Bowel Disease (SECURE-IBD) is an international registry of IBD patients diagnosed with COVID-19. The average percent changes (APCs) were calculated in weekly reported cases of COVID-19 during the periods of March 22 to September 12, September 13 to December 12, 2020, and December 13 to July 31, 2021. Results Across 73 countries, 6404 cases of COVID-19 were reported in IBD patients. COVID-19 reporting decreased globally by 4.2% per week (95% CI, −5.3% to −3.0%) from March 22 to September 12, 2020, then climbed by 10.2% per week (95% CI, 8.1%-12.3%) from September 13 to December 12, 2020, and then declined by 6.3% per week (95% CI, −7.8% to −4.7%). In the fall of 2020, weekly reporting climbed in North America (APC, 11.3%; 95% CI, 8.8-13.8) and Europe (APC, 17.7%; 95% CI, 12.1%-23.5%), whereas reporting was stable in Asia (APC, −8.1%; 95% CI, −15.6-0.1). From December 13, 2020, to July 31, 2021, reporting of COVID-19 in those with IBD declined in North America (APC, −8.5%; 95% CI, −10.2 to −6.7) and Europe (APC, −5.4%; 95% CI, −7.2 to −3.6) and was stable in Latin America (APC, −1.5%; 95% CI, −3.5% to 0.6%). Conclusions Temporal trends in reporting of COVID-19 in those with IBD are consistent with the epidemiological patterns COVID-19 globally.

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