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Global Hospitalization Trends for Crohn's Disease and Ulcerative Colitis in the 21st Century: A Systematic Review With Temporal Analyses

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机构: [1]Department of Medicine, University of Calgary, Calgary, Alberta, Canada [2]Department of Community Health Sciences,University of Calgary, Calgary, Alberta, Canada [3]Section of Gastroenterology, Department of Internal Medicine, Max RadyCollege of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada [4]Centre for HealthInformatics, University of Calgary, Calgary, Alberta, Canada [5]Alberta Strategy for Patient Oriented Research Support Unit, Data Platform and Provincial Research Data Services, Alberta Health Services [6]Inflammatory Bowel Disease Outpatient Clinics,Catholic University of Paraná, Curitiba, Brazil [7]Department of Medicine, University of Otago, Christchurch, New Zealand [8]Department of Medicine and Therapeutics, Institute of Digestive Disease, State Key Laboratory of Digestive Diseases, LKS Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, China [9]Department of Medicine andMicrobiology and Immunology, University of Miami [10]Inflammatory Bowel Disease Center, University of Chicago, Chicago,Illinois [11]Inflammatory Bowel Disease Clinical and Research Centre, Department of Medicine, Max Rady College of Medicine,Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada [12]Inflammatory Bowel Disease Center, AsianInstitute of Gastroenterology, Hyderabad, India [13]Inflammatory Bowel Disease Clinic, Department of Gastroenterology,National Institute of Medical Sciences and Nutrition, National Autonomous University of Mexico, Mexico City, Mexico [14]Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India [15]Gastroenterology Department,Hospital Privado Universitario de Córdoba [16]Division of Gastroenterology and Hepatology, Department of Medicine, Raja Isteri Pengiran Anak Saleha Hospital, Brunei Darussalam [17]Department of Gastroenterology, Pablo Tobon Uribe Hospital, Medellín,Colombia [18]Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India [19]Division of Gastroenterology, Department Internal Medicine, Faculty Medicine, Dr. Cipto Mangunkusumo Hospital Indonesia, Universitas Indonesia [20]Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan [21]Department ofGastroenterology, The First Affiliated Hospital of Kunming Medical University [22]Clinical Research Center for DigestiveDiseases, Yunnan Province [23]Division of Gastroenterology, Department of Medicine, Faculty of Medicine, University of Malaya,Kuala Lumpur, Malaysia [24]Gastroenterology Unit, Gut Research Group, Faculty of Medicine, University Kebangsaan Malaysia, Kuala Lumpur, Malaysia [25]Department of Gastrointestinal, National Academy of Medical Sciences, Kathmandu, Nepal [26]Division of Gastroenterology, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia [27]Yong Loo Lin School of Medicine, National University of Singapore, Division of Gastroenterology and Hepatology, NationalUniversity Hospital, Singapore [28]Department of Internal Medicine, National Taiwan University Hospital and College ofMedicine, Taipei, Taiwan [29]Division of Gastroenterology, Siriraj Hospital, Mahidol University, Bangkok, Thailand [30]DigestiveDisease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates [31]Centro de Asistencia del Sindicato Médicodel Uruguay Cooperativa de Servicios Médicos, Uruguay [32]Internal Medicine, Hanoi Medical University, Vietnam [33]BlizardInstitute, Barts and The London School of Medicine, Queen Mary University of London [34]Tropical Gastroenterology andNutrition Group, University of Zambia School of Medicine
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The evolving epidemiologic patterns of inflammatory bowel disease (IBD) throughout the world, in conjunction with advances in therapeutic treatments, may influence hospitalization rates of IBD. We performed a systematic review with temporal analysis of hospitalization rates for IBD across the world in the 21st century.We systematically reviewed Medline and Embase for population-based studies reporting hospitalization rates for IBD, Crohn's disease (CD), or ulcerative colitis (UC) in the 21st century. Log-linear models were used to calculate the average annual percentage change (AAPC) with associated 95% CIs. Random-effects meta-analysis pooled country-level AAPCs. Data were stratified by the epidemiologic stage of a region: compounding prevalence (stage 3) in North America, Western Europe, and Oceania vs acceleration of incidence (stage 2) in Asia, Eastern Europe, and Latin America vs emergence (stage 1) in developing countries.Hospitalization rates for a primary diagnosis of IBD were stable in countries in stage 3 (AAPC, -0.13%; 95% CI, -0.72 to 0.97), CD (AAPC, 0.20%; 95% CI, -1.78 to 2.17), and UC (AAPC, 0.02%; 95% CI, -0.91 to 0.94). In contrast, hospitalization rates for a primary diagnosis were increasing in countries in stage 2 for IBD (AAPC, 4.44%; 95% CI, 2.75-6.14), CD (AAPC, 8.34%; 95% CI, 4.38-12.29), and UC (AAPC, 3.90; 95% CI, 1.29-6.52). No population-based studies were available for developing regions in stage 1 (emergence).Hospitalization rates for IBD are stabilizing in countries in stage 3, whereas newly industrialized countries in stage 2 have rapidly increasing hospitalization rates, contributing to an increasing burden on global health care systems.Copyright © 2022 AGA Institute. Published by Elsevier Inc. All rights reserved.

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大类 | 1 区 医学
小类 | 1 区 胃肠肝病学
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Q1 GASTROENTEROLOGY & HEPATOLOGY
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Q1 GASTROENTEROLOGY & HEPATOLOGY

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第一作者机构: [1]Department of Medicine, University of Calgary, Calgary, Alberta, Canada [2]Department of Community Health Sciences,University of Calgary, Calgary, Alberta, Canada
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通讯机构: [1]Department of Medicine, University of Calgary, Calgary, Alberta, Canada [2]Department of Community Health Sciences,University of Calgary, Calgary, Alberta, Canada [*1]Teaching Research and Wellness Building, 3D03-18, 3280 Hospital Drive NW, Calgary, Q8 Alberta, T2N 4Z6 Canada
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