Recent trends in the epidemiology of inflammatory bowel diseases: Up or down?

被引:328
作者
Lakatos, Peter Laszlo [1 ]
机构
[1] Semmelweis Univ, Dept Med 1, H-1083 Budapest, Hungary
关键词
inflammatory bowel diseases; ulcerative colitis; Crohn's disease; incidence; epidemiology;
D O I
10.3748/wjg.v12.i38.6102
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Inflammatory bowel disease (IBD) is traditionally considered to be common in the Western world, and its incidence has sharply increased since the early 1950s. In contrast, until the last decade, low prevalence and incidence rates have been reported from other parts of the world including Eastern Europe, South America, Asia and the Pacific region. Recent trends indicate a change in the epidemiology of IBD with previously low incidence areas now reporting a progressive rise in the incidence, while in West European and North American countries the figures have stabilized or slightly increased, with decreasing incidence rates for ulcerative colitis. Some of these changes may represent differences in diagnostic practices and increasing awareness of the disease. The quality of studies is also variable. Additional epidemiologic studies are needed to better define the burden of illness, explore the mechanism of association with environmental factors, and identify new risk factors. (C) 2006 The WJG Press. All rights reserved.
引用
收藏
页码:6102 / 6108
页数:7
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