Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011: A Danish population-based cohort study

Marianne K Vester-Andersen; Ida Vind; Michelle V Prosberg; Bo G Bengtsson; Thomas Blixt; Pia Munkholm; Mikael Andersson; Tine Jess; Flemming Bendtsen

doi:10.1016/j.crohns.2014.07.010

Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011: A Danish population-based cohort study

Marianne K Vester-Andersen, Ida Vind, Michelle V Prosberg, Bo G Bengtsson, Thomas Blixt, Pia Munkholm, Mikael Andersson, Tine Jess, Flemming Bendtsen

Institut for Klinisk Medicin

37 Citationer (Scopus)

Abstract

OBJECTIVE: The aim of this study is to evaluate the cumulative probability of recurrence and admission rates in an inflammatory bowel disease (IBD) inception cohort diagnosed in 2003-2004.

METHODS: Data on medications, phenotypes and surgery for 513 individuals with ulcerative colitis (UC, n=300) and Crohn's disease (CD, n=213) were obtained from medical records and linked to population-based health administrative database information. The admission rates and cumulative probability of recurrences were estimated, and the association with the baseline factors and medication was tested.

RESULTS: The cumulative risk of first recurrence after 1, 5 and 7 years was 40%, 63%, and 66% in CD patients and 51%, 75%, and 79% in UC patients, respectively. The cumulative risk of first surgical relapse was 6%, 18%, and 23% at 1, 5 and 7 years in CD respectively. One hundred and CD patients (66%) and 142 UC patients (47%) had at least one IBD-related hospitalisation. The hospitalisation rate decreased from 7.0 days/person-year in year one to 0.9 day at year 5 in CD, and from 4.7 days to 0.4 days for UC patients. Age above 40, current smoking, stricturing behaviour, and disease localisation (colonic, ileocolonic, and upper-GI) at diagnosis were predictors of recurrence in CD. In UC, age above 40 and former smoker status were predictors of recurrence and left-sided and extensive colitis were predictors of first-time hospitalisation.

CONCLUSION: In an era of improved treatment options, the recurrence rates, but not the surgery or hospitalisation rates, have decreased for CD but not for UC. The phenotypic characteristics at diagnosis predict the risk of recurrence and hospitalisation.

Originalsprog	Engelsk
Tidsskrift	Journal of Crohn's & colitis
Vol/bind	8
Udgave nummer	12
Sider (fra-til)	1675-1683
Antal sider	9
ISSN	1873-9946
DOI	https://doi.org/10.1016/j.crohns.2014.07.010
Status	Udgivet - 1 dec. 2014

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10.1016/j.crohns.2014.07.010

Citationsformater

Vester-Andersen, M. K., Vind, I., Prosberg, M. V., Bengtsson, B. G., Blixt, T., Munkholm, P., Andersson, M., Jess, T., & Bendtsen, F. (2014). Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011: A Danish population-based cohort study. Journal of Crohn's & colitis, 8(12), 1675-1683. https://doi.org/10.1016/j.crohns.2014.07.010

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title = "Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011: A Danish population-based cohort study",

abstract = "OBJECTIVE: The aim of this study is to evaluate the cumulative probability of recurrence and admission rates in an inflammatory bowel disease (IBD) inception cohort diagnosed in 2003-2004.METHODS: Data on medications, phenotypes and surgery for 513 individuals with ulcerative colitis (UC, n=300) and Crohn's disease (CD, n=213) were obtained from medical records and linked to population-based health administrative database information. The admission rates and cumulative probability of recurrences were estimated, and the association with the baseline factors and medication was tested.RESULTS: The cumulative risk of first recurrence after 1, 5 and 7 years was 40%, 63%, and 66% in CD patients and 51%, 75%, and 79% in UC patients, respectively. The cumulative risk of first surgical relapse was 6%, 18%, and 23% at 1, 5 and 7 years in CD respectively. One hundred and CD patients (66%) and 142 UC patients (47%) had at least one IBD-related hospitalisation. The hospitalisation rate decreased from 7.0 days/person-year in year one to 0.9 day at year 5 in CD, and from 4.7 days to 0.4 days for UC patients. Age above 40, current smoking, stricturing behaviour, and disease localisation (colonic, ileocolonic, and upper-GI) at diagnosis were predictors of recurrence in CD. In UC, age above 40 and former smoker status were predictors of recurrence and left-sided and extensive colitis were predictors of first-time hospitalisation.CONCLUSION: In an era of improved treatment options, the recurrence rates, but not the surgery or hospitalisation rates, have decreased for CD but not for UC. The phenotypic characteristics at diagnosis predict the risk of recurrence and hospitalisation.",

author = "Vester-Andersen, {Marianne K} and Ida Vind and Prosberg, {Michelle V} and Bengtsson, {Bo G} and Thomas Blixt and Pia Munkholm and Mikael Andersson and Tine Jess and Flemming Bendtsen",

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doi = "10.1016/j.crohns.2014.07.010",

language = "English",

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TY - JOUR

T1 - Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011

T2 - A Danish population-based cohort study

AU - Vester-Andersen, Marianne K

AU - Vind, Ida

AU - Prosberg, Michelle V

AU - Bengtsson, Bo G

AU - Blixt, Thomas

AU - Munkholm, Pia

AU - Andersson, Mikael

AU - Jess, Tine

AU - Bendtsen, Flemming

PY - 2014/12/1

Y1 - 2014/12/1

N2 - OBJECTIVE: The aim of this study is to evaluate the cumulative probability of recurrence and admission rates in an inflammatory bowel disease (IBD) inception cohort diagnosed in 2003-2004.METHODS: Data on medications, phenotypes and surgery for 513 individuals with ulcerative colitis (UC, n=300) and Crohn's disease (CD, n=213) were obtained from medical records and linked to population-based health administrative database information. The admission rates and cumulative probability of recurrences were estimated, and the association with the baseline factors and medication was tested.RESULTS: The cumulative risk of first recurrence after 1, 5 and 7 years was 40%, 63%, and 66% in CD patients and 51%, 75%, and 79% in UC patients, respectively. The cumulative risk of first surgical relapse was 6%, 18%, and 23% at 1, 5 and 7 years in CD respectively. One hundred and CD patients (66%) and 142 UC patients (47%) had at least one IBD-related hospitalisation. The hospitalisation rate decreased from 7.0 days/person-year in year one to 0.9 day at year 5 in CD, and from 4.7 days to 0.4 days for UC patients. Age above 40, current smoking, stricturing behaviour, and disease localisation (colonic, ileocolonic, and upper-GI) at diagnosis were predictors of recurrence in CD. In UC, age above 40 and former smoker status were predictors of recurrence and left-sided and extensive colitis were predictors of first-time hospitalisation.CONCLUSION: In an era of improved treatment options, the recurrence rates, but not the surgery or hospitalisation rates, have decreased for CD but not for UC. The phenotypic characteristics at diagnosis predict the risk of recurrence and hospitalisation.

AB - OBJECTIVE: The aim of this study is to evaluate the cumulative probability of recurrence and admission rates in an inflammatory bowel disease (IBD) inception cohort diagnosed in 2003-2004.METHODS: Data on medications, phenotypes and surgery for 513 individuals with ulcerative colitis (UC, n=300) and Crohn's disease (CD, n=213) were obtained from medical records and linked to population-based health administrative database information. The admission rates and cumulative probability of recurrences were estimated, and the association with the baseline factors and medication was tested.RESULTS: The cumulative risk of first recurrence after 1, 5 and 7 years was 40%, 63%, and 66% in CD patients and 51%, 75%, and 79% in UC patients, respectively. The cumulative risk of first surgical relapse was 6%, 18%, and 23% at 1, 5 and 7 years in CD respectively. One hundred and CD patients (66%) and 142 UC patients (47%) had at least one IBD-related hospitalisation. The hospitalisation rate decreased from 7.0 days/person-year in year one to 0.9 day at year 5 in CD, and from 4.7 days to 0.4 days for UC patients. Age above 40, current smoking, stricturing behaviour, and disease localisation (colonic, ileocolonic, and upper-GI) at diagnosis were predictors of recurrence in CD. In UC, age above 40 and former smoker status were predictors of recurrence and left-sided and extensive colitis were predictors of first-time hospitalisation.CONCLUSION: In an era of improved treatment options, the recurrence rates, but not the surgery or hospitalisation rates, have decreased for CD but not for UC. The phenotypic characteristics at diagnosis predict the risk of recurrence and hospitalisation.

U2 - 10.1016/j.crohns.2014.07.010

DO - 10.1016/j.crohns.2014.07.010

M3 - Journal article

C2 - 25154681

SN - 1873-9946

VL - 8

SP - 1675

EP - 1683

JO - Journal of Crohn's and Colitis

JF - Journal of Crohn's and Colitis

IS - 12

ER -

Hospitalisation, surgical and medical recurrence rates in inflammatory bowel disease 2003-2011: A Danish population-based cohort study

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