Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort: An ECCO-EpiCom study

Johan Burisch; Zsuzsanna Callaerts-Vegh; Konstantinnos H Katsanos; Dimitrios K Christodoulou; Daniela Lazar; Adrian Goldis; Colm O'Morain; Alberto Fernandez; Santos Pereira; Sally Myers; Shaji Sebastian; Natalia Pedersen; Jóngerð Olsen; Kári Rubek Nielsen; Doron Schwartz; Selwyn Odes; Sven Almer; Jonas Halfvarson; Niksa Turk; Silvja Cukovic-Cavka; Inna Nikulina; Elena Belousova; Dana Duricova; Martin Bortlik; Olga Shonová; Riina Salupere; Louisa Barros; Fernando Magro; Laimas Jonaitis; Limas Kupcinskas; Svetlana Turcan; Ioannis Kaimakliotis; Karin Ladefoged; Karen Kudsk; Vibeke Andersen; Ida Vind; Niels Thorsgaard; Pia Oksanen; Pekka Collin; Giulia Dal Piaz; Alessia Santini; Ola Niewiadomski; Sally Bell; Bjørn Moum; Naila Arebi; Jens Kjeldsen; Katrine Carlsen; Ebbe Langholz; Peter Laszlo Lakatos; Pia Munkholm; Lars Ulrik Gerdes; J.F. Dahlerup; EpiCom study group

doi:10.1093/ecco-jcc/jjx077

Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort: An ECCO-EpiCom study

Johan Burisch, Zsuzsanna Callaerts-Vegh, Konstantinnos H Katsanos, Dimitrios K Christodoulou, Daniela Lazar, Adrian Goldis, Colm O'Morain, Alberto Fernandez, Santos Pereira, Sally Myers, Shaji Sebastian, Natalia Pedersen, Jóngerð Olsen, Kári Rubek Nielsen, Doron Schwartz, Selwyn Odes, Sven Almer, Jonas Halfvarson, Niksa Turk, Silvja Cukovic-CavkaInna Nikulina, Elena Belousova, Dana Duricova, Martin Bortlik, Olga Shonová, Riina Salupere, Louisa Barros, Fernando Magro, Laimas Jonaitis, Limas Kupcinskas, Svetlana Turcan, Ioannis Kaimakliotis, Karin Ladefoged, Karen Kudsk, Vibeke Andersen, Ida Vind, Niels Thorsgaard, Pia Oksanen, Pekka Collin, Giulia Dal Piaz, Alessia Santini, Ola Niewiadomski, Sally Bell, Bjørn Moum, Naila Arebi, Jens Kjeldsen, Katrine Carlsen, Ebbe Langholz, Peter Laszlo Lakatos, Pia Munkholm, Lars Ulrik Gerdes, J.F. Dahlerup, EpiCom study group

Department of Clinical Medicine

15 Citations (Scopus)

Abstract

Background and aims: Anaemia is an important complication of inflammatory bowel disease [IBD]. The aim of this study was to determine the prevalence of anaemia and the practice of anaemia screening during the first year following diagnosis, in a European prospective population-based inception cohort. Methods: Newly diagnosed IBD patients were included and followed prospectively for 1 year in 29 European and one Australian centre. Clinical data including demographics, medical therapy, surgery and blood samples were collected. Anaemia was defined according to the World Health Organization criteria. Results: A total of 1871 patients (Crohn's disease [CD]: 686, 88%; ulcerative colitis [UC]: 1,021, 87%; IBD unclassified [IBDU] 164. 81%) were included in the study. The prevalence of anaemia was higher in CD than in UC patients and, overall, 49% of CD and 39% of UC patients experienced at least one instance of anaemia during the first 12 months after diagnosis. UC patients with more extensive disease and those from Eastern European countries, and CD patients with penetrating disease or colonic disease location, had higher risks of anaemia. CD and UC patients in need of none or only mild anti-inflammatory treatment had a lower risk of anaemia. In a significant proportion of patients, anaemia was not assessed until several months after diagnosis, and in almost half of all cases of anaemia a thorough work-up was not performed. Conclusions: Overall, 42% of patients had at least one instance of anaemia during the first year following diagnosis. Most patients were assessed for anaemia regularly; however, a full anaemia work-up was frequently neglected in this community setting.

Original language	English
Journal	Journal of Crohn's & colitis
Volume	11
Issue number	10
Pages (from-to)	1213-1222
ISSN	1873-9946
DOIs	https://doi.org/10.1093/ecco-jcc/jjx077
Publication status	Published - 1 Oct 2017

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Journal Article

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Burisch, J., Callaerts-Vegh, Z., Katsanos, K. H., Christodoulou, D. K., Lazar, D., Goldis, A., O'Morain, C., Fernandez, A., Pereira, S., Myers, S., Sebastian, S., Pedersen, N., Olsen, J., Nielsen, K. R., Schwartz, D., Odes, S., Almer, S., Halfvarson, J., Turk, N., ... EpiCom study group (2017). Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort: An ECCO-EpiCom study. Journal of Crohn's & colitis, 11(10), 1213-1222. https://doi.org/10.1093/ecco-jcc/jjx077

Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort : An ECCO-EpiCom study. / Burisch, Johan; Callaerts-Vegh, Zsuzsanna; Katsanos, Konstantinnos H et al.

In: Journal of Crohn's & colitis, Vol. 11, No. 10, 01.10.2017, p. 1213-1222.

Research output: Contribution to journal › Journal article › Research › peer-review

Burisch, J, Callaerts-Vegh, Z, Katsanos, KH, Christodoulou, DK, Lazar, D, Goldis, A, O'Morain, C, Fernandez, A, Pereira, S, Myers, S, Sebastian, S, Pedersen, N, Olsen, J, Nielsen, KR, Schwartz, D, Odes, S, Almer, S, Halfvarson, J, Turk, N, Cukovic-Cavka, S, Nikulina, I, Belousova, E, Duricova, D, Bortlik, M, Shonová, O, Salupere, R, Barros, L, Magro, F, Jonaitis, L, Kupcinskas, L, Turcan, S, Kaimakliotis, I, Ladefoged, K, Kudsk, K, Andersen, V, Vind, I, Thorsgaard, N, Oksanen, P, Collin, P, Dal Piaz, G, Santini, A, Niewiadomski, O, Bell, S, Moum, B, Arebi, N, Kjeldsen, J, Carlsen, K, Langholz, E, Lakatos, PL, Munkholm, P, Gerdes, LU, Dahlerup, JF & EpiCom study group 2017, 'Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort: An ECCO-EpiCom study', Journal of Crohn's & colitis, vol. 11, no. 10, pp. 1213-1222. https://doi.org/10.1093/ecco-jcc/jjx077

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abstract = "Background and aims: Anaemia is an important complication of inflammatory bowel disease [IBD]. The aim of this study was to determine the prevalence of anaemia and the practice of anaemia screening during the first year following diagnosis, in a European prospective population-based inception cohort. Methods: Newly diagnosed IBD patients were included and followed prospectively for 1 year in 29 European and one Australian centre. Clinical data including demographics, medical therapy, surgery and blood samples were collected. Anaemia was defined according to the World Health Organization criteria. Results: A total of 1871 patients (Crohn's disease [CD]: 686, 88%; ulcerative colitis [UC]: 1,021, 87%; IBD unclassified [IBDU] 164. 81%) were included in the study. The prevalence of anaemia was higher in CD than in UC patients and, overall, 49% of CD and 39% of UC patients experienced at least one instance of anaemia during the first 12 months after diagnosis. UC patients with more extensive disease and those from Eastern European countries, and CD patients with penetrating disease or colonic disease location, had higher risks of anaemia. CD and UC patients in need of none or only mild anti-inflammatory treatment had a lower risk of anaemia. In a significant proportion of patients, anaemia was not assessed until several months after diagnosis, and in almost half of all cases of anaemia a thorough work-up was not performed. Conclusions: Overall, 42% of patients had at least one instance of anaemia during the first year following diagnosis. Most patients were assessed for anaemia regularly; however, a full anaemia work-up was frequently neglected in this community setting.",

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T1 - Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort

T2 - An ECCO-EpiCom study

AU - Burisch, Johan

AU - Callaerts-Vegh, Zsuzsanna

AU - Katsanos, Konstantinnos H

AU - Christodoulou, Dimitrios K

AU - Lazar, Daniela

AU - Goldis, Adrian

AU - O'Morain, Colm

AU - Fernandez, Alberto

AU - Pereira, Santos

AU - Myers, Sally

AU - Sebastian, Shaji

AU - Pedersen, Natalia

AU - Olsen, Jóngerð

AU - Nielsen, Kári Rubek

AU - Schwartz, Doron

AU - Odes, Selwyn

AU - Almer, Sven

AU - Halfvarson, Jonas

AU - Turk, Niksa

AU - Cukovic-Cavka, Silvja

AU - Nikulina, Inna

AU - Belousova, Elena

AU - Duricova, Dana

AU - Bortlik, Martin

AU - Shonová, Olga

AU - Salupere, Riina

AU - Barros, Louisa

AU - Magro, Fernando

AU - Jonaitis, Laimas

AU - Kupcinskas, Limas

AU - Turcan, Svetlana

AU - Kaimakliotis, Ioannis

AU - Ladefoged, Karin

AU - Kudsk, Karen

AU - Andersen, Vibeke

AU - Vind, Ida

AU - Thorsgaard, Niels

AU - Oksanen, Pia

AU - Collin, Pekka

AU - Dal Piaz, Giulia

AU - Santini, Alessia

AU - Niewiadomski, Ola

AU - Bell, Sally

AU - Moum, Bjørn

AU - Arebi, Naila

AU - Kjeldsen, Jens

AU - Carlsen, Katrine

AU - Langholz, Ebbe

AU - Lakatos, Peter Laszlo

AU - Munkholm, Pia

AU - Gerdes, Lars Ulrik

AU - Dahlerup, J.F.

AU - EpiCom study group

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Background and aims: Anaemia is an important complication of inflammatory bowel disease [IBD]. The aim of this study was to determine the prevalence of anaemia and the practice of anaemia screening during the first year following diagnosis, in a European prospective population-based inception cohort. Methods: Newly diagnosed IBD patients were included and followed prospectively for 1 year in 29 European and one Australian centre. Clinical data including demographics, medical therapy, surgery and blood samples were collected. Anaemia was defined according to the World Health Organization criteria. Results: A total of 1871 patients (Crohn's disease [CD]: 686, 88%; ulcerative colitis [UC]: 1,021, 87%; IBD unclassified [IBDU] 164. 81%) were included in the study. The prevalence of anaemia was higher in CD than in UC patients and, overall, 49% of CD and 39% of UC patients experienced at least one instance of anaemia during the first 12 months after diagnosis. UC patients with more extensive disease and those from Eastern European countries, and CD patients with penetrating disease or colonic disease location, had higher risks of anaemia. CD and UC patients in need of none or only mild anti-inflammatory treatment had a lower risk of anaemia. In a significant proportion of patients, anaemia was not assessed until several months after diagnosis, and in almost half of all cases of anaemia a thorough work-up was not performed. Conclusions: Overall, 42% of patients had at least one instance of anaemia during the first year following diagnosis. Most patients were assessed for anaemia regularly; however, a full anaemia work-up was frequently neglected in this community setting.

AB - Background and aims: Anaemia is an important complication of inflammatory bowel disease [IBD]. The aim of this study was to determine the prevalence of anaemia and the practice of anaemia screening during the first year following diagnosis, in a European prospective population-based inception cohort. Methods: Newly diagnosed IBD patients were included and followed prospectively for 1 year in 29 European and one Australian centre. Clinical data including demographics, medical therapy, surgery and blood samples were collected. Anaemia was defined according to the World Health Organization criteria. Results: A total of 1871 patients (Crohn's disease [CD]: 686, 88%; ulcerative colitis [UC]: 1,021, 87%; IBD unclassified [IBDU] 164. 81%) were included in the study. The prevalence of anaemia was higher in CD than in UC patients and, overall, 49% of CD and 39% of UC patients experienced at least one instance of anaemia during the first 12 months after diagnosis. UC patients with more extensive disease and those from Eastern European countries, and CD patients with penetrating disease or colonic disease location, had higher risks of anaemia. CD and UC patients in need of none or only mild anti-inflammatory treatment had a lower risk of anaemia. In a significant proportion of patients, anaemia was not assessed until several months after diagnosis, and in almost half of all cases of anaemia a thorough work-up was not performed. Conclusions: Overall, 42% of patients had at least one instance of anaemia during the first year following diagnosis. Most patients were assessed for anaemia regularly; however, a full anaemia work-up was frequently neglected in this community setting.

KW - Journal Article

U2 - 10.1093/ecco-jcc/jjx077

DO - 10.1093/ecco-jcc/jjx077

M3 - Journal article

C2 - 28575481

SN - 1873-9946

VL - 11

SP - 1213

EP - 1222

JO - Journal of Crohn's and Colitis

JF - Journal of Crohn's and Colitis

IS - 10

ER -

Occurrence of anaemia in the first year of inflammatory bowel disease in a European population-based inception cohort: An ECCO-EpiCom study

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