Epidemiology of inflammatory bowel disease in the Republic of San Marino: The “EPIMICI – San Marino” study

The burden of Crohn’s disease (CD) and ulcerative colitis (UC) has never been estimated in the Republic of San Marino, the third smallest nation of the world. To assess the occurrence and clinical features of CD and UC in San Marino during the last 35 years. We retrospectively evaluated the prevalen...

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Veröffentlicht in:Digestive and liver disease 2019-02, Vol.51 (2), p.218-225
Hauptverfasser: Piscaglia, Anna Chiara, Lopetuso, Loris Riccardo, Laterza, Lucrezia, Gerardi, Viviana, Sacchini, Elena, Leoncini, Emanuele, Boccia, Stefania, Stefanelli, Maria Loredana, Gasbarrini, Antonio, Armuzzi, Alessandro
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container_end_page 225
container_issue 2
container_start_page 218
container_title Digestive and liver disease
container_volume 51
creator Piscaglia, Anna Chiara
Lopetuso, Loris Riccardo
Laterza, Lucrezia
Gerardi, Viviana
Sacchini, Elena
Leoncini, Emanuele
Boccia, Stefania
Stefanelli, Maria Loredana
Gasbarrini, Antonio
Armuzzi, Alessandro
description The burden of Crohn’s disease (CD) and ulcerative colitis (UC) has never been estimated in the Republic of San Marino, the third smallest nation of the world. To assess the occurrence and clinical features of CD and UC in San Marino during the last 35 years. We retrospectively evaluated the prevalence, incidence, and main clinical aspects of CD and UC from 1980 to 2014, crossing data from various sources. Prevalence rates (per 100,000) on December 31, were 241 for CD (263 in males and 220 in females) and 311 for UC (370 in males and 255 in females). The specific incidence of UC steadily increased from 4.6 (95% CI: 1.5–10.6) in 1980–1984 to 12.4 (95% CI: 7.6–19.1) in 2010–2014; CD incidence showed a higher proportional increase, from 1.8 (95% CI: 0.2–6.6) in 1980–1984 to 17.9 (95% CI: 12.0–25.7) in 2010–2014. The main clinical features of CD and UC (activity and location at diagnosis, extra-intestinal manifestations, disease progression overtime, therapies, and hospitalizations) were analyzed. This study provides the first epidemiological report on CD and UC in San Marino, showing specific traits and overall higher prevalence and incidence rates than previously reported in neighbor Areas.
doi_str_mv 10.1016/j.dld.2018.08.016
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subjects Crohn’s disease
Incidence
Prevalence
Ulcerative colitis
title Epidemiology of inflammatory bowel disease in the Republic of San Marino: The “EPIMICI – San Marino” study
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