Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry....

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Autores: Chaparro, María, Garre, Ana, Nunez Ortiz, andrea, Diz-Lois Palomares, María Teresa, Rodriguez, Cristina, Riestra, Sabino, Vela, Milagros, Manuel Benitez, Jose, Fernández Salgado, Estela, Sanchez Rodriguez, Eugenia, Hernandez, Vicent, Ferreiro-Iglesias, Rocio, Ponferrada Diaz, Angel, Barrio, Jesús, Huguet, Jose Maria, Sicilia, Beatriz, Martín-Arranz, María Dolores, Calvet, Xavier, Ginard-Vicens, Daniel, Alonso-Abreu, Inmaculada, Fernandez-Salazar, Luis, Varela Trastoy, Pilar, Rivero, Montserrat, Vera-Mendoza, Isabel, Vega, Pablo, Navarro, Pablo, Sierra, Monica, Cabriada, José Luis, Aguas, Mariam, Vicente, Raquel, Navarro-Llavat, Merce, Echarri, Ana, Gomollon, Fernando, Guerra del Rio, Elena, Pinero, Concepcion, Jose Casanova, Maria, Spicakova, Katerina, Ortiz de Zarate, Jone, Torrella Cortes, Emilio, Gutierrez, Ana, Alonso-Galan, Horacio, Hernandez-Martinez, Alvaro, Miguel Marrero, Jose, Lorente Poyatos, Rufo, Calafat, Margalida, Marti Romero, Lidia, Robledo, Pilar, Bosch, Orencio, Jimenez, Nuria, Esteve, Maria, Duque, Jose Maria, Fuentes Coronel, Ana Maria, Josefa Sampedro, Manuela, Sese Abizanda, Eva, Herreros Martinez, Belen, Pozzati, Liliana, Fernandez Rosaenz, Hipolito, Crespo Suarez, Belen, Lopez Serrano, Pilar, Lucendo, Alfredo J., Munoz Vicente, Margarita, Bermejo, Fernando, Ramirez Palanca, Jose Joaquin, Menacho, Margarita, Carmona, Amalia, Camargo, Raquel, Torra Alsina, Sandra, Maroto, Nuria, Nerin de la Puerta, Juan, Castro, Elena, Marin-Jimenez, Ignacio, Botella Mateu, Belén, Sapiña, Amparo, Cruz, Noelia, Forcelledo, Jose Luis F., Bouhmidi, Abdel, Castaño-Milla, Carlos, Opio, Veronica, Nicolas, Isabel, Kutz, Marcos, Abraldes Bechiarelli, Alfredo, Gordillo, Jordi, Ber Nieto, Yolanda, Torres Dominguez, Yolanda, Novella Duran, María Teresa, Rodriguez Mondejar, Silvia, Martinez-Cerezo, Francisco J., Kolle, Lilyan, Sabat, Miriam, Ledezma, Cesar, Iyo Miyashiro, Eduardo, Roncero, Oscar, Irisarri, Rebeca, Lluis, Laia, Blazquez Gomez, Isabel, Maria Zapata, Eva, Alcala, Maria Jose, Martinez Pascual, Cristina, Montealegre, Maria, Mata, Laura, Monrobel, Ana, Hernandez Camba, Alejandro, Hernandez, Luis, Tejada , Silvia, Mir, Alberto, Galve, Maria Luisa, Soler, Marta, Hervias, Daniel, Gomez-Valero, Jose Antonio, Barreiro-de Acosta, Manuel, Rodriguez-Artalejo, Fernando, Garcia-Esquinas, Esther, Gisbert, Javier P.
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Conselleria de Salut i Consum del Govern de les Illes Balears
Repositorio:Docusalut
Idioma:inglés
OAI Identifier:oai:docusalut.com:20.500.13003/19646
Acceso en línea:https://hdl.handle.net/20.500.13003/19646
Access Level:acceso abierto
Palabra clave:epidemiology
incidence
inflammatory bowel disease
Crohn's disease
ulcerative colitis
id ES_bc10c4cf42ade4ecdbfac09b61679da4
oai_identifier_str oai:docusalut.com:20.500.13003/19646
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
title Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
spellingShingle Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
Chaparro, María
epidemiology
incidence
inflammatory bowel disease
Crohn's disease
ulcerative colitis
title_short Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
title_full Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
title_fullStr Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
title_full_unstemmed Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
title_sort Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study
dc.creator.none.fl_str_mv Chaparro, María
Garre, Ana
Nunez Ortiz, andrea
Diz-Lois Palomares, María Teresa
Rodriguez, Cristina
Riestra, Sabino
Vela, Milagros
Manuel Benitez, Jose
Fernández Salgado, Estela
Sanchez Rodriguez, Eugenia
Hernandez, Vicent
Ferreiro-Iglesias, Rocio
Ponferrada Diaz, Angel
Barrio, Jesús
Huguet, Jose Maria
Sicilia, Beatriz
Martín-Arranz, María Dolores
Calvet, Xavier
Ginard-Vicens, Daniel
Alonso-Abreu, Inmaculada
Fernandez-Salazar, Luis
Varela Trastoy, Pilar
Rivero, Montserrat
Vera-Mendoza, Isabel
Vega, Pablo
Navarro, Pablo
Sierra, Monica
Cabriada, José Luis
Aguas, Mariam
Vicente, Raquel
Navarro-Llavat, Merce
Echarri, Ana
Gomollon, Fernando
Guerra del Rio, Elena
Pinero, Concepcion
Jose Casanova, Maria
Spicakova, Katerina
Ortiz de Zarate, Jone
Torrella Cortes, Emilio
Gutierrez, Ana
Alonso-Galan, Horacio
Hernandez-Martinez, Alvaro
Miguel Marrero, Jose
Lorente Poyatos, Rufo
Calafat, Margalida
Marti Romero, Lidia
Robledo, Pilar
Bosch, Orencio
Jimenez, Nuria
Esteve, Maria
Duque, Jose Maria
Fuentes Coronel, Ana Maria
Josefa Sampedro, Manuela
Sese Abizanda, Eva
Herreros Martinez, Belen
Pozzati, Liliana
Fernandez Rosaenz, Hipolito
Crespo Suarez, Belen
Lopez Serrano, Pilar
Lucendo, Alfredo J.
Munoz Vicente, Margarita
Bermejo, Fernando
Ramirez Palanca, Jose Joaquin
Menacho, Margarita
Carmona, Amalia
Camargo, Raquel
Torra Alsina, Sandra
Maroto, Nuria
Nerin de la Puerta, Juan
Castro, Elena
Marin-Jimenez, Ignacio
Botella Mateu, Belén
Sapiña, Amparo
Cruz, Noelia
Forcelledo, Jose Luis F.
Bouhmidi, Abdel
Castaño-Milla, Carlos
Opio, Veronica
Nicolas, Isabel
Kutz, Marcos
Abraldes Bechiarelli, Alfredo
Gordillo, Jordi
Ber Nieto, Yolanda
Torres Dominguez, Yolanda
Novella Duran, María Teresa
Rodriguez Mondejar, Silvia
Martinez-Cerezo, Francisco J.
Kolle, Lilyan
Sabat, Miriam
Ledezma, Cesar
Iyo Miyashiro, Eduardo
Roncero, Oscar
Irisarri, Rebeca
Lluis, Laia
Blazquez Gomez, Isabel
Maria Zapata, Eva
Alcala, Maria Jose
Martinez Pascual, Cristina
Montealegre, Maria
Mata, Laura
Monrobel, Ana
Hernandez Camba, Alejandro
Hernandez, Luis
Tejada , Silvia
Mir, Alberto
Galve, Maria Luisa
Soler, Marta
Hervias, Daniel
Gomez-Valero, Jose Antonio
Barreiro-de Acosta, Manuel
Rodriguez-Artalejo, Fernando
Garcia-Esquinas, Esther
Gisbert, Javier P.
author Chaparro, María
author_facet Chaparro, María
Garre, Ana
Nunez Ortiz, andrea
Diz-Lois Palomares, María Teresa
Rodriguez, Cristina
Riestra, Sabino
Vela, Milagros
Manuel Benitez, Jose
Fernández Salgado, Estela
Sanchez Rodriguez, Eugenia
Hernandez, Vicent
Ferreiro-Iglesias, Rocio
Ponferrada Diaz, Angel
Barrio, Jesús
Huguet, Jose Maria
Sicilia, Beatriz
Martín-Arranz, María Dolores
Calvet, Xavier
Ginard-Vicens, Daniel
Alonso-Abreu, Inmaculada
Fernandez-Salazar, Luis
Varela Trastoy, Pilar
Rivero, Montserrat
Vera-Mendoza, Isabel
Vega, Pablo
Navarro, Pablo
Sierra, Monica
Cabriada, José Luis
Aguas, Mariam
Vicente, Raquel
Navarro-Llavat, Merce
Echarri, Ana
Gomollon, Fernando
Guerra del Rio, Elena
Pinero, Concepcion
Jose Casanova, Maria
Spicakova, Katerina
Ortiz de Zarate, Jone
Torrella Cortes, Emilio
Gutierrez, Ana
Alonso-Galan, Horacio
Hernandez-Martinez, Alvaro
Miguel Marrero, Jose
Lorente Poyatos, Rufo
Calafat, Margalida
Marti Romero, Lidia
Robledo, Pilar
Bosch, Orencio
Jimenez, Nuria
Esteve, Maria
Duque, Jose Maria
Fuentes Coronel, Ana Maria
Josefa Sampedro, Manuela
Sese Abizanda, Eva
Herreros Martinez, Belen
Pozzati, Liliana
Fernandez Rosaenz, Hipolito
Crespo Suarez, Belen
Lopez Serrano, Pilar
Lucendo, Alfredo J.
Munoz Vicente, Margarita
Bermejo, Fernando
Ramirez Palanca, Jose Joaquin
Menacho, Margarita
Carmona, Amalia
Camargo, Raquel
Torra Alsina, Sandra
Maroto, Nuria
Nerin de la Puerta, Juan
Castro, Elena
Marin-Jimenez, Ignacio
Botella Mateu, Belén
Sapiña, Amparo
Cruz, Noelia
Forcelledo, Jose Luis F.
Bouhmidi, Abdel
Castaño-Milla, Carlos
Opio, Veronica
Nicolas, Isabel
Kutz, Marcos
Abraldes Bechiarelli, Alfredo
Gordillo, Jordi
Ber Nieto, Yolanda
Torres Dominguez, Yolanda
Novella Duran, María Teresa
Rodriguez Mondejar, Silvia
Martinez-Cerezo, Francisco J.
Kolle, Lilyan
Sabat, Miriam
Ledezma, Cesar
Iyo Miyashiro, Eduardo
Roncero, Oscar
Irisarri, Rebeca
Lluis, Laia
Blazquez Gomez, Isabel
Maria Zapata, Eva
Alcala, Maria Jose
Martinez Pascual, Cristina
Montealegre, Maria
Mata, Laura
Monrobel, Ana
Hernandez Camba, Alejandro
Hernandez, Luis
Tejada , Silvia
Mir, Alberto
Galve, Maria Luisa
Soler, Marta
Hervias, Daniel
Gomez-Valero, Jose Antonio
Barreiro-de Acosta, Manuel
Rodriguez-Artalejo, Fernando
Garcia-Esquinas, Esther
Gisbert, Javier P.
author_role author
author2 Garre, Ana
Nunez Ortiz, andrea
Diz-Lois Palomares, María Teresa
Rodriguez, Cristina
Riestra, Sabino
Vela, Milagros
Manuel Benitez, Jose
Fernández Salgado, Estela
Sanchez Rodriguez, Eugenia
Hernandez, Vicent
Ferreiro-Iglesias, Rocio
Ponferrada Diaz, Angel
Barrio, Jesús
Huguet, Jose Maria
Sicilia, Beatriz
Martín-Arranz, María Dolores
Calvet, Xavier
Ginard-Vicens, Daniel
Alonso-Abreu, Inmaculada
Fernandez-Salazar, Luis
Varela Trastoy, Pilar
Rivero, Montserrat
Vera-Mendoza, Isabel
Vega, Pablo
Navarro, Pablo
Sierra, Monica
Cabriada, José Luis
Aguas, Mariam
Vicente, Raquel
Navarro-Llavat, Merce
Echarri, Ana
Gomollon, Fernando
Guerra del Rio, Elena
Pinero, Concepcion
Jose Casanova, Maria
Spicakova, Katerina
Ortiz de Zarate, Jone
Torrella Cortes, Emilio
Gutierrez, Ana
Alonso-Galan, Horacio
Hernandez-Martinez, Alvaro
Miguel Marrero, Jose
Lorente Poyatos, Rufo
Calafat, Margalida
Marti Romero, Lidia
Robledo, Pilar
Bosch, Orencio
Jimenez, Nuria
Esteve, Maria
Duque, Jose Maria
Fuentes Coronel, Ana Maria
Josefa Sampedro, Manuela
Sese Abizanda, Eva
Herreros Martinez, Belen
Pozzati, Liliana
Fernandez Rosaenz, Hipolito
Crespo Suarez, Belen
Lopez Serrano, Pilar
Lucendo, Alfredo J.
Munoz Vicente, Margarita
Bermejo, Fernando
Ramirez Palanca, Jose Joaquin
Menacho, Margarita
Carmona, Amalia
Camargo, Raquel
Torra Alsina, Sandra
Maroto, Nuria
Nerin de la Puerta, Juan
Castro, Elena
Marin-Jimenez, Ignacio
Botella Mateu, Belén
Sapiña, Amparo
Cruz, Noelia
Forcelledo, Jose Luis F.
Bouhmidi, Abdel
Castaño-Milla, Carlos
Opio, Veronica
Nicolas, Isabel
Kutz, Marcos
Abraldes Bechiarelli, Alfredo
Gordillo, Jordi
Ber Nieto, Yolanda
Torres Dominguez, Yolanda
Novella Duran, María Teresa
Rodriguez Mondejar, Silvia
Martinez-Cerezo, Francisco J.
Kolle, Lilyan
Sabat, Miriam
Ledezma, Cesar
Iyo Miyashiro, Eduardo
Roncero, Oscar
Irisarri, Rebeca
Lluis, Laia
Blazquez Gomez, Isabel
Maria Zapata, Eva
Alcala, Maria Jose
Martinez Pascual, Cristina
Montealegre, Maria
Mata, Laura
Monrobel, Ana
Hernandez Camba, Alejandro
Hernandez, Luis
Tejada , Silvia
Mir, Alberto
Galve, Maria Luisa
Soler, Marta
Hervias, Daniel
Gomez-Valero, Jose Antonio
Barreiro-de Acosta, Manuel
Rodriguez-Artalejo, Fernando
Garcia-Esquinas, Esther
Gisbert, Javier P.
author2_role author
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dc.contributor.none.fl_str_mv
dc.subject.none.fl_str_mv epidemiology
incidence
inflammatory bowel disease
Crohn's disease
ulcerative colitis
topic epidemiology
incidence
inflammatory bowel disease
Crohn's disease
ulcerative colitis
description (1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-07-01
2021
2021-07-01
dc.type.none.fl_str_mv research article
http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.13003/19646
url https://hdl.handle.net/20.500.13003/19646
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Docusalut
instname:Conselleria de Salut i Consum del Govern de les Illes Balears
instname_str Conselleria de Salut i Consum del Govern de les Illes Balears
reponame_str Docusalut
collection Docusalut
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869418081029193728
spelling Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological StudyChaparro, MaríaGarre, AnaNunez Ortiz, andreaDiz-Lois Palomares, María TeresaRodriguez, CristinaRiestra, SabinoVela, MilagrosManuel Benitez, JoseFernández Salgado, EstelaSanchez Rodriguez, EugeniaHernandez, VicentFerreiro-Iglesias, RocioPonferrada Diaz, AngelBarrio, JesúsHuguet, Jose MariaSicilia, BeatrizMartín-Arranz, María DoloresCalvet, XavierGinard-Vicens, DanielAlonso-Abreu, InmaculadaFernandez-Salazar, LuisVarela Trastoy, PilarRivero, MontserratVera-Mendoza, IsabelVega, PabloNavarro, PabloSierra, MonicaCabriada, José LuisAguas, MariamVicente, RaquelNavarro-Llavat, MerceEcharri, AnaGomollon, FernandoGuerra del Rio, ElenaPinero, ConcepcionJose Casanova, MariaSpicakova, KaterinaOrtiz de Zarate, JoneTorrella Cortes, EmilioGutierrez, AnaAlonso-Galan, HoracioHernandez-Martinez, AlvaroMiguel Marrero, JoseLorente Poyatos, RufoCalafat, MargalidaMarti Romero, LidiaRobledo, PilarBosch, OrencioJimenez, NuriaEsteve, MariaDuque, Jose MariaFuentes Coronel, Ana MariaJosefa Sampedro, ManuelaSese Abizanda, EvaHerreros Martinez, BelenPozzati, LilianaFernandez Rosaenz, HipolitoCrespo Suarez, BelenLopez Serrano, PilarLucendo, Alfredo J.Munoz Vicente, MargaritaBermejo, FernandoRamirez Palanca, Jose JoaquinMenacho, MargaritaCarmona, AmaliaCamargo, RaquelTorra Alsina, SandraMaroto, NuriaNerin de la Puerta, JuanCastro, ElenaMarin-Jimenez, IgnacioBotella Mateu, BelénSapiña, AmparoCruz, NoeliaForcelledo, Jose Luis F.Bouhmidi, AbdelCastaño-Milla, CarlosOpio, VeronicaNicolas, IsabelKutz, MarcosAbraldes Bechiarelli, AlfredoGordillo, JordiBer Nieto, YolandaTorres Dominguez, YolandaNovella Duran, María TeresaRodriguez Mondejar, SilviaMartinez-Cerezo, Francisco J.Kolle, LilyanSabat, MiriamLedezma, CesarIyo Miyashiro, EduardoRoncero, OscarIrisarri, RebecaLluis, LaiaBlazquez Gomez, IsabelMaria Zapata, EvaAlcala, Maria JoseMartinez Pascual, CristinaMontealegre, MariaMata, LauraMonrobel, AnaHernandez Camba, AlejandroHernandez, LuisTejada , SilviaMir, AlbertoGalve, Maria LuisaSoler, MartaHervias, DanielGomez-Valero, Jose AntonioBarreiro-de Acosta, ManuelRodriguez-Artalejo, FernandoGarcia-Esquinas, EstherGisbert, Javier P.epidemiologyincidenceinflammatory bowel diseaseCrohn's diseaseulcerative colitis(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery.MDPI20212021-07-0120212021-07-01research articlehttp://purl.org/coar/resource_type/c_2df8fbb1info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.13003/19646reponame:Docusalutinstname:Conselleria de Salut i Consum del Govern de les Illes BalearsInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:docusalut.com:20.500.13003/196462026-06-22T12:44:07Z
score 15,81155