Nationwide epidemiological survey of early chronic pancreatitis in Japan View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-01-27

AUTHORS

Atsushi Masamune, Kazuhiro Kikuta, Tatsuhide Nabeshima, Eriko Nakano, Morihisa Hirota, Atsushi Kanno, Kiyoshi Kume, Shin Hamada, Tetsuhide Ito, Motokazu Fujita, Atsushi Irisawa, Masanori Nakashima, Keiji Hanada, Takaaki Eguchi, Ryusuke Kato, Osamu Inatomi, Akio Shirane, Yoshifumi Takeyama, Ichiro Tsuji, Tooru Shimosegawa, Research Committee of Intractable Pancreatic Diseases in Japan

ABSTRACT

BackgroundThe world’s first diagnostic criteria for early CP were proposed in 2009 in Japan. This study aimed to clarify the clinico-epidemiological features of early CP in Japan.MethodsPatients with early CP who were diagnosed according to the diagnostic criteria for early CP and had visited the selected hospitals in 2011 were surveyed. The study consisted of two-stage surveys: the number of patients with early CP was estimated by the first questionnaire and their clinical features were assessed by the second questionnaire.ResultsThe estimated number of early CP patients was 5410 (95% confidence interval 3675–6945), with an overall prevalence of 4.2 per 100,000 persons. The number of patients who were newly diagnosed with early CP was estimated to be 1330 (95% confidence interval 1058–1602), with an annual incidence of 1.0 per 100,000 persons. Detailed clinical information was obtained in 151 patients in the second survey. The male-to-female sex ratio was 1.32:1. The mean age was 60.4 and the mean age at disease onset was 55.4. Idiopathic (47.7%) and alcoholic (45.0%) were the two most common etiologies. Proportions of female and idiopathic cases were higher in early CP than in definite CP. Hyperechoic foci without shadowing and stranding were the most common findings on endoscopic ultrasonography. The clinical profiles of early CP patients who showed lobularity with honeycombing on endoscopic ultrasonography or previous episodes of acute pancreatitis were similar to those of definite CP patients.ConclusionsWe clarified the current status of early CP in Japan. More... »

PAGES

992-1000

References to SciGraph publications

Journal

TITLE

Journal of Gastroenterology

ISSUE

8

VOLUME

52

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00535-017-1311-8

DOI

http://dx.doi.org/10.1007/s00535-017-1311-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1074234843

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28130705


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    "description": "BackgroundThe world\u2019s first diagnostic criteria for early CP were proposed in 2009 in Japan. This study aimed to clarify the clinico-epidemiological features of early CP in Japan.MethodsPatients with early CP who were diagnosed according to the diagnostic criteria for early CP and had visited the selected hospitals in 2011 were surveyed. The study consisted of two-stage surveys: the number of patients with early CP was estimated by the first questionnaire and their clinical features were assessed by the second questionnaire.ResultsThe estimated number of early CP patients was 5410 (95% confidence interval 3675\u20136945), with an overall prevalence of 4.2 per 100,000 persons. The number of patients who were newly diagnosed with early CP was estimated to be 1330 (95% confidence interval 1058\u20131602), with an annual incidence of 1.0 per 100,000 persons. Detailed clinical information was obtained in 151 patients in the second survey. The male-to-female sex ratio was 1.32:1. The mean age was 60.4 and the mean age at disease onset was 55.4. Idiopathic (47.7%) and alcoholic (45.0%) were the two most common etiologies. Proportions of female and idiopathic cases were higher in early CP than in definite CP. Hyperechoic foci without shadowing and stranding were the most common findings on endoscopic ultrasonography. The clinical profiles of early CP patients who showed lobularity with honeycombing on endoscopic ultrasonography or previous episodes of acute pancreatitis were similar to those of definite CP patients.ConclusionsWe clarified the current status of early CP in Japan.", 
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362 grid-institutes:grid.410827.8 schema:alternateName Department of Medicine, Shiga University of Medical Science, Otsu, Japan
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365 grid-institutes:grid.411582.b schema:alternateName Department of Gastroenterology, Aizu Medical Center, Fukushima Medical University, Aizu-Wakamatsu, Japan
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374 grid-institutes:grid.416874.8 schema:alternateName Department of Gastroenterology, JA Onomichi General Hospital, Onomichi, Japan
375 schema:name Department of Gastroenterology, JA Onomichi General Hospital, Onomichi, Japan
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377 grid-institutes:grid.417241.5 schema:alternateName Department of Gastroenterology, Toyohashi Municipal Hospital, Toyohashi, Japan
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380 grid-institutes:grid.69566.3a schema:alternateName Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan
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383 Division of Gastroenterology, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, 980-8574, Sendai, Japan
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