Nationwide epidemiological survey of autoimmune pancreatitis in Japan in 2016 View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-12-23

AUTHORS

Atsushi Masamune, Kazuhiro Kikuta, Shin Hamada, Ichiro Tsuji, Yoshifumi Takeyama, Tooru Shimosegawa, Kazuichi Okazaki

ABSTRACT

BackgroundTo further clarify the clinico-epidemiological features of autoimmune pancreatitis (AIP) in Japan, we conducted the fourth nationwide epidemiological survey.MethodsThis study consisted of two stage surveys; the number of AIP patients was estimated by the first survey and their clinical features were assessed by the second survey. We surveyed the AIP patients who had visited hospitals in 2016.ResultsThe estimated number of AIP patients in 2016 was 13,436, with an overall prevalence rate of 10.1 per 100,000 persons. The estimated number of newly diagnosed patients was 3984, with an annual incidence rate of 3.1 per 100,000 persons. Compared to the 2011 survey, both numbers more than doubled. We obtained detailed clinical information of 1474 AIP patients. The male-to-female sex ratio was 2.94, the mean age was 68.1, and mean age at diagnosis was 64.8. At diagnosis, 63% patients were symptomatic and nearly half of them presented jaundice. Pancreatic cysts were found in 9% of the patients and calcifications in 6%. Histopathological examination was performed in 64%, mainly by endoscopic ultrasonography-guided fine needle aspiration. Extra-pancreatic lesions were detected in 60% of the patients. Eighty-four % patients received the initial steroid therapy, and 85% received maintenance steroid therapy. Kaplan–Meier analysis revealed that the relapsed survival was 14% at 3 years, 25% at 5 years, 40% at 10 years, and 50% at 15 years. Mortality was favorable, but pancreatic cancer accounted for death in one quarter of fatal cases.ConclusionWe clarified the current status of AIP in Japan. More... »

PAGES

462-470

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00535-019-01658-7

DOI

http://dx.doi.org/10.1007/s00535-019-01658-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1123606896

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31872350


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60 current status
61 cysts
62 death
63 detailed clinical information
64 diagnosis
65 endoscopic ultrasonography-guided fine needle aspiration
66 epidemiological survey
67 estimated number
68 examination
69 extra-pancreatic lesions
70 fatal cases
71 features
72 female sex ratio
73 fine-needle aspiration
74 first survey
75 half
76 histopathological examination
77 hospital
78 incidence rate
79 information
80 initial steroid therapy
81 jaundice
82 lesions
83 maintenance steroid therapy
84 males
85 mean age
86 mortality
87 nationwide epidemiological survey
88 needle aspiration
89 number
90 overall prevalence rate
91 pancreatic cancer
92 pancreatic cysts
93 pancreatitis
94 patients
95 persons
96 prevalence rates
97 quarter
98 rate
99 ratio
100 second survey
101 sex ratio
102 stage survey
103 status
104 steroid therapy
105 study
106 survey
107 survival
108 therapy
109 ultrasonography-guided fine-needle aspiration
110 years
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