Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study
BACKGROUND: Diverticulitis is the most common complication of diverticular disease, affecting 10–25 per cent of patients with diverticula. A retrospective, nationwide, population‐based cohort study was performed to analyse the incidence and recurrence rate of sigmoid diverticulitis requiring hospita...
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ftpubmed:oai:pubmedcentral.nih.gov:7709358 2023-05-15T16:48:20+02:00 Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study Alexandersson, B. T. Stefánsson, T. 2020-09-09 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709358/ http://www.ncbi.nlm.nih.gov/pubmed/32902199 https://doi.org/10.1002/bjs5.50336 en eng John Wiley & Sons, Ltd http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709358/ http://www.ncbi.nlm.nih.gov/pubmed/32902199 http://dx.doi.org/10.1002/bjs5.50336 © 2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. CC-BY BJS Open Original Articles Text 2020 ftpubmed https://doi.org/10.1002/bjs5.50336 2020-12-13T01:31:13Z BACKGROUND: Diverticulitis is the most common complication of diverticular disease, affecting 10–25 per cent of patients with diverticula. A retrospective, nationwide, population‐based cohort study was performed to analyse the incidence and recurrence rate of sigmoid diverticulitis requiring hospital admission. METHODS: All patients discharged from hospital in Iceland during 1985–2014 who were diagnosed with diverticular disease were included. The χ(2) test was used to analyse the trend of the incidence in the period 2002–2014. The Kaplan–Meier method and the Cox model were used to analyse recurrence. RESULTS: Of 8660 admissions for diverticular disease, 4746 were due to diverticulitis, of which 2939 were for diverticulitis diagnosed for the first time. After the first attack, surgery was used to treat 661 patients. Of 2278 patients not treated by resection, 537 had a second attack (23·6 per cent). There was a significant decrease in the incidence of diverticulitis in patients aged 40–89 years during the period from 2002 to 2014 (P = 0·033). The risk of recurrence was associated with younger age at first attack and female sex (P < 0·001). CONCLUSION: There was a decline in the incidence of patients hospitalized with diverticulitis between 1995 and 2014, most prominent in older age groups. Different recurrence rates were reported in men and women, and in younger compared with older age groups. Text Iceland PubMed Central (PMC) Meier ENVELOPE(-45.900,-45.900,-60.633,-60.633) BJS Open 4 6 1217 1226 |
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Original Articles |
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Original Articles Alexandersson, B. T. Stefánsson, T. Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
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Original Articles |
description |
BACKGROUND: Diverticulitis is the most common complication of diverticular disease, affecting 10–25 per cent of patients with diverticula. A retrospective, nationwide, population‐based cohort study was performed to analyse the incidence and recurrence rate of sigmoid diverticulitis requiring hospital admission. METHODS: All patients discharged from hospital in Iceland during 1985–2014 who were diagnosed with diverticular disease were included. The χ(2) test was used to analyse the trend of the incidence in the period 2002–2014. The Kaplan–Meier method and the Cox model were used to analyse recurrence. RESULTS: Of 8660 admissions for diverticular disease, 4746 were due to diverticulitis, of which 2939 were for diverticulitis diagnosed for the first time. After the first attack, surgery was used to treat 661 patients. Of 2278 patients not treated by resection, 537 had a second attack (23·6 per cent). There was a significant decrease in the incidence of diverticulitis in patients aged 40–89 years during the period from 2002 to 2014 (P = 0·033). The risk of recurrence was associated with younger age at first attack and female sex (P < 0·001). CONCLUSION: There was a decline in the incidence of patients hospitalized with diverticulitis between 1995 and 2014, most prominent in older age groups. Different recurrence rates were reported in men and women, and in younger compared with older age groups. |
format |
Text |
author |
Alexandersson, B. T. Stefánsson, T. |
author_facet |
Alexandersson, B. T. Stefánsson, T. |
author_sort |
Alexandersson, B. T. |
title |
Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
title_short |
Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
title_full |
Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
title_fullStr |
Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
title_full_unstemmed |
Incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in Iceland from 1985 to 2014: nationwide population‐based register study |
title_sort |
incidence and recurrence rate of sigmoid diverticulitis in patients requiring admission to hospital in iceland from 1985 to 2014: nationwide population‐based register study |
publisher |
John Wiley & Sons, Ltd |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709358/ http://www.ncbi.nlm.nih.gov/pubmed/32902199 https://doi.org/10.1002/bjs5.50336 |
long_lat |
ENVELOPE(-45.900,-45.900,-60.633,-60.633) |
geographic |
Meier |
geographic_facet |
Meier |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BJS Open |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7709358/ http://www.ncbi.nlm.nih.gov/pubmed/32902199 http://dx.doi.org/10.1002/bjs5.50336 |
op_rights |
© 2020 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of British Journal of Surgery Society. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1002/bjs5.50336 |
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1217 |
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1226 |
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