Different clinical characteristics in hispanic and non-hispanic whites with ileal pouch–anal anastomosis: A case–control study

Lian, Lei; Moore, Lauren; Wu, Xiao; Xiao, Huang; Lan, Ping; Shen, Bo

doi:10.1002/ibd.21431

Cited by 13 publications

(5 citation statements)

References 14 publications

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“…This is reassuring and in agreement with other studies that showed no difference in complication rates and outcomes after IPAA between Blacks, Hispanics, and Whites. 29 , 30 However, our data contrast with other studies that showed that composite postoperative morbidity after elective surgeries for IBD was highest for Black patients 31 and that non-White patients had increased odds of individual complications after surgery for IBD. 32 It is important to point out that those studies did not specifically evaluate IPAA surgery.…”

Section: Discussioncontrasting

confidence: 99%

Ethnic Variation Trends in the Use of Ileal Pouch–Anal Anastomosis in Patients With Ulcerative Colitis

Hashash,

Mourad,

Odah

et al. 2023

Crohn's &Amp; Colitis 360

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Background Approximately 15-20% of patients with ulcerative colitis (UC) will require surgery during their lifetime. Ileal pouch-anal anastomosis (IPAA) is the preferred surgical option, which typically requires access to a specialist experienced in surgery for inflammatory bowel diseases (IBD). Objective Aims of this study are the assessment of the comparative use of IPAA for UC among different racial/ethnic groups and observe trends over the past decade in the United States as well as the comparative assessment of their respective postoperative outcomes. Design This was an observational retrospective study using the National Inpatient Sample (NIS) 2009-2018 dataset. All patients with ICD9/10CM codes for UC were included. The primary outcome was comparative trends in IPAA construction across races/ethnicities in the past decade, which was compared to White patients as reference. Multivariate regression analyses were used to adjust for age, gender, Charlson Comorbidity Index, income in patient zip code, insurance status, hospital region, location, size, and teaching status. Results The number of patients discharged from US hospitals with an associated diagnosis of UC increased between 2009 and 2018 but the number of patients undergoing an IPAA decreased during that time period. Of 1,153,363 admissions related to UC, 60,688 required surgery for UC, of whom 16,601 underwent IPAA in the study period. Of all the patients undergoing surgery for UC, 2,862 (4.7%) were Black, while 44,351 were White. This analysis indicated that Black patients were less likely to undergo IPAA both in 2009 and in 2018 compared to Whites . Hispanic patients were significantly less likely to receive IPAA in 2009 but were no longer less likely to receive IPAA in 2018 when compared to Whites . Conclusions The use of IPAA among Black patients requiring surgery for UC remains less common than amongst their White counterparts. Further research is needed to determine if racial disparity is a factor in decreased access to specialized care.

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Section: Discussioncontrasting

confidence: 99%

Ethnic Variation Trends in the Use of Ileal Pouch–Anal Anastomosis in Patients With Ulcerative Colitis

Hashash,

Mourad,

Odah

et al. 2023

Crohn's &Amp; Colitis 360

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“…24 Currently, the proctocolectomy rate has decreased from 10.2 % to 5.1 %, and this may be related to an earlier and more efficient control of the disease; the comparison in other studies between Hispanic and non-Hispanic patients shows a high rate of ileal pouch failure in the former group, while a higher rate of surgical procedures was documented in the latter group. 25 In conclusion, CIUC in Latin America has a different phenotype in comparison with other areas of the world and has shown behavioral changes over time that should be addressed from a diagnostic and therapeutic perspective. In the present work, we identified an increase in the frequency of pancolitis, presence of EIM and anti-TNF therapy prescription; in addition, the rate of proctocolectomy has decreased in recent years.…”

Section: Discussionmentioning

confidence: 96%

Changes in chronic idiopathic ulcerative colitis epidemiological pattern in Mexico in a tertiary care hospital

Yamamoto‐Furusho¹,

Sánchez-Morales²

2023

GMM

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Background: Chronic idiopathic ulcerative colitis (CIUC) is a disease with multifactorial chronic inflammation of the colonic mucosa. Its prevalence ranges from 37.5-250/100,000 in North America to 10-500/100,000 in Europe. In Mexico, there are studies that show an increase in the frequency of new cases. The purpose of this work was to identify possible changes in CIUC behavior in a referral hospital. Methods: New ulcerative colitis (UC) cases confirmed by histopathology from January 2007 to December 2014 were included. Clinical and demographic data were collected through the review of medical records and direct interview in order to compare them with a previous study conducted at the same institution from January 1986 to December 2006. Results: A total of 189 patients were included. Mean number of UC annual new cases was 23.6. The study included 95 male patients (50 %) and 94 female patients (50 %), with an average age of 44.6 years at diagnosis. The frequency of pancolitis was 77 %, in comparison with 59 % in the previous period. Extra-intestinal manifestations (EIM) were present in 55.8 % and colectomies in 5.2 %. Conclusion: There is a lower mean of annual new cases; however, some characteristics of the disease have changed over time: there is an increased frequency of pancolitis and EIM, as well as a decrease in the rate of colectomies.

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“…24 En la actualidad, la tasa de proctocolectomía disminuyó del 10.2 al 5.1 % y esto puede relacionarse con un control de la enfermedad más temprano y eficiente; la comparación en otros estudios entre pacientes hispanos y no hispanos demuestra una tasa elevada de falla en el reservorio ileal en el primer grupo, mientras que se documentó una mayor tasa procedimientos quirúrgicos en el último grupo. 25 En conclusión, en América Latina la CUCI tiene un fenotipo diferente en comparación con otras áreas del mundo y ha presentado cambios en su comportamiento a lo largo del tiempo que deben ser atendidos desde una perspectiva diagnóstica y terapéutica. En el presente trabajo identificamos un aumento en la frecuencia de pancolitis, presencia de MEI y prescripción de terapia anti-TNF; además, en los últimos años ha disminuido la tasa de proctocolectomía.…”

Section: Discussionunclassified

Cambios en el patrón epidemiológico de la colitis ulcerosa crónica idiopática en México en un hospital de tercer nivel de atención

Yamamoto‐Furusho

Sánchez-Morales

2021

GMM

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Antecedentes: La colitis ulcerosa crónica idiopática (CUCI) es una enfermedad con inflamación crónica de la mucosa del colon de origen multifactorial. El objetivo de este trabajo es identificar posibles cambios en el comportamiento de la CUCI en un hospital de referencia. Métodos: Se incluyeron nuevos casos de CUCI confirmados por histopatología de enero del 2007 a diciembre del 2014. Resultados: Se incluyeron un total de 189 pacientes. La media de nuevos casos anuales de CUCI fue de 23.6. Este estudio incorpora 95 pacientes de sexo masculino (50 %) y 94 de sexo femenino (50 %), con una edad promedio al diagnóstico de 44.6 años. La frecuencia de pancolitis fue del 77 %, en comparación con el 59 % en el periodo anterior. Las manifestaciones extraintestinales (MEI) estuvieron presentes en el 55.8 % y las colectomías en el 5.2 %. Conclusión: Algunas características de la enfermedad han cambiado con el tiempo:

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Different clinical characteristics in hispanic and non-hispanic whites with ileal pouch–anal anastomosis: A case–control study

Cited by 13 publications

References 14 publications

Ethnic Variation Trends in the Use of Ileal Pouch–Anal Anastomosis in Patients With Ulcerative Colitis

Ethnic Variation Trends in the Use of Ileal Pouch–Anal Anastomosis in Patients With Ulcerative Colitis

Changes in chronic idiopathic ulcerative colitis epidemiological pattern in Mexico in a tertiary care hospital

Cambios en el patrón epidemiológico de la colitis ulcerosa crónica idiopática en México en un hospital de tercer nivel de atención

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