East–West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort

Burisch, Johan; Pedersen, Natalia; Čuković‐Čavka, Silvija; Brinar, Marko; Kaimakliotis, Ioannis; Ďuricová, Dana; Shonová, Olga; Vind, Ida; Avnstrøm, Søren; Thorsgaard, Niels; Andersen, Vibeke; Krabbe, Simon; Dahlerup, Jens Frederik; Salupere, Riina; Nielsen, K R; Olsen, J; Manninen, Pekka; Collin, Pekka; Tsianos, E.V.; Katsanos, K.; Ladefoged, Karin; Lakatos, László; Bjõrnsson, Einar; Ragnarsson, Gunnar B.; Bailey, Yvonne; Odes, Selwyn; Schwartz, Doron; Martinato, Matteo; Lupinacci, G.; Milla, Mónica; Padova, A. De; D’Incà, R.; Beltrami, Marina; Kupčinskas, Limas; Kiudelis, Gediminas; Turcan, Svetlana; Tighineanu, O.; Mihu, Ion; Magro, Fernando; Barros, Louisa; Goldiş, Adrian; Lazăr, Daniela; Belousova, Elena; Nikulina, Inna; Hernández, Vicent; Martı́nez-Ares, David; Almér, Sven; Zhulina, Yaroslava; Halfvarson, Jonas; Arebi, Naila; Sebastian, Shaji; Lakatos, Péter L.; Langholz, Ebbe; Munkholm, Pia

doi:10.1136/gutjnl-2013-304636

Cited by 342 publications

(285 citation statements)

References 37 publications

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“…The number of new cases of type 1 diabetes (T1D) in Finland per year is 62.3 per every 100,000 children, compared with just 6.2 in Mexico and 0.5 in Pakistan (5). Ulcerative colitis, a form of inflammatory bowel disease (IBD), is twofold higher in Western Europe than in Eastern Europe-6.5 per 100,000 people versus 3.1 per 100,000 (6).…”

Section: Nothing To Sneeze Atmentioning

confidence: 99%

Cleaning up the hygiene hypothesis

Scudellari¹

2017

Proc. Natl. Acad. Sci. U.S.A.

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Section: Nothing To Sneeze Atmentioning

confidence: 99%

Cleaning up the hygiene hypothesis

Scudellari¹

2017

Proc. Natl. Acad. Sci. U.S.A.

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“…Many factors may influence this fact, including the well-known increased incidence in our setting, now similar to that of other countries across Europe (15). The number of participating experts in IBD is even more relevant given the number of patients they include, which oscillates between 28,000 and 38,000, considerable figures when discussing the results obtained.…”

Section: Discussionmentioning

confidence: 74%

How is inflammatory bowel disease managed in Spanish gastroenterology departments? The results of the GESTIONA-EII survey

et al. 2016

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“…Here we show that despite IBD being a worldwide chronic condition with increasing incidence [47,48] , there is a near complete absence in the literature of tools to assist primary care doctors in delivering appropriate, evidence-based care. This is in contrast to the situation…”

Section: Discussionmentioning

confidence: 90%

Tools for primary care management of inflammatory bowel disease: Do they exist?

Bennett

Munkholm

Andrews

2015

WJG

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Healthcare systems throughout the world continue to face emerging challenges associated with chronic disease management. Due to the likely increase in chronic conditions in the future it is now vital that cooperation and support between specialists, generalists and primary health care physicians is conducted.Inflammatory bowel disease (IBD) is one such chronic disease. Despite specialist care being essential, much IBD care could and probably should be delivered in primary care with continued collaboration between all stakeholders. Whilst most primary care physicians only have few patients currently affected by IBD in their caseload, the proportion of patients with IBDrelated healthcare issues cared for in the primary care setting appears to be widespread. Data suggests however, that primary care physician's IBD knowledge and comfort in management is suboptimal. Current treatment guidelines for IBD are helpful but they are not designed for the primary care setting. Few nonexpert IBD management tools or guidelines exist compared with those used for other chronic diseases such as asthma and scant data have been published regarding the usefulness of such tools including IBD action plans and associated supportive literature. The purpose of this review is to investigate what nonspecialist tools, action plans or guidelines for IBD are published in readily searchable medical literature and compare these to those which exist for other chronic conditions. Core tip: Much inflammatory bowel disease (IBD) care could be delivered in the outpatient setting by primary care physicians. Whilst guidelines for IBD treatment exist, they are intended to support specialist practice and are not designed to use in the primary care setting. Our systematic reviewed found that a striking paucity of IBD outpatient supportive/educational tools for primary healthcare practitioners currently exists. This is despite good evidence of acceptability and usefulness of such tools in other chronic diseases. TOPIC HIGHLIGHT

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East–West gradient in the incidence of inflammatory bowel disease in Europe: the ECCO-EpiCom inception cohort

Cited by 342 publications

References 37 publications

Cleaning up the hygiene hypothesis

Cleaning up the hygiene hypothesis

How is inflammatory bowel disease managed in Spanish gastroenterology departments? The results of the GESTIONA-EII survey

Tools for primary care management of inflammatory bowel disease: Do they exist?

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