Incidencia y prevalencia en enfermedad inflamatoria intestinal crónica: Estudio asturiano en cinco áreas (EIICEA). España

Abstract

RESUMEN Objetivo: Conocer y comparar la incidencia y prevalencia de la enfermedad inflamatoria intestinal crónica (EIIC) en 5 áreas del Principado de Asturias (España).

Inflammatory bowel disease in Spain: problems grow

“…In fact, Spanish estimations in the European corporate prospective study from the 1990s are somewhat higher (6). The likely present reality becomes clear as later reports by the Asturian group (7,8) show higher incidences and, regarding prospective data (7), incidence rates that are virtually identical to those found by Rodrigo et al (9.52 per 10 5 inhabitants for ulcerative colitis and 5.95 per 10 5 inhabitants for Crohn's disease). To sum it up, the incidence of Crohn's disease and ulcerative colitis in other Asturian areas -as was already known (7,8)-and in Oviedo's area -as we know it now (3)-approaches that of Northern European countries.…”

“…The likely present reality becomes clear as later reports by the Asturian group (7,8) show higher incidences and, regarding prospective data (7), incidence rates that are virtually identical to those found by Rodrigo et al (9.52 per 10 5 inhabitants for ulcerative colitis and 5.95 per 10 5 inhabitants for Crohn's disease). To sum it up, the incidence of Crohn's disease and ulcerative colitis in other Asturian areas -as was already known (7,8)-and in Oviedo's area -as we know it now (3)-approaches that of Northern European countries. In the face of such disquieting European convergence, the same old question of whether increased rates result from better prospection (a better access of the population to diagnostic means, greater concern for health, etc.)…”

Epidemiología de la enfermedad inflamatoria intestinal crónica en cinco áreas de Asturias: España

“…Ahora, pretendemos ampliar la información con otros datos epidemiológicos. Los resultados de los estudios epidemiológicos sobre la EIIC publicados hasta la actualidad, a menudo son dispares, como expresábamos en un estudio previo de nuestro grupo (6). El esfuerzo, por lo tanto, debe encaminarse en conseguir uniformidad metodológica, que permita llegar a conclusiones univocas.…”

“…Igualmente la extensión para la CU, se expresa con gran variabilidad en la literatura, los datos reflejados, son demasiado diversos para sacar conclusiones validas, basta como ejemplo las proporciones de proctitis que refieren oscilan entre el 8% y el 59%, debido al mismo problema. (6,7,(12)(13)(14)(15)17,(20)(21)(22)(23)(24)(25)28,34,39). Cirugía.…”

“…Age at onset previously at diagnosis for UC: 42.84 ± 1.34; CD: 30.68 ± 1.40; IC: 36.74 ± 4.86 (p = 0.000 6%, 26.9% rectum and sigmoid, 26% left colitis, 20% pancolitis, and in CD colon only, in 16.7%, 30.3% terminal ileum, …”