Hospitalizations for Crohn's Disease - United States, 2003-2013
Hospitalizations for Crohn's Disease - United States, 2003-2013
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DOI：
10.15585/mmwr.mm6614a1
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发表时间：
2017-04-14
影响因子：
33.9
通讯作者：
Croft, Janet B.
中科院分区：
文献类型：
--
作者：
Malarcher, Christopher A.;Wheaton, Anne G.;Croft, Janet B.
关于这个话题已知多少？从1993年到2004年，尽管新的治疗方法有望改善缓解和减少住院，但因克罗恩病而被列为第一诊断的医院出院人数增加了。这份报告增加了什么？从2003年到2013年，因被列为第一诊断的克罗恩病而住院的人数没有变化。此外，用于小肠切除的住院外科手术减少，而用于结直肠切除或瘘管修补的住院手术保持稳定。目前尚不清楚这些趋势是否表明在研究前几年观察到的住院和外科手术增加的趋势开始逆转。因克罗恩病的任何一项诊断而住院的人数的增加可能代表着医生对该疾病的更高的认识和诊断。各州的估计表明，住院的地理位置不同。这对公共卫生实践有什么影响？因为风险因素尚不清楚，公共卫生预防计划是不可能的。然而，减轻压力和戒烟可能有助于改善克罗恩病患者的病情严重程度。专业教育应继续提高对克罗恩病的体征和症状的认识，并改进对该病的诊断和治疗。
What is already known about this topic?Hospital discharges for a first-listed diagnosis of Crohn's disease increased from 1993 to 2004, despite new therapies that were expected to improve remission and reduce hospitalizations.What is added by this report?Hospitalizations for a first-listed diagnosis of Crohn's disease did not change from 2003 to 2013. In addition, inpatient surgical procedures for small bowel resection declined, whereas those for colorectal resection or fistula repairs remained stable. It is unclear whether these trends indicate the beginning of a reversal of the increases in hospitalizations and surgical procedures observed in the years leading up to study period. The increase in hospitalizations for any-listed diagnosis of Crohn's disease might represent greater physician awareness and diagnosis of the condition. State-specific estimates suggest geographic variation in hospitalizations.What are the implications for public health practice?Because the risk factors are not known, public health prevention programs are not possible. However, stress reduction and smoking cessation might be beneficial in ameliorating disease severity among patients with Crohn's disease. Professional education should continue to increase awareness of the signs and symptoms of Crohn's disease, and improve diagnosis and management of the disease.