Evidence map›Paper›PMID 33395450›Full record

ArticlePloS one2021

Incidence trends of pediatric onset inflammatory bowel disease in the years 2000-2009 in Saxony, Germany-first results of the Saxon Pediatric IBD Registry.

Ivana Kern, Olaf Schoffer, Wieland Kiess, Jobst Henker, Martin W Laaß, Ulf Winkler, Jürgen Quietzsch, Olaf Wenzel, Marlen Zurek, Katrin Büttner and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06606756 (CEDATA GPGE Patient Registry for Children and Adolescents With IBD), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06606756 recruitingnot on this map

CEDATA GPGE Patient Registry for Children and Adolescents With IBD

Typeobservational_patient_registrySponsorUniversity of GiessenRan2004 to 2034Enrolled6,300ConditionsInflammatory Bowel Disease (IBD)ArmsPatient Registry without intervention, Digital Registry and Feedback on clinical data
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Influence of biological sex in inflammatory bowel diseases.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. IBD: Who Knows Best?Digestive diseases and sciences · 2024
    Article
  11. Article
  12. Acid-suppressive medication and incidence of chronic childhood immune-mediated diseases: A scoping review.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Exome Sequencing Identifies the Extremely RareFrontiers in pediatrics · 2022
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 7 institutions in 1 country.

Ivana KernDepartment of Health Sciences/Public Health, Institute and Policlinic for Occupational and Social Medicine, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.ORCID 0000-0002-5047-8227
Olaf SchofferCenter for Evidence-Based Healthcare, University Hospital and Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.ORCID 0000-0001-6922-7148
Wieland KiessDepartment of Women and Child Health, Hospital for Children and Adolescents, Center for Pediatric Research, University of Leipzig, Leipzig, Germany.
Jobst HenkerChildren's Center Dresden-Friedrichstadt, Dresden, Germany.
Martin W LaaßFaculty of Medicine "Carl Gustav Carus", University Hospital for Children and Adolescents, TU Dresden, Dresden, Germany.
Ulf WinklerClinic for Children and Adolescents, Hospital Bautzen, Oberlausitz-Hospitals, Bautzen, Germany.
Jürgen QuietzschClinic for Children and Adolescents, DRK Hospital Lichtenstein, Lichtenstein, Germany.
Olaf WenzelClinic for Children and Adolescents, Helios Hospital Aue, Aue, Germany.
Marlen ZurekClinic for Children and Adolescents, Hospital St. Georg, Leipzig, Germany.
Katrin BüttnerMedical Care Centre-Polyclinic Spremberg, Spremberg, Germany.
Peter FischerGeneral Pediatrics for Children and Adolescents, Naunhof, Germany.
Jan de LaffolieDepartment of General Pediatrics, Children's Gastroenterology/Hepatology/Nutrition, Justus-Liebig-University Gießen, CEDATA-GPGE Working Group, Gießen, Germany.
Ulf ManuwaldDepartment of Health Sciences/Public Health, Institute and Policlinic for Occupational and Social Medicine, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.ORCID 0000-0001-6240-9475
Thoralf StangeInstitute for Medical Informatics and Biometry, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.
Ronny ZenkerDepartment of General Practice, Medical Clinic 3, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.
Jens WeidnerDepartment of General Practice, Medical Clinic 3, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.
Klaus-Peter ZimmerDepartment of General Pediatrics, Children's Gastroenterology/Hepatology/Nutrition, Justus-Liebig-University Gießen, CEDATA-GPGE Working Group, Gießen, Germany.
Hildebrand KunathFaculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.
Joachim KuglerDepartment of Health Sciences/Public Health, Institute and Policlinic for Occupational and Social Medicine, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.
Thomas RichterClinic for Children and Adolescents, Hospital St. Georg, Leipzig, Germany.
Ulrike RotheDepartment of Health Sciences/Public Health, Institute and Policlinic for Occupational and Social Medicine, Faculty of Medicine "Carl Gustav Carus", TU Dresden, Dresden, Germany.ORCID 0000-0001-9779-7260
University Hospital Carl Gustav Carus · DETechnische Universität Dresden · DEJustus-Liebig-Universität Gießen · DEKlinikum St. Georg · DEGerman Center for Pediatric and Adolescent Rheumatology · DEUniversity of Bamberg · DEZimmer Biomet (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsIn developed countries, the incidence of inflammatory bowel disease (IBD) such as Crohn's disease (CD) and ulcerative colitis (UC) is increasing. Therefore, we aimed to investigate the incidence rates and trends over time in the population of children and adolescents in one of the federal states of Germany, in Saxony.

methodsOver the 10-year period 2000-2009 all 31 children's hospitals and pediatric gastroenterologists, respectively in Saxony reported all IBD patients up to 15 years of age to the Saxon Pediatric IBD Registry. The completeness of the registry was estimated as 96.7% by independent surveys in the years 2005-2009. Incidence rates were presented as age-standardized incidence rates (ASR) regarding New European Standard Population 1990 per 100,000 person-years (PY) with 95% confidence intervals [CI]. Joinpoint and linear regression was used for trend analyses.

results344 patients with confirmed IBD between 2000-2009 were included in the epidemiological evaluation: 212 (61.6%) patients with CD, 122 (35.6%) with UC and 10 (2.9%) with unclassified IBD (IBD-U). The ASR per 100,000 PY over the whole observation period was 7.2 [6.4-7.9] for IBD, 4.4 [3.8-5.0] for CD, 2.6 [2.1-3.0] for UC and 0.2 [0.1-0.3] for IBD-U. For IBD, the ASR per 100,000 PY increased from 4.6 [2.8-6.3] in 2000 to 10.5 [7.5-13.6] in 2009. The incidence trend analysis of ASRs using the joinpoint regression confirmed a significant increase of IBD as well as UC. The mean age at first diagnosis decreased significantly during the observation period from 11.5 (11.0-13.4) in 2000 to 9.6 (5.1-13.5) years in 2009. The median of the diagnostic latency among IBD patients was 3 months.

conclusionThe incidence of IBD in children and adolescents in Saxony was slightly higher than the average of other countries in the same time period and followed the trend towards a general increase of IBD. The age at diagnosis was subject to a very unfavorable downward trend.

Indexed as

AdolescentAge of OnsetChildChild, PreschoolFemaleGermanyHumansIncidenceInfantInfant, NewbornInflammatory Bowel DiseasesMale

Identifiers

PMID33395450
PMCPMC7781364
OpenAlexW3118888722

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.