Evidence map›Paper›PMID 34712463›Full record

ArticleFrontline gastroenterology2021

Incidence and prevalence of inflammatory bowel disease in Devon, UK.

Ben Hamilton, Harry Green, Neel Heerasing, Peter Hendy, Lucy Moore, Neil Chanchlani, Gareth Walker, Claire Bewshea, Nicholas A Kennedy, Tariq Ahmad and 1 more

Abstract read
In one paragraph

Article in Frontline gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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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

11 authors.

Ben HamiltonExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0002-0349-278X
Harry GreenExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0002-5105-184X
Neel HeerasingExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0003-0579-2062
Peter HendyExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.
Lucy MooreExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.
Neil ChanchlaniExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0003-0207-6706
Gareth WalkerExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0002-3883-8816
Claire BewsheaExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0002-0965-9587
Nicholas A KennedyExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0003-4368-1961
Tariq AhmadExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0002-6058-5528
James GoodhandExeter IBD Pharmacogenetics Research Group, University of Exeter, Exeter, UK.ORCID 0000-0003-3112-376X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsWe sought to define temporal changes in prevalence of inflammatory bowel disease (IBD) in East Devon, UK, in order to facilitate service planning over the next 5 years.

methodsMultiple primary and secondary care databases were used to identify and verify cases. Point prevalence and incidence of IBD were reported in April 2017 and from 2008 to 2016, respectively. Future prevalence and healthcare activity requirements were estimated by linear regression.

resultsPrevalence of ulcerative colitis (UC), Crohn's disease (CD) and inflammatory bowel disease unclassified (IBDU) were 479.72, 265.94 and 35.34 per 100 000 persons, respectively. In 2016, the incidence rates of UC, CD and IBDU were 15.4, 10.7 and 1.4 per 100 000 persons per year, respectively. There were no significant changes in the incidence of CD (p=0.49, R=0.26) or UC (p=0.80, R=0.10). IBD prevalence has increased by 39.9% (95% CI 28.2 to 53.7) in the last 10 years without differences in the rate of change between UC and CD. Overall, 27% of patients were managed in primary care, a quarter of whom were eligible but not receiving endoscopic surveillance. Outpatient clinics, MRI and biologic use, but not helpline calls, admissions, or surgeries increased over and above the change in IBD prevalence.

conclusionsWe report one of the highest prevalence and incidence rates of IBD from Northern Europe. Overall, IBD incidence is static, but prevalence is increasing. We estimate that 1% of our population will live with IBD between 2025 and 2030.

Indexed as

epidemiologyinflammatory bowel diseaseprimary care

Identifiers

PMID34712463
PMCPMC8515282

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Registered trials

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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.