Increased subsequent risk of inflammatory bowel disease association in patients with chronic pancreatitis: a nationwide population-based cohort study

Yu Long Chen, Chin Wang Hsu, Cheng Chung Cheng, Giou-Teng Yiang, Chin Sheng Lin, Cheng Li Lin, Fung Chang Sung, Ji An Liang

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: To investigate the relationship between chronic pancreatitis (CP) and inflammatory bowel disease (IBD) in a large population-based cohort study. Methods: Data was obtained from the Taiwan National Health Insurance Research Database. The cohort study comprised 17,796 patients newly diagnosed with CP between 2000 and 2010 and 71,164 matched controls. A Cox proportional hazards model was used for evaluating the risk of IBD in the CP and comparison cohorts. Results: When examined with a mean follow-up period of 4.87 and 6.04 years for the CP and comparison cohorts, respectively, the overall incidence of IBD was 10.3 times higher in the CP cohort than in the comparison cohort (5.75 vs. 0.56 per 10,000 person-years). Compared with the comparison cohort, the CP cohort exhibited a higher risk of IBD, irrespective of age, sex, and presence or absence of comorbidities. Moreover, the CP cohort was associated with a significantly higher risk of Crohn’s disease (adjusted hazard ratio [aHR] = 12.9, 95% confidence interval [CI] = 5.15–32.5) and ulcerative colitis (aHR = 2.80, 95% CI = 1.00–7.86). Conclusions: This nationwide population-based cohort study revealed a significantly higher risk of IBD in patients with CP compared with control group. Clinicians should notice this association to avoid delayed diagnosis of IBD in patients with CP.

Original languageEnglish
Pages (from-to)1-6
Number of pages6
JournalCurrent Medical Research and Opinion
DOIs
Publication statusAccepted/In press - Mar 31 2017

Fingerprint

Chronic Pancreatitis
Inflammatory Bowel Diseases
Cohort Studies
Population
Confidence Intervals
Delayed Diagnosis
National Health Programs
Taiwan
Ulcerative Colitis
Proportional Hazards Models
Crohn Disease
Comorbidity
Databases
Control Groups
Incidence

Keywords

  • Chronic pancreatitis
  • Crohn’s disease
  • Inflammatory bowel disease
  • Taiwan National Health Insurance Research Database
  • Ulcerative colitis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Increased subsequent risk of inflammatory bowel disease association in patients with chronic pancreatitis : a nationwide population-based cohort study. / Chen, Yu Long; Hsu, Chin Wang; Cheng, Cheng Chung; Yiang, Giou-Teng; Lin, Chin Sheng; Lin, Cheng Li; Sung, Fung Chang; Liang, Ji An.

In: Current Medical Research and Opinion, 31.03.2017, p. 1-6.

Research output: Contribution to journalArticle

Chen, Yu Long ; Hsu, Chin Wang ; Cheng, Cheng Chung ; Yiang, Giou-Teng ; Lin, Chin Sheng ; Lin, Cheng Li ; Sung, Fung Chang ; Liang, Ji An. / Increased subsequent risk of inflammatory bowel disease association in patients with chronic pancreatitis : a nationwide population-based cohort study. In: Current Medical Research and Opinion. 2017 ; pp. 1-6.
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