1. Epidemiological trends of pediatric IBD in Italy: A 10-year analysis of the Italian society of pediatric gastroenterology, hepatology and nutrition registry
- Author
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Patrizia Alvisi, Flavio Labriola, Luca Scarallo, Paolo Gandullia, Daniela Knafelz, Matteo Bramuzzo, Giovanna Zuin, Maria Rosa Pastore, Maria Teresa Illiceto, Erasmo Miele, Francesco Graziano, Claudio Romano, Daniela Bartoletti, Salvatore Oliva, Serena Arrigo, Fiammetta Bracci, Sara Renzo, Anna Agrusti, Marina Aloi, Paolo Lionetti, Salvatore Accomando, Claudia Banzato, Graziano Barera, Marco Brunero, Pier Luigi Calvo, Angelo Campanozzi, Mara Cananzi, Mara Corpino, Rita Cozzali, Gianluigi De Angelis, Costantino De Giacomo, Dario Dilillo, Enrico Felici, Simona Gatti, Valentina Motta, Lorenzo Norsa, Paolo Maria Pavanello, Andrea Pession, Silvia Provera, Alberto Ravelli, Antonio Maria Ricci, Silvia Salvatore, Caterina Strisciuglio, Alvisi P., Labriola F., Scarallo L., Gandullia P., Knafelz D., Bramuzzo M., Zuin G., Pastore M.R., Illiceto M.T., Miele E., Graziano F., Romano C., Bartoletti D., Oliva S., Arrigo S., Bracci F., Renzo S., Agrusti A., Aloi M., Lionetti P., Accomando S., Banzato C., Barera G., Brunero M., Calvo P.L., Campanozzi A., Cananzi M., Corpino M., Cozzali R., De Angelis G., De Giacomo C., Dilillo D., Felici E., Gatti S., Motta V., Norsa L., Pavanello P.M., Pession A., Provera S., Ravelli A., Ricci A.M., Salvatore S., Strisciuglio C., Alvisi, P., Labriola, F., Scarallo, L., Gandullia, P., Knafelz, D., Bramuzzo, M., Zuin, G., Pastore, M. R., Illiceto, M. T., Miele, E., Graziano, F., Romano, C., Bartoletti, D., Oliva, S., Arrigo, S., Bracci, F., Renzo, S., Agrusti, A., Aloi, M., Lionetti, P., Accomando, S., Banzato, C., Barera, G., Brunero, M., Calvo, P. L., Campanozzi, A., Cananzi, M., Corpino, M., Cozzali, R., De Angelis, G., De Giacomo, C., Dilillo, D., Felici, E., Gatti, S., Motta, V., Norsa, L., Pavanello, P. M., Pession, A., Provera, S., Ravelli, A., Ricci, A. M., Salvatore, S., and Strisciuglio, C.
- Subjects
Registrie ,Delayed Diagnosis ,Hepatology ,Delayed Diagnosi ,Gastroenterology ,Pediatric IBD ,Epidemiological trend ,Inflammatory Bowel Diseases ,Settore MED/38 - Pediatria Generale E Specialistica ,Crohn Disease ,Italy ,Epidemiological trends ,Humans ,Colitis, Ulcerative ,Registries ,Child ,Human - Abstract
Introduction: The present study aimed at evaluating Italian epidemiological trends of pediatric inflammatory bowel diseases (IBD) over the period 2009–2018. Materials and methods: Data from 1969 patients enrolled in the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition Registry, by 49 pediatric IBD centers throughout the country, were analyzed, comparing three different time intervals (2009–2012, 2013–2015, 2016–2018). Results: The number of new IBD diagnoses ranged from 175 to 219 per year, evenly distributed over the examined period of time. From 2009 to 2018, the minimal incidence ranged from 1.59 to 2.04 /105 inhabitants aged < 18 years, with an overall slight predominance of ulcerative colitis (UC) over Crohn's disease (CD) (ratio: 1.1). Mean diagnostic delay was 6.8 months for CD and 4.1 months for UC, with a significant reduction for CD when comparing the three-time intervals (p =0.008). The most frequent disease locations according to the Paris classification were ileocolonic for CD (41.3%) and pancolitis for UC (54.6%). Conclusions: The minimal incidence rate in Italy seems to have stabilized over the last two decades, even if it has increased when compared to previous reports. UC is still slightly more prevalent than CD in our country. Diagnostic delay significantly decreased for CD, reflecting an improved diagnostic capacity.
- Published
- 2022