Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study

Yen, Hsu-Heng; Weng, Meng-Tzu; Tung, Chien-Chih; Wang, Yu-Ting; Chang, Yuan Ting; Chang, Chin-Hao; Shieh, Ming-Jium; Wong, Jau-Min; Wei, Shu-Chen

doi:10.5217/ir.2018.00096

Cited by 139Inflammatory Bowel DiseaseOcular Diseases and Behçet’s SyndromeColorectal Cancer Screening and Detection

Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study

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Yen, Hsu-Heng, Weng, Meng-Tzu, Tung, Chien-Chih, Wang, Yu-Ting, Chang, Yuan Ting, Chang, Chin-Hao, Shieh, Ming-Jium, Wong, Jau-Min +1 more·2019·Intestinal Research

DOI 10.5217/ir.2018.00096PMC PMC6361021

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Abstract

BACKGROUND/AIMS: Incidences of inflammatory bowel diseases (IBDs), ulcerative colitis (UC), and Crohn's disease (CD), have been increasing in Asia. In this study, we report the relevant clinical characteristics and determined the epidemiological trend of IBD in Taiwan from 2001 to 2015. METHODS: A retrospective study was conducted to analyze data recorded from January 2001 through December 2015 in the registered database compiled by the National Health Insurance and provided by the Ministry of Health and Welfare, Taiwan. RESULTS: A total of 3,806 patients with catastrophic IBD illness were registered from 2001 to 2015 in Taiwan (CD, 919; UC, 2,887). The crude incidence of CD increased from 0.17/100,000 in 2001 to 0.47/100,000 in 2015, whereas that of UC increased from 0.54/100,000 in 2001 to 0.95/100,000 in 2015. The prevalence of CD increased from 0.6/100,000 in 2001 to 3.9/100,000 in 2015, whereas that of UC increased from 2.1/100,000 in 2001 to 12.8/100,000 in 2015. The male-to-female ratio in the study sample was 2.19 for CD and 1.62 for UC. The median age of those registered with CD was lower than that of those registered for UC: 38.86 and 44.86 years, respectively. A significantly greater increase in CD incidence rate was identified among 20 to 39-year-old compared with other age groups. CONCLUSIONS: Using Taiwan's nationwide insurance database, we determined that the number of patients with CD increased more rapidly during the study period than the number of patients with UC, especially among age 20 to 39-year-old, resulting in a decreased UC-to-CD ratio.

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In Taiwan, IBD prevalence doubled from 4.54 per 100,000 in 2001-2005 to 9.39 per 100,000 in 2006-2010 and nearly doubled again in 2011-2015, suggesting a roughly 5-year Prevalence Doubling Period.
“For example, in Taiwan, IBD prevalence doubled from 4.54 per 100,000 in 2001–2005 to 9.39 per 100,000 in 2006–2010 but was just short of doubling again in 2011–2015, suggesting a roughly 5-year Prevalence Doubling Period78.”
From The four epidemiological stages in the global evolution of inflammatory bowel disease (2021) · cites this paper as [78]

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Authors: Yen, H.-H., Weng, M.-T., Tung, C.-C., Wang, Y.-T., Chang, Y. T., Chang, C.-H., Shieh, M.-J., Wong, J.-M., & Wei, S.-C.
Affiliations: Changhua Christian Hospital (TW)
Far Eastern Memorial Hospital (TW)
National Taiwan University Hospital (TW)
National Taiwan University (TW)
Corresponding author: Wei, Shu-Chen
ORCID: Yen, Hsu-Heng
Weng, Meng-Tzu
Tung, Chien-Chih
Shieh, Ming-Jium
Wong, Jau-Min
Wei, Shu-Chen
Venue: Intestinal Research
Publisher: Korean Association for the Study of Intestinal Diseases
Published: 2019-01-30
Volume: 17
Issue: 1
Pages: 54-62
ISSN: 1598-9100 (ISSN-L)
2288-1956
DOI: 10.5217/ir.2018.00096
PMC: PMC6361021
OpenAlex: W2900682195
Cited by: 139
References: 31
Citations by year: 2026: 6 · 2025: 15 · 2024: 17 · 2023: 14 · 2022: 26 · 2021: 32 · 2020: 20 · 2019: 9
FWCI: 9.33
Type: journal article
Language: en
Open access: diamond
doi.org
Licence: cc-by-nc
creativecommons.org/licenses/by-nc/4.0/ (tdm)
Locations: Intestinal Research (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, other-oa)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders: National Taiwan University
Topics: Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
Keywords: inflammatory bowel disease, Crohn's disease, ulcerative colitis, incidence trends, prevalence, Taiwan, age distribution, sex ratio

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Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study

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