Burden of gastrointestinal disease in the United States: 2012 update
Gastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Statistical analyses of the most recent data are necessary to guide GI research, education, and clinical practice. We estimate the burden of GI disease in the United States. We collected information on the epidemi...
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| Published in: | Gastroenterology (New York, N.Y. 1943) Vol. 143; no. 5; p. 1179 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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01.11.2012
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| ISSN: | 1528-0012, 1528-0012 |
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| Abstract | Gastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Statistical analyses of the most recent data are necessary to guide GI research, education, and clinical practice. We estimate the burden of GI disease in the United States.
We collected information on the epidemiology of GI diseases (including cancers) and symptoms, along with data on resource utilization, quality of life, impairments to work and activity, morbidity, and mortality. These data were obtained from the National Ambulatory Medical Care Survey; National Health and Wellness Survey; Nationwide Inpatient Sample; Surveillance, Epidemiology, and End Results Program; National Vital Statistics System; Thompson Reuters MarketScan; Medicare; Medicaid; and the Clinical Outcomes Research Initiative's National Endoscopic Database. We estimated endoscopic use and costs and examined trends in endoscopic procedure.
Abdominal pain was the most common GI symptom that prompted a clinic visit (15.9 million visits). Gastroesophageal reflux was the most common GI diagnosis (8.9 million visits). Hospitalizations and mortality from Clostridium difficile infection have doubled in the last 10 years. Acute pancreatitis was the most common reason for hospitalization (274,119 discharges). Colorectal cancer accounted for more than half of all GI cancers and was the leading cause of GI-related mortality (52,394 deaths). There were 6.9 million upper, 11.5 million lower, and 228,000 biliary endoscopies performed in 2009. The total cost for outpatient GI endoscopy examinations was $32.4 billion.
GI diseases are a source of substantial morbidity, mortality, and cost in the United States. |
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| AbstractList | Gastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Statistical analyses of the most recent data are necessary to guide GI research, education, and clinical practice. We estimate the burden of GI disease in the United States.
We collected information on the epidemiology of GI diseases (including cancers) and symptoms, along with data on resource utilization, quality of life, impairments to work and activity, morbidity, and mortality. These data were obtained from the National Ambulatory Medical Care Survey; National Health and Wellness Survey; Nationwide Inpatient Sample; Surveillance, Epidemiology, and End Results Program; National Vital Statistics System; Thompson Reuters MarketScan; Medicare; Medicaid; and the Clinical Outcomes Research Initiative's National Endoscopic Database. We estimated endoscopic use and costs and examined trends in endoscopic procedure.
Abdominal pain was the most common GI symptom that prompted a clinic visit (15.9 million visits). Gastroesophageal reflux was the most common GI diagnosis (8.9 million visits). Hospitalizations and mortality from Clostridium difficile infection have doubled in the last 10 years. Acute pancreatitis was the most common reason for hospitalization (274,119 discharges). Colorectal cancer accounted for more than half of all GI cancers and was the leading cause of GI-related mortality (52,394 deaths). There were 6.9 million upper, 11.5 million lower, and 228,000 biliary endoscopies performed in 2009. The total cost for outpatient GI endoscopy examinations was $32.4 billion.
GI diseases are a source of substantial morbidity, mortality, and cost in the United States. Gastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Statistical analyses of the most recent data are necessary to guide GI research, education, and clinical practice. We estimate the burden of GI disease in the United States.BACKGROUND & AIMSGastrointestinal (GI) diseases account for substantial morbidity, mortality, and cost. Statistical analyses of the most recent data are necessary to guide GI research, education, and clinical practice. We estimate the burden of GI disease in the United States.We collected information on the epidemiology of GI diseases (including cancers) and symptoms, along with data on resource utilization, quality of life, impairments to work and activity, morbidity, and mortality. These data were obtained from the National Ambulatory Medical Care Survey; National Health and Wellness Survey; Nationwide Inpatient Sample; Surveillance, Epidemiology, and End Results Program; National Vital Statistics System; Thompson Reuters MarketScan; Medicare; Medicaid; and the Clinical Outcomes Research Initiative's National Endoscopic Database. We estimated endoscopic use and costs and examined trends in endoscopic procedure.METHODSWe collected information on the epidemiology of GI diseases (including cancers) and symptoms, along with data on resource utilization, quality of life, impairments to work and activity, morbidity, and mortality. These data were obtained from the National Ambulatory Medical Care Survey; National Health and Wellness Survey; Nationwide Inpatient Sample; Surveillance, Epidemiology, and End Results Program; National Vital Statistics System; Thompson Reuters MarketScan; Medicare; Medicaid; and the Clinical Outcomes Research Initiative's National Endoscopic Database. We estimated endoscopic use and costs and examined trends in endoscopic procedure.Abdominal pain was the most common GI symptom that prompted a clinic visit (15.9 million visits). Gastroesophageal reflux was the most common GI diagnosis (8.9 million visits). Hospitalizations and mortality from Clostridium difficile infection have doubled in the last 10 years. Acute pancreatitis was the most common reason for hospitalization (274,119 discharges). Colorectal cancer accounted for more than half of all GI cancers and was the leading cause of GI-related mortality (52,394 deaths). There were 6.9 million upper, 11.5 million lower, and 228,000 biliary endoscopies performed in 2009. The total cost for outpatient GI endoscopy examinations was $32.4 billion.RESULTSAbdominal pain was the most common GI symptom that prompted a clinic visit (15.9 million visits). Gastroesophageal reflux was the most common GI diagnosis (8.9 million visits). Hospitalizations and mortality from Clostridium difficile infection have doubled in the last 10 years. Acute pancreatitis was the most common reason for hospitalization (274,119 discharges). Colorectal cancer accounted for more than half of all GI cancers and was the leading cause of GI-related mortality (52,394 deaths). There were 6.9 million upper, 11.5 million lower, and 228,000 biliary endoscopies performed in 2009. The total cost for outpatient GI endoscopy examinations was $32.4 billion.GI diseases are a source of substantial morbidity, mortality, and cost in the United States.CONCLUSIONSGI diseases are a source of substantial morbidity, mortality, and cost in the United States. |
| Author | Gangarosa, Lisa M Peery, Anne F Allen, Jeffery K Kappelman, Michael D Crockett, Seth D Carroll, Charlotte F Sandler, Robert S Lund, Jennifer Shaheen, Nicholas J Dellon, Evan S Thiny, Michelle T Morgan, Douglas R DiBonaventura, Marco Dacosta Bulsiewicz, William J Ringel, Yehuda McGowan, Christopher E Cook, Suzanne F Kim, Hannah P Stizenberg, Karyn |
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| References_xml | – reference: 16848807 - Am J Gastroenterol. 2006 Sep;101(9):2128-38 – reference: 14974873 - Pharmacoeconomics. 2004;22(4):225-44 – reference: 16234497 - JAMA. 2005 Oct 19;294(15):1909-17 – reference: 15131804 - Gastroenterology. 2004 May;126(5):1448-53 – reference: 12893399 - Am J Med. 2003 Aug 1;115(2):129-33 – reference: 16704777 - Emerg Infect Dis. 2006 Mar;12(3):409-15 – reference: 21866052 - J Occup Environ Med. 2011 Sep;53(9):1025-9 – reference: 17399752 - Public Health. 2007 Jul;121(7):492-6 – reference: 19166855 - Gastroenterology. 2009 Mar;136(3):741-54 – reference: 19124023 - Gastroenterology. 2009 Feb;136(2):376-86 – reference: 19245868 - Gastroenterology. 2009 Apr;136(4):1134-44 – reference: 19288223 - Qual Life Res. 2009 May;18(4):415-22 – reference: 17638799 - Arch Surg. 2007 Jul;142(7):624-31; discussion 631 – reference: 20361997 - J Infect. 2010 Jul;61(1):1-8 – reference: 11984534 - Gastroenterology. 2002 May;122(5):1500-11 – reference: 15578502 - Gastroenterology. 2004 Dec;127(6):1661-9 – reference: 16344076 - Gastroenterology. 2005 Dec;129(6):2101-3 – reference: 15116293 - J Infect Dis. 2004 May 1;189(9):1585-9 – reference: 21091098 - J Med Econ. 2010;13(4):709-18 – reference: 9922307 - Gastroenterology. 1999 Feb;116(2):277-85 – reference: 10146874 - Pharmacoeconomics. 1993 Nov;4(5):353-65 |
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| SubjectTerms | Endoscopy, Digestive System - economics Endoscopy, Digestive System - utilization Gastrointestinal Diseases - diagnosis Gastrointestinal Diseases - epidemiology Gastrointestinal Diseases - mortality Gastrointestinal Neoplasms - diagnosis Gastrointestinal Neoplasms - epidemiology Health Care Surveys - statistics & numerical data Health Surveys - statistics & numerical data Hospitalization - statistics & numerical data Humans Incidence Medicaid - statistics & numerical data Medicare - statistics & numerical data Quality of Life SEER Program - statistics & numerical data Survival Rate United States - epidemiology Vital Statistics |
| Title | Burden of gastrointestinal disease in the United States: 2012 update |
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