Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China

Background. Geographical variation in the incidence of Crohn’s disease (CD) has been reported in Europe and North American. However, there are no comparable data in mainland China. Methods. We retrospectively identified incident cases of CD patients registered in Jinling hospital during 2003 to 2012...

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Main Authors: Dong Hu, Jianan Ren, Gefei Wang, Guosheng Gu, Song Liu, Xiuwen Wu, Jun Chen, Huajian Ren, Zhiwu Hong, Jieshou Li
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/590467
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author Dong Hu
Jianan Ren
Gefei Wang
Guosheng Gu
Song Liu
Xiuwen Wu
Jun Chen
Huajian Ren
Zhiwu Hong
Jieshou Li
author_facet Dong Hu
Jianan Ren
Gefei Wang
Guosheng Gu
Song Liu
Xiuwen Wu
Jun Chen
Huajian Ren
Zhiwu Hong
Jieshou Li
author_sort Dong Hu
collection DOAJ
description Background. Geographical variation in the incidence of Crohn’s disease (CD) has been reported in Europe and North American. However, there are no comparable data in mainland China. Methods. We retrospectively identified incident cases of CD patients registered in Jinling hospital during 2003 to 2012. The standardized incidence ratio (SIR) was calculated for each area of Jiangsu province and a thematic map of CD was made according to the local SIR. The association between incidence and local economic status was revealed by correlation between SIR of CD and different local economic indicators. Results. A total of 653 CD patients (male-to-female ratio, 1.8 : 1) from Jiangsu province were included. A steady increase was observed in the number of CD patients over the period of observation. Disease map of SIR showed a pronounced geographic concentration of CD in the south part of Jiangsu province. Spearman correlation analysis showed a positive correlation between local SIR of CD and local economic indicators. Conclusions. There is a marked geographic variability in CD incidence across Jiangsu province. CD incidence in affluent areas seems to be higher than that in less affluent areas. Further multicenter population-based studies are needed to assess the real disease map of CD.
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institution Kabale University
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language English
publishDate 2014-01-01
publisher Wiley
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series Gastroenterology Research and Practice
spelling doaj-art-9f9e8b7659234f229222d69f4ef071042025-02-03T05:45:47ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/590467590467Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of ChinaDong Hu0Jianan Ren1Gefei Wang2Guosheng Gu3Song Liu4Xiuwen Wu5Jun Chen6Huajian Ren7Zhiwu Hong8Jieshou Li9Department of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaDepartment of Surgery, Jinling Hospital, Medical School of Nanjing University, 305 East Zhongshan Road, Nanjing 210002, ChinaBackground. Geographical variation in the incidence of Crohn’s disease (CD) has been reported in Europe and North American. However, there are no comparable data in mainland China. Methods. We retrospectively identified incident cases of CD patients registered in Jinling hospital during 2003 to 2012. The standardized incidence ratio (SIR) was calculated for each area of Jiangsu province and a thematic map of CD was made according to the local SIR. The association between incidence and local economic status was revealed by correlation between SIR of CD and different local economic indicators. Results. A total of 653 CD patients (male-to-female ratio, 1.8 : 1) from Jiangsu province were included. A steady increase was observed in the number of CD patients over the period of observation. Disease map of SIR showed a pronounced geographic concentration of CD in the south part of Jiangsu province. Spearman correlation analysis showed a positive correlation between local SIR of CD and local economic indicators. Conclusions. There is a marked geographic variability in CD incidence across Jiangsu province. CD incidence in affluent areas seems to be higher than that in less affluent areas. Further multicenter population-based studies are needed to assess the real disease map of CD.http://dx.doi.org/10.1155/2014/590467
spellingShingle Dong Hu
Jianan Ren
Gefei Wang
Guosheng Gu
Song Liu
Xiuwen Wu
Jun Chen
Huajian Ren
Zhiwu Hong
Jieshou Li
Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
Gastroenterology Research and Practice
title Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
title_full Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
title_fullStr Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
title_full_unstemmed Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
title_short Geographic Mapping of Crohn’s Disease and Its Relation to Affluence in Jiangsu Province, an Eastern Coastal Province of China
title_sort geographic mapping of crohn s disease and its relation to affluence in jiangsu province an eastern coastal province of china
url http://dx.doi.org/10.1155/2014/590467
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