Incidence of chronic pancreatitis in the Czech Republic

Dítě, Petr; Starý, Karel; Novotný, Ivo; Přecechtělová, Marie; Dolina, Jiří; Lata, Jan; Zbořil,

doi:10.1097/00042737-200106000-00024

Cited by 80 publications

(43 citation statements)

References 6 publications

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“…In Western countries, in the period from 1940 to 2003, the frequency of alcohol as an etiological factor of chronic pancreatitis increased from 19% [6] to 50% [7] and even up to 80% [8,9] . The results of the latter study regarding the etiology of chronic pancreatitis were subsequently confirmed by others in Europe [10][11][12][13][14][15][16][17] as well as in Brazil [18] , Australia [19] and South Africa [20] . On the other hand, four consecutive surveys carried out in Japan (from 1970 to 1977, from 1978 to 1984, in 1994, and in 1999, respectively) [21] showed that alcohol as an etiological factor accounted for fewer than 60% of chronic pancreatitis cases in this country.…”

Section: Introductionsupporting

confidence: 61%

Etiology of chronic pancreatitis: Has it changed in the last decade?

Pezzilli¹

2009

WJG

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T h e e v i d e n c e f r o m r e c e n t s u r ve y s o n c h r o n i c pancreatitis carried out around the world shows that alcohol remains the main factor associated with chronic pancreatitis, even if at a frequency lower than that reported previously. It has further confirmed that heavy alcohol consumption and smoking are independent risk factors for chronic pancreatitis. Autoimmune pancreatitis accounts for 2%-4% of all forms of chronic pancreatitis, but this frequency will probably increase over the next few years. The rise in idiopathic chronic pancreatitis, especially in India, represents a black hole in recently published surveys. Despite the progress made so far regarding the possibility of establishing the hereditary forms of chronic pancreatitis and the recognition of autoimmune pancreatitis, it is possible that we are more inaccurate today than in the past in identifying the factors associated with chronic pancreatitis in our patients.

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Section: Introductionsupporting

confidence: 61%

Etiology of chronic pancreatitis: Has it changed in the last decade?

Pezzilli¹

2009

WJG

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“…Chronic pancreatitis (CP) is an inflammatory disorder most commonly associated with alcohol consumption [1][2][3][4][5][6][7][8][9] . Since 1982 [10], smoking has been recognized as a risk factor for CP, particularly in alcohol-related CP compared with CP arising from other causes [9][10][11][12][13][14] .…”

Section: Introductionmentioning

confidence: 99%

Smoking Is Underrecognized as a Risk Factor for Chronic Pancreatitis

et al. 2011

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physicians cited smoking as a risk factor in only 173/382 (45.3%). Physicians cited smoking as a risk factor more often among current smokers, when classifying alcohol as CP etiology, and with higher amount and duration of smoking. We observed a wide variability in physician decision to cite smoking as a risk factor. Multivariable regression analysis however confirmed that the association of CP with smoking was independent of physician decision to cite smoking as a risk factor. Conclusions: Physicians often underrecognize smoking as a CP risk factor. Efforts are needed to raise awareness of the association between smoking and CP. Key WordsChronic pancreatitis ؒ Smoking ؒ Alcohol ؒ Risk factor Abstract Background/Aims: Smoking is an established risk factor for chronic pancreatitis (CP). We sought to identify how often and in which CP patients physicians consider smoking to be a risk factor. Methods: We analyzed data on CP patients and controls prospectively enrolled from 19 US centers in the North American Pancreatitis Study-2. We noted each subject's self-reported smoking status and quantified the amount and duration of smoking. We noted whether the enrolling physician (gastroenterologist with specific interest in pancreatology) classified alcohol as the etiology for CP and selected smoking as a risk factor. Results: Among 382/535 (71.4%) CP patients who were self-reported ever smokers,

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“…The incidence is 11.9/100,000 in Japan [5], 10/100,000 in Denmark [6], 6.4/100,000 in Germany [7], 7.7/100,000 in France [8] and 7.8/100,000 in the Czech Republic [9]. The limits of epidemiological surveys derive from the need for long-term followup and the variability of the severity of the disease [10].…”

Section: Discussionmentioning

confidence: 99%

“…A multicentre study from Italy showed that 34% of CP cases were caused by excessive alcohol consumption [16]. That figure was 65.4% in the Czech Republic [9], 44% in the US, 95% in Australia and 54% in Japan [15]. In the Hungarian cohort, total alcohol-related CP was 62% (45% of all CP cases consumed alcohol regularly and 18% admitted to occasional alcohol use).…”

Section: Discussionmentioning

confidence: 99%