Phenotypic Manifestations of Inflammatory Bowel Disease Differ Between Hispanics and Non-Hispanic Whites: Results of a Large Cohort Study

Damas, Oriana M.; Jahann, Darius A.; Reznik, Robert; McCauley, Jacob L.; Tamariz, Leonardo; Deshpande, Amar R.; Abreu, María T.; Sussman, Daniel A.

doi:10.1038/ajg.2012.393

Cited by 68 publications

(58 citation statements)

References 17 publications

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“…The demographics of our study are, therefore, consistent with other recently published papers that have examined ethnic differences in the IBD patient population in North America [5][6][7]. A statistically significant difference was found in the age of diagnosis of Haitians and Cape Verdeans.…”

Section: Discussionsupporting

confidence: 90%

“…In general, the disease appears to be milder in these populations. The global incidence of IBD continues to rise [4], and various studies have demonstrated unique manifestations of disease that are related to ethnicity [5][6][7][8][9]11,[17][18][19]. Further studies, both in the United States and abroad, are needed to form more definite conclusions regarding IBD manifestations in individuals of Haitian and Cape Verdean descent.…”

Section: Time To First Hospitalization (Years)mentioning

confidence: 95%

“…Over the last few years, several studies have reported unique clinical phenotypes of IBD in certain ethnicities [7][8][9][10][11]. It has been estimated that there are greater than 600,000 individuals of Haitian or Cape Verdean descent living in the United States [12,13], though there are currently no studies examining the clinical features of IBD in these patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Manifestations of inflammatory bowel disease in patients of Haitian and Cape Verdean descent

Stallwood¹,

Shergill²,

Wu³

et al. 2015

Scandinavian Journal of Gastroenterology

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Section: Discussionsupporting

confidence: 90%

Section: Time To First Hospitalization (Years)mentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Manifestations of inflammatory bowel disease in patients of Haitian and Cape Verdean descent

Stallwood¹,

Shergill²,

Wu³

et al. 2015

Scandinavian Journal of Gastroenterology

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show abstract

“…Similarly, Hispanic patients are less likely to receive therapy with biologics and immunomodulators when compared to white patients. 6 …”

Section: Introductionmentioning

confidence: 99%

Minority Pediatric Patients with Inflammatory Bowel Disease Demonstrate an Increased Length of Stay

Barnes¹,

Kochar²,

Long³

et al. 2017

Inflammatory Bowel Diseases

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Background Genetic and other biological factors may lead to differences in disease behavior among children with inflammatory bowel disease from different races, which may be further modified by disparities in care delivery. Using the Kids' Inpatient Database (KID), we aimed to evaluate differences in the management of pediatric patients with IBD by race, focusing on length of stay. Methods We performed a cross-sectional analysis using 2000-2012 data from KID, a nationally representative database. We identified pediatric patients (< 18 years of age) with discharge diagnoses of Crohn's disease (CD) or ulcerative colitis (UC). We used multivariable logistic regression to evaluate the relationship between race and length of stay (LOS), controlling for age, payer status need for surgery, and year of admission. Results We identified 27,295 hospitalizations for children with IBD (62% CD and 38% UC), Compared to white patients with CD, black [adjusted odds ratio (aOR) 1.37, 95% CI:1.22–1.53, p<0.001) and Hispanic patients (aOR 1.37, 95%CI:1.19–1.59, p<0.001) with CD demonstrated increased odds of a LOS greater than the 75th percentile. When compared to white patients with UC, Hispanic patients also demonstrated increased odds of a LOS greater than the 75th percentile (aOR 1.20, 95% CI:1.02–1.42, p=0.015). Conclusions After controlling for age, year of admission, and clinical phenotypes, black and Hispanic patients with CD and Hispanic patients with UC had longer LOS than white patients. These may be due to differences in provider/hospital characteristics, socioeconomic differences, and/or differences in genetics and other biological factors.

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“…Compared with African Americans, greater proportion of Hispanics and Asians were diagnosed with ulcerative colitis than with Crohn's (26). Marked phenotypic racial differences were revealed also in anatomic location of IBD expression.…”

Section: Infl Ammatory Bowel Disease and Colorectal Cancermentioning

confidence: 87%

Region-specific differences in colorectal cancer: Slovakia and Hungary have highest incidence in Europe

Simko¹,

Ginter²

2016

BLL

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Phenotypic Manifestations of Inflammatory Bowel Disease Differ Between Hispanics and Non-Hispanic Whites: Results of a Large Cohort Study

Abstract: This study demonstrates differences in IBD presentation among NHW, US-born Hispanic, and foreign-born Hispanic groups. Further investigation to identify environmental and genetic differences between ethnic groups affected by IBD is warranted.

Cited by 68 publications

References 17 publications

Manifestations of inflammatory bowel disease in patients of Haitian and Cape Verdean descent

Manifestations of inflammatory bowel disease in patients of Haitian and Cape Verdean descent

Minority Pediatric Patients with Inflammatory Bowel Disease Demonstrate an Increased Length of Stay

Region-specific differences in colorectal cancer: Slovakia and Hungary have highest incidence in Europe

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