Hospitalizations for inflammatory bowel disease among US military veterans 1975-2006

Amnon Sonnenberg, Peter A. Richardson, Neena Susan Abraham

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background The Department of Veterans Affairs (VA) is the largest healthcare system in the United States. The VA database was used to analyze patterns of hospitalization for inflammatory bowel disease (IBD) among US military veterans. Methods The study used the VA Patient Treatment File (PTF) between 1975 and 2006. Each hospital record extracted from the PTF included diagnosis, patient age, and ethnicity. Patient age was analyzed in three age groups: 0-44, 45-64, and 65+. Patient ethnicity was analyzed by two broad categories as white and nonwhite. Results Among veterans, Crohn's disease was more common than ulcerative colitis and both diseases were more common in whites than in nonwhites. During the past 30 years, the age distributions of both diseases have shifted towards older patients who have come to represent an increasingly larger fraction of patients with Crohn's disease, as well as ulcerative colitis. Hospitalization rates for inflammatory bowel disease among whites recently declined, while most rates among nonwhites continued to rise throughout the observation period. Conclusion The present study revealed a time-dependent shift towards older ages in the age distribution of IBD among hospitalized veterans. These changes, which have been observed similarly in other US statistics, may reflect a birth-cohort phenomenon underlying the long-term time trends of IBD.

Original languageEnglish (US)
Pages (from-to)1740-1745
Number of pages6
JournalDigestive Diseases and Sciences
Volume54
Issue number8
DOIs
StatePublished - Aug 2009
Externally publishedYes

Fingerprint

Veterans
Inflammatory Bowel Diseases
Hospitalization
Age Distribution
Ulcerative Colitis
Crohn Disease
Hospital Records
Age Groups
Observation
Parturition
Databases
Delivery of Health Care
Therapeutics

Keywords

  • Crohn's disease
  • Epidemiology
  • Ethnicity
  • Incidence
  • Prevalence
  • Time trends
  • Ulcerative colitis
  • Veterans population

ASJC Scopus subject areas

  • Gastroenterology
  • Physiology

Cite this

Hospitalizations for inflammatory bowel disease among US military veterans 1975-2006. / Sonnenberg, Amnon; Richardson, Peter A.; Abraham, Neena Susan.

In: Digestive Diseases and Sciences, Vol. 54, No. 8, 08.2009, p. 1740-1745.

Research output: Contribution to journalArticle

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