Paterson H M, Arnott I D, Nicholls R J, Clark D, Bauer J, Bridger P C, Crowe A M, Knight A D, Hodgkins P, Solomon D, Dunlop M G
Department of Coloproctology, University of Edinburgh, Western General Hospital, Edinburgh, UK.
Colorectal Dis. 2015 Apr;17(4):329-34. doi: 10.1111/codi.12811.
Symptomatic diverticular disease (DD) may be increasing in incidence in western society particularly in younger age groups. This study aimed to describe hospital admission rates and management for DD in Scotland between 2000 and 2010.
Data were obtained from the Scottish Morbidity Records (SMR01). The study cohort included all patients with a hospital admission and a primary diagnosis of DD of the large intestine (ICD-10 primary code K57).
Scottish NHS hospitals reported 90 990 admissions for DD (in 87 314 patients) from 2000 to 2010. The annual number of admissions increased by 55.2% from 6591 in 2000 to 10,228 in 2010, an average annual increase per year of 4.5%. Most of the increase attributable to DD was due to elective day cases (3618 in 2000; 6925 in 2010) a likely consequence of a greater proportion of the population accessing colonoscopy over that time period. There was an 11% increase in inpatient admissions (2973-3303), 60% of these patients being women. Admissions in younger age groups increased proportionally in the later years of the study, and there was an association between DD admissions and greater deprivation. Despite an increase in complicated DD from 22.9% in 2000 to 27.1% in 2010 and a 16.8% increase in emergency inpatient admissions, the rate of surgery fell during the period of study.
This report supports findings of other population-based studies of western countries indicating that DD is an increasing burden on health service resources, particularly in younger age groups.
在西方社会，有症状的憩室病（DD）发病率可能在上升，尤其是在较年轻的年龄组中。本研究旨在描述2000年至2010年期间苏格兰DD的住院率及治疗情况。
数据取自苏格兰发病率记录（SMR01）。研究队列包括所有因大肠憩室病住院且主要诊断为此病的患者（国际疾病分类第十版主要编码K57）。
2000年至2010年期间，苏格兰国民保健服务医院报告了90990例憩室病住院病例（涉及87314名患者）。住院病例数从2000年的6591例增加到2010年的10228例，增长了55.2%，年均增长率为4.5%。憩室病增加的病例大多归因于择期日间手术（2000年为3618例；2010年为6925例），这可能是因为在此期间进行结肠镜检查的人群比例增加。住院患者人数增加了11%（从2973例增至3303例），其中60%为女性。在研究后期，较年轻年龄组的住院人数按比例增加，且憩室病住院与贫困程度较高之间存在关联。尽管2000年至2010年期间复杂憩室病的比例从22.9%增至27.1%，急诊住院患者人数增加了16.8%，但研究期间手术率却有所下降。
本报告支持其他西方国家基于人群研究的结果，表明憩室病给卫生服务资源带来的负担日益加重，尤其是在较年轻年龄组中。
