Departments of Medicine and Community Health Sciences, University of Calgary, 3280 Hospital Drive NW, 6D56 Calgary, AB, Canada T2N 4Z6.
Nat Rev Gastroenterol Hepatol. 2015 Dec;12(12):720-7. doi: 10.1038/nrgastro.2015.150. Epub 2015 Sep 1.
Over 1 million residents in the USA and 2.5 million in Europe are estimated to have IBD, with substantial costs for health care. These estimates do not factor in the 'real' price of IBD, which can impede career aspirations, instil social stigma and impair quality of life in patients. The majority of patients are diagnosed early in life and the incidence continues to rise; therefore, the effect of IBD on health-care systems will rise exponentially. Moreover, IBD has emerged in newly industrialized countries in Asia, South America and Middle East and has evolved into a global disease with rising prevalence in every continent. Understanding the worldwide epidemiological patterns of IBD will prepare us to manage the burden of IBD over time. The goal of this article is to establish the current epidemiology of IBD in the Western world, contrast it with the increase in IBD in newly industrialized countries and forecast the global effects of IBD in 2025.
据估计,美国有超过 100 万居民和欧洲有 250 万居民患有 IBD,这给医疗保健带来了巨大的成本。这些估计并没有考虑到 IBD 的“实际”价格,这可能会阻碍职业抱负,造成社会耻辱,并损害患者的生活质量。大多数患者在年轻时被诊断出来,而且发病率还在继续上升;因此,IBD 对医疗保健系统的影响将呈指数级增长。此外,IBD 已经出现在亚洲、南美洲和中东的新兴工业化国家,并且已经发展成为一种全球性疾病,在各大洲的患病率都在上升。了解 IBD 的全球流行病学模式将使我们能够随着时间的推移管理 IBD 的负担。本文的目的是确定西方世界 IBD 的当前流行病学,将其与新兴工业化国家 IBD 的增加进行对比,并预测 2025 年 IBD 的全球影响。