Sonnenberg A
Division of Gastroenterology, VA Medical Center, Milwaukee, Wisconsin 53295.
Gut. 1989 Mar;30(3):367-70. doi: 10.1136/gut.30.3.367.
The statistics of the German social security system were used to analyse the epidemiology of inflammatory bowel disease (IBD) in Germany and to assess its impact on disability. Patients granted disability pension for IBD were compared with a control group of patients disabled from other causes. Crohn's disease and ulcerative colitis led to disability in significantly younger patients than other diseases. Disability from Crohn's disease was 2.0-fold more common in women than men (95% confidence interval: 1.8-2.3), while disability from ulcerative colitis was similar in both sexes. White collar employees were affected by both diseases more frequently than blue collar employees, the ratio being 1.3 (1.2-1.5) in Crohn's disease and 1.6 (1.4-1.8) in ulcerative colitis. Although IBD is relatively rare, it has severe socioeconomic implications, because compared with other diseases, predominantly young age groups become disabled.
德国社会保障系统的统计数据被用于分析德国炎症性肠病(IBD)的流行病学情况,并评估其对残疾的影响。将因IBD获得残疾抚恤金的患者与因其他原因致残的对照组患者进行比较。与其他疾病相比,克罗恩病和溃疡性结肠炎导致残疾的患者明显更年轻。克罗恩病导致的残疾在女性中比男性常见2.0倍(95%置信区间:1.8 - 2.3),而溃疡性结肠炎导致的残疾在两性中相似。白领员工比蓝领员工更频繁地受到这两种疾病的影响,克罗恩病的比例为1.3(1.2 - 1.5),溃疡性结肠炎的比例为1.6(1.4 - 1.8)。尽管IBD相对罕见,但它具有严重的社会经济影响,因为与其他疾病相比,主要是年轻年龄组的人会致残。