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Epidemiology of alcohol-related liver and pancreatic disease in the United States.

Epidemiology of alcohol-related liver and pancreatic disease in the United States. Research Abstract Details 

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  • Epidemiology of alcohol-related liver and pancreatic disease in the United States. Abstract Text:

    alice l yangAlice L Yang,shweta vadhavkarShweta Vadhavkar,gurkirpal singhGurkirpal Singh,m bishr omaryM Bishr Omary,

    BACKGROUND: The epidemiology of acute alcoholic pancreatitis (AP), chronic alcoholic pancreatitis (CP), acute alcoholic hepatitis (AH), and chronic alcoholic hepatitis with cirrhosis (CH) alone or in combination is not well described. To better understand alcohol-related liver and pancreas effects on and associations with different ethnic groups and sexes, we analyzed the trends of AP, CP, AH, CH, AP plus AH, and CP plus CH in the United States. METHODS: We examined discharge records from the Nationwide Inpatient Sample, the largest representative sample of US hospitals. Hospital discharges, case-fatality, and sex and race contributions were calculated from patients with discharge diagnoses of AP, CP, AH, CH, AP plus AH, or CP plus CH between 1988 and 2004. RESULTS: The distribution of overall hospital discharges per 100 000 persons between 1988 and 2004 was as follows: AP, 49.2; CP, 8.1; AH, 4.5; and CH, 13.7. Overall hospital discharges per 100 000 persons for AP plus AH were 1.8; and for CP plus CH, 0.32. There were higher male to female ratios for AH and CH, and less so for AP and CP. A markedly higher frequency of AP (63.5) and CP (11.3) was seen among blacks than among whites (AP, 29.6 and CP, 5.1), Hispanics (AP, 27.1 and CP, 3.7), Asians (AP, 12.8 and CP, 1.4), and American Indians (AP, 15.5 and CP, 2.3). This higher frequency remained stable between 1994 and 2004. Overall case fatality steadily decreased in all categories, but remains highest in CH (13.6%) with similar racial distributions. CONCLUSIONS: In the United States, AP is the most common discharge diagnosis among alcohol-related liver or pancreas complications, while CH has the highest case fatality rate and male to female ratio. Blacks have the highest frequency of alcohol-related pancreatic disease.

    Epidemiology of alcohol-related liver and pancreatic disease in the United States. Publishing Authors By Initials

    al yangAL Yang,s vadhavkarS Vadhavkar,g singhG Singh,mb omaryMB Omary,

    For similar abstracts research abstracts see: abstracts research

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    Epidemiology of alcohol-related liver and pancreatic disease in the United States. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Archives of internal medicine

    VOLUME: 168

    Page Numbers: 649-56

    Journal Abbreviation: Arch. Intern. Med.

    ISSN: 0003-9926

    DAY: 24

    MONTH: Mar

    YEAR: 2008

    Epidemiology of alcohol-related liver and pancreatic disease in the United States. Information

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    LANGUAGE: eng

    NlmUniqueID: 372440

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    AFFILIATION: Department of Medicine, Division of Gastroenterology and Hepatology, VA Palo Alto Health Care System and Stanford University, 3801 Miranda Ave 154J, Palo Alto, CA. mbishr@stanford.edu.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Arch Intern Med

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