dc.contributor.author |
Broad, Joanna |
en |
dc.contributor.author |
Wu, Zhenqiang |
en |
dc.contributor.author |
Xie, S |
en |
dc.contributor.author |
Bissett, Ian |
en |
dc.contributor.author |
Connolly, Martin |
en |
dc.date.accessioned |
2019-09-22T22:36:10Z |
en |
dc.date.issued |
2019-08-08 |
en |
dc.identifier.issn |
1123-6337 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/47891 |
en |
dc.description.abstract |
BACKGROUND:Older age has long been linked to risk of diverticulitis, but the epidemiology is seldom described for a national population. The aim of this study was to investigate age- and gender differences in incidence, temporal trends, lifetime risk and prevalence related to acute diverticulitis hospitalisations in New Zealand. METHODS:Records of all hospitalisations with diverticulitis the primary diagnosis were obtained from the Ministry of Health for the period 2000-2015. The first acute diverticulitis admission recorded for an individual was taken as an incident event; all others were classified as recurrent. Trends in age- and sex-specific and age-standardised incidence rates are described, and lifetime risk and prevalence estimated. RESULTS:Over the 16 years from 2000 to 2015, 37,234 acute hospitalisations for diverticulitis were recorded in 28,329 people aged 30 + years (median = 66 years). Rates of incident hospitalisations rose with age, from 5/10,000 person-years at age 50-54 years to 19/10,000py by age 80-84 years. Rates for women were lower than men before age 55 years, but higher thereafter. Age-standardised rates rose 0.2/10,000py annually, but approximately doubled among men aged < 50 years. Lifetime risk was estimated at over 5%, with the prevalence pool rising to over 1.5% of the population aged 30+ in 2030. CONCLUSIONS:Rapid increases in diverticulitis admissions among young men since 2000 correspond with increases reported elsewhere but remain unexplained; notably young women follow similar trends 5-10 years later. Increasing incidence, combined with population ageing, adds urgency to explain diverticular formation, to understand factors that trigger or provoke their inflammation/infection, and to clarify treatment and (self-)management pathways. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Techniques in coloproctology |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Humans |
en |
dc.subject |
Acute Disease |
en |
dc.subject |
Diverticulitis |
en |
dc.subject |
Hospitalization |
en |
dc.subject |
Incidence |
en |
dc.subject |
Prevalence |
en |
dc.subject |
Age Factors |
en |
dc.subject |
Sex Factors |
en |
dc.subject |
Adult |
en |
dc.subject |
Aged |
en |
dc.subject |
Aged, 80 and over |
en |
dc.subject |
Middle Aged |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Diverticular Diseases |
en |
dc.title |
Diverticular disease epidemiology: acute hospitalisations are growing fastest in young men. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1007/s10151-019-02040-8 |
en |
pubs.issue |
8 |
en |
pubs.begin-page |
713 |
en |
pubs.volume |
23 |
en |
dc.rights.holder |
Copyright: The author |
en |
pubs.end-page |
721 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
779642 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Medicine Department |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1128-045X |
en |
pubs.record-created-at-source-date |
2019-08-10 |
en |
pubs.dimensions-id |
31396759 |
en |