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The prevalence of inflammatory bowel disease in an Israeli Arab population

To determine the prevalence of inflammatory bowel disease among the 1.5million Arab residents in Israel who represent 20% of the total population. Family physicians in all Arab towns and villages were contacted to obtain information on patients with inflammatory bowel disease. Relevant clinical data...

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Published in:Journal of Crohn's and colitis 2013-06, Vol.7 (5), p.e159-e163
Main Authors: Zvidi, Ibrahim, Fraser, Gerald M., Niv, Yaron, Birkenfeld, Shlomo
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Language:English
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description To determine the prevalence of inflammatory bowel disease among the 1.5million Arab residents in Israel who represent 20% of the total population. Family physicians in all Arab towns and villages were contacted to obtain information on patients with inflammatory bowel disease. Relevant clinical data were retrieved and updated to December 31, 2009. Information was obtained from 23/71 municipalities approached (representing 200,000 out of 1.5million Arabs). There were 64 confirmed cases of Crohn's disease indicating a prevalence rate of 32/100,000. The rate of smoking within this cohort was lower than in the general population (1.5% vs. 40%; P
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Family physicians in all Arab towns and villages were contacted to obtain information on patients with inflammatory bowel disease. Relevant clinical data were retrieved and updated to December 31, 2009. Information was obtained from 23/71 municipalities approached (representing 200,000 out of 1.5million Arabs). There were 64 confirmed cases of Crohn's disease indicating a prevalence rate of 32/100,000. The rate of smoking within this cohort was lower than in the general population (1.5% vs. 40%; P&lt;0.001). There were 44 confirmed cases of ulcerative colitis with a prevalence rate of 22/100,000. The percentage of active smokers in this cohort was 18%. Clinical remission or mild activity was observed in 75% of patients in both cohorts at the time of the survey. Fourteen patients (21%) had undergone surgery for Crohn's disease, whereas none had undergone surgery for ulcerative colitis. Twenty-eight (42%) patients with Crohn's disease and 20 (45%) with ulcerative colitis were on maintenance therapy with 5-aminosalicylic acid. Only 18% with Crohn's disease and 6.8% with ulcerative colitis had received anti-tumor necrosis factor. The most prevalent extra-intestinal manifestations were perianal disease (18%) in Crohn's disease, and arthralgia or arthritis (6.8%) in ulcerative colitis. 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Family physicians in all Arab towns and villages were contacted to obtain information on patients with inflammatory bowel disease. Relevant clinical data were retrieved and updated to December 31, 2009. Information was obtained from 23/71 municipalities approached (representing 200,000 out of 1.5million Arabs). There were 64 confirmed cases of Crohn's disease indicating a prevalence rate of 32/100,000. The rate of smoking within this cohort was lower than in the general population (1.5% vs. 40%; P&lt;0.001). There were 44 confirmed cases of ulcerative colitis with a prevalence rate of 22/100,000. The percentage of active smokers in this cohort was 18%. Clinical remission or mild activity was observed in 75% of patients in both cohorts at the time of the survey. Fourteen patients (21%) had undergone surgery for Crohn's disease, whereas none had undergone surgery for ulcerative colitis. Twenty-eight (42%) patients with Crohn's disease and 20 (45%) with ulcerative colitis were on maintenance therapy with 5-aminosalicylic acid. Only 18% with Crohn's disease and 6.8% with ulcerative colitis had received anti-tumor necrosis factor. The most prevalent extra-intestinal manifestations were perianal disease (18%) in Crohn's disease, and arthralgia or arthritis (6.8%) in ulcerative colitis. We found a low prevalence rate of inflammatory bowel disease in the Israeli Arab population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Arabs</subject><subject>Arthralgia - complications</subject><subject>Arthritis - complications</subject><subject>Child</subject><subject>Colitis, Ulcerative - complications</subject><subject>Colitis, Ulcerative - drug therapy</subject><subject>Colitis, Ulcerative - ethnology</subject><subject>Crohn Disease - drug therapy</subject><subject>Crohn Disease - ethnology</subject><subject>Crohn Disease - surgery</subject><subject>Crohn's disease</subject><subject>Epidemiology</subject><subject>Family aggregation</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Israel - epidemiology</subject><subject>Maintenance Chemotherapy</subject><subject>Male</subject><subject>Mesalamine - therapeutic use</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Smoking - ethnology</subject><subject>Tumor Necrosis Factor-alpha - antagonists &amp; 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Fraser, Gerald M. ; Niv, Yaron ; Birkenfeld, Shlomo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-9ae7964f22165e0818685d98e0ee92519f1c0847203384d95edfcd569c93e27e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Arabs</topic><topic>Arthralgia - complications</topic><topic>Arthritis - complications</topic><topic>Child</topic><topic>Colitis, Ulcerative - complications</topic><topic>Colitis, Ulcerative - drug therapy</topic><topic>Colitis, Ulcerative - ethnology</topic><topic>Crohn Disease - drug therapy</topic><topic>Crohn Disease - ethnology</topic><topic>Crohn Disease - surgery</topic><topic>Crohn's disease</topic><topic>Epidemiology</topic><topic>Family aggregation</topic><topic>Female</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Israel - epidemiology</topic><topic>Maintenance Chemotherapy</topic><topic>Male</topic><topic>Mesalamine - therapeutic use</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Smoking - ethnology</topic><topic>Tumor Necrosis Factor-alpha - antagonists &amp; inhibitors</topic><topic>Ulcerative colitis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zvidi, Ibrahim</creatorcontrib><creatorcontrib>Fraser, Gerald M.</creatorcontrib><creatorcontrib>Niv, Yaron</creatorcontrib><creatorcontrib>Birkenfeld, Shlomo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Crohn's and colitis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zvidi, Ibrahim</au><au>Fraser, Gerald M.</au><au>Niv, Yaron</au><au>Birkenfeld, Shlomo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prevalence of inflammatory bowel disease in an Israeli Arab population</atitle><jtitle>Journal of Crohn's and colitis</jtitle><addtitle>J Crohns Colitis</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>7</volume><issue>5</issue><spage>e159</spage><epage>e163</epage><pages>e159-e163</pages><issn>1873-9946</issn><eissn>1876-4479</eissn><abstract>To determine the prevalence of inflammatory bowel disease among the 1.5million Arab residents in Israel who represent 20% of the total population. Family physicians in all Arab towns and villages were contacted to obtain information on patients with inflammatory bowel disease. Relevant clinical data were retrieved and updated to December 31, 2009. Information was obtained from 23/71 municipalities approached (representing 200,000 out of 1.5million Arabs). There were 64 confirmed cases of Crohn's disease indicating a prevalence rate of 32/100,000. The rate of smoking within this cohort was lower than in the general population (1.5% vs. 40%; P&lt;0.001). There were 44 confirmed cases of ulcerative colitis with a prevalence rate of 22/100,000. The percentage of active smokers in this cohort was 18%. Clinical remission or mild activity was observed in 75% of patients in both cohorts at the time of the survey. Fourteen patients (21%) had undergone surgery for Crohn's disease, whereas none had undergone surgery for ulcerative colitis. Twenty-eight (42%) patients with Crohn's disease and 20 (45%) with ulcerative colitis were on maintenance therapy with 5-aminosalicylic acid. Only 18% with Crohn's disease and 6.8% with ulcerative colitis had received anti-tumor necrosis factor. The most prevalent extra-intestinal manifestations were perianal disease (18%) in Crohn's disease, and arthralgia or arthritis (6.8%) in ulcerative colitis. We found a low prevalence rate of inflammatory bowel disease in the Israeli Arab population.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>22921466</pmid><doi>10.1016/j.crohns.2012.07.026</doi></addata></record>
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source Oxford Journals Online
subjects Adolescent
Adult
Aged
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Arabs
Arthralgia - complications
Arthritis - complications
Child
Colitis, Ulcerative - complications
Colitis, Ulcerative - drug therapy
Colitis, Ulcerative - ethnology
Crohn Disease - drug therapy
Crohn Disease - ethnology
Crohn Disease - surgery
Crohn's disease
Epidemiology
Family aggregation
Female
Humans
Inflammatory bowel disease
Israel - epidemiology
Maintenance Chemotherapy
Male
Mesalamine - therapeutic use
Middle Aged
Prevalence
Smoking - ethnology
Tumor Necrosis Factor-alpha - antagonists & inhibitors
Ulcerative colitis
Young Adult
title The prevalence of inflammatory bowel disease in an Israeli Arab population
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