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Prevalence of extraintestinal manifestations in Korean inflammatory bowel disease patients

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  • Bo Ram Yang
  • Nam-Kyong Choi
  • Mi-Sook Kim
  • Jaeyoung Chun
  • Sang Hyun Joo
  • Hyesung Kim
  • Joongyub Lee

Abstract

Background: The prevalence of inflammatory bowel disease (IBD) in South Korea is increasing. Although extraintestinal manifestations (EIMs) are an important factor in the clinical outcomes of IBD patients, EIMs have not yet been investigated in Korea. Thus, we conducted a cross-sectional study to assess the prevalence of EIMs in Korean IBD patients. Methods: The 2014 claims data from the National Health Insurance System (NHIS) of Korea were used. IBD patients were identified by codes for Crohn disease (CD) and ulcerative colitis (UC) in the NHIS registration system for rare or intractable diseases. International Classification of Diseases, Tenth Edition codes were used to identify EIM cases. To estimate the prevalence of EIMs in the general population of Korea, we used national sample data. Standardized prevalence ratios (SPRs) were calculated to compare the prevalence rates of EIMs among IBD patients to those among the general population of Korea. Results: A total of 13,925 CD patients and 29,356 UC patients were identified. CD and UC patients were different in terms of demographics and utilization of medication. Among the 17 EIMs investigated, pyoderma gangrenosum, osteomalacia, Sweet syndrome, and scleritis were observed in very few patients. The SPRs were greater than 1 for all EIMs. Aphthous stomatitis, rheumatoid arthritis, and osteoporosis were highly prevalent in both CD and UC patients, but the SPRs of the EIMs were not high. Conclusion: The study confirmed that EIMs are more prevalent among IBD patients than among the general population of Korea. The prevalence of EIMs in IBD patients suggests the need for greater attention and effort in clinical practice.

Suggested Citation

  • Bo Ram Yang & Nam-Kyong Choi & Mi-Sook Kim & Jaeyoung Chun & Sang Hyun Joo & Hyesung Kim & Joongyub Lee, 2018. "Prevalence of extraintestinal manifestations in Korean inflammatory bowel disease patients," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0200363
    DOI: 10.1371/journal.pone.0200363
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    1. Kim, Jaehoon & Kim, Sangsin, 2015. "2012년 국회법 개정의 효과 연구 [A Study on the Effect of the 2012 National Assembly Act Amendment]," KDI Research Monographs, Korea Development Institute (KDI), volume 127, number v:2015-03(k):y:2015:p:1-1.
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    1. Jing-Xing Li & Chun-Chi Chiang & San-Ni Chen & Jane-Ming Lin & Yi-Yu Tsai, 2022. "The Prevalence of Ocular Extra-Intestinal Manifestations in Adults Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 19(23), pages 1-14, November.

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