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Dramatic decline of acute appendicitis in Greece over 30 years: index of improvement of socioeconomic conditions or diagnostic aids?
Papadopoulos, A A; Polymeros, D; Kateri, M; Tzathas, C; Koutras, M; Ladas, S D.
Afiliação
  • Papadopoulos AA; Hepatogastroenterology Unit, 2nd Department of Internal Medicine - Propaedeutic, Attikon University Hospital, Medical School, Athens University, Athens, Greece.
Dig Dis ; 26(1): 80-4, 2008.
Article em En | MEDLINE | ID: mdl-18277072
BACKGROUND AND AIMS: There are several reports showing a continuing fall in the incidence of acute appendicitis in the western countries. Our aim was to study the trend of the incidence of acute appendicitis in the Greek population over 30 years. METHODS: We analyzed the data referring to the years 1970-1999 on the incidence and mortality of acute appendicitis for the entire Greek population. Data were retrieved from the Annual Bulletin for the Social Welfare and Health Statistics of the National Statistics Service of Greece. In this database, acute appendicitis was a hospital discharge diagnosis. RESULTS: Over the study period, there was a 75% decrease of the age-standardized incidence of acute appendicitis from 652/100,000 to 164/100,000. The median female-to-male ratio of hospitalized patients for appendicitis of the study period (1970-1999) fell progressively from 1.27 in the year 1970 to 0.93 in the year 1999. The case fatality rates remained constant, ranging below 0.09 deaths per 100 appendicitis cases. CONCLUSION: There is a significant decline of the incidence of acute appendicitis in the Greek population over the years 1970-1999. This time trend is probably related to the improvement of the socioeconomic conditions over the same period and not to the introduction of new diagnostic aids.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apendicite Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Europa Idioma: En Revista: Dig Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Grécia País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Apendicite Tipo de estudo: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Aged / Aged80 / Child / Child, preschool / Female / Humans / Infant / Male País/Região como assunto: Europa Idioma: En Revista: Dig Dis Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2008 Tipo de documento: Article País de afiliação: Grécia País de publicação: Suíça