Danish patients with chronic pancreatitis have a four-fold higher mortality rate than the Danish population.
OBJECTIVE
We investigated mortality of patients with chronic pancreatitis (CP), compared with the Danish population and sought to determine whether clinical presentations of CP can be used in prognosis. We also investigated clinical factors associated with mortality and causes of death among these patients.


METHODS
The Copenhagen Pancreatitis Study is a prospective study of patients admitted from 1977 to 1982 to the 5 main hospitals in Copenhagen with a diagnosis of acute pancreatitis or CP. In 2008, follow-up data were collected from these patients from the Danish Registries; this subcohort comprised 290 patients with probable (n = 41) or definite CP (n = 249).


RESULTS
The mortality of patients with definite CP was 4-fold that of the Danish population and significantly higher than that of patients with probable CP (P = .003; 95% confidence interval [CI], 1.21-2.57); patients with probable CP had a 2- to 3-fold higher mortality rate than the population. In patients with definite CP, factors significantly associated with mortality included non-employment (P = .015; 95% CI, 0.53-0.93), and being underweight (P = .020; 95% CI, 0.52-0.95). Sex, alcohol use, smoking, single versus co-living, exocrine insufficiency, diabetes, pancreatic calcification, CP inheritance, painless CP, acute exacerbation of CP, or surgery for CP had no impact on survival. The most frequent causes of death were digestive diseases (19.5%), malignancies (19.5%), and cardiovascular diseases (11.3%).


CONCLUSIONS
Danish patients with definite CP had a 4-fold higher mortality rate compared with the background population and a higher mortality rate than patients with probable CP. Being nonemployed or underweight had significant impact on survival.
Nøjgaard
Camilla
C
Department of Gastroenterology, Hvidovre Hospital, Copenhagen, Denmark. mille@dadlnet.dk
Bendtsen
Flemming
F
Becker
Ulrik
U
Andersen
Jens Rikardt
JR
Holst
Claus
C
Matzen
Peter
P
D000328:Adult; D001835:Body Weight; D015331:Cohort Studies; D003718:Denmark / Q000453:epidemiology; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D050500:Pancreatitis, Chronic / Q000401:mortality*; D011379:Prognosis; D011446:Prospective Studies; D012307:Risk Factors