title: Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review.
abstract: OBJECTIVE
  We conducted a systematic review to determine changes in the worldwide incidence and prevalence of ulcerative colitis (UC) and Crohn's disease (CD) in different regions and with time.
  
  
  METHODS
  We performed a systematic literature search of MEDLINE (1950-2010; 8103 citations) and EMBASE (1980-2010; 4975 citations) to identify studies that were population based, included data that could be used to calculate incidence and prevalence, and reported separate data on UC and/or CD in full manuscripts (n = 260). We evaluated data from 167 studies from Europe (1930-2008), 52 studies from Asia and the Middle East (1950-2008), and 27 studies from North America (1920-2004). Maps were used to present worldwide differences in the incidence and prevalence of inflammatory bowel diseases (IBDs); time trends were determined using joinpoint regression.
  
  
  RESULTS
  The highest annual incidence of UC was 24.3 per 100,000 person-years in Europe, 6.3 per 100,000 person-years in Asia and the Middle East, and 19.2 per 100,000 person-years in North America. The highest annual incidence of CD was 12.7 per 100,000 person-years in Europe, 5.0 person-years in Asia and the Middle East, and 20.2 per 100,000 person-years in North America. The highest reported prevalence values for IBD were in Europe (UC, 505 per 100,000 persons; CD, 322 per 100,000 persons) and North America (UC, 249 per 100,000 persons; CD, 319 per 100,000 persons). In time-trend analyses, 75% of CD studies and 60% of UC studies had an increasing incidence of statistical significance (P < .05).
  
  
  CONCLUSIONS
  Although there are few epidemiologic data from developing countries, the incidence and prevalence of IBD are increasing with time and in different regions around the world, indicating its emergence as a global disease.
authors: Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
authors: Natalie A
authors: NA
authors: Molodecky
authors: Ing Shian
authors: IS
authors: Soon
authors: Doreen M
authors: DM
authors: Rabi
authors: William A
authors: WA
authors: Ghali
authors: Mollie
authors: M
authors: Ferris
authors: Greg
authors: G
authors: Chernoff
authors: Eric I
authors: EI
authors: Benchimol
authors: Remo
authors: R
authors: Panaccione
authors: Subrata
authors: S
authors: Ghosh
authors: Herman W
authors: HW
authors: Barkema
authors: Gilaad G
authors: GG
authors: Kaplan
mesh_terms: D001208:Asia / Q000453:epidemiology; D003093:Colitis, Ulcerative / Q000453:epidemiology*; D003424:Crohn Disease / Q000453:epidemiology*; D003906:Developing Countries / Q000706:statistics & numerical data; D005060:Europe / Q000453:epidemiology; D014943:Global Health; D006801:Humans; D015994:Incidence; D008877:Middle East / Q000453:epidemiology; D009656:North America / Q000453:epidemiology; D015995:Prevalence; D012044:Regression Analysis; D012111:Residence Characteristics; D013997:Time Factors