Best Practice & Research Clinical Gastroenterology
Volume 24, Issue 3 , Pages 219-231, June 2010

The epidemiology and socioeconomic impact of chronic pancreatitis

  • James Jupp

      Affiliations

    • Pancreatic Research Fellow, Division of Infection, Inflammation and Immunity, School of Medicine, Mailpoint 811, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK
    • Tel.: +44 2380 796663; fax: +44 2380 796603.
  • ,
  • David Fine

      Affiliations

    • Consultant Gastroenterologist, Department of Gastroenterology, Mailpoint 255, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK
    • Tel.: +44 2380 794153; fax: +44 2380 795203.
  • ,
  • Colin D. Johnson

      Affiliations

    • Reader in Surgery, University Surgical Unit, Mailpoint 816, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 2380 796796; fax: +44 2380 794020.

Epidemiological studies have been published worldwide in recent decades describing the incidence, mortality, aetiology and trends of chronic pancreatitis. Accumulated evidence suggests that chronic pancreatitis is increasing in incidence and hospital admission rates are rising accordingly. Alcoholic chronic pancreatitis was previously more common in the developed world than elsewhere, but is now increasing worldwide due to growing per capita alcohol consumption in each nation. Supporting alcohol and smoking cessation in individual patients is essential to slow disease progression and improve overall health, as most patients will die of cirrhosis, cardiovascular disease or smoking related cancers rather than chronic pancreatitis. The socioeconomic impact of chronic pancreatitis is difficult to quantify as little data exists, however given the rising incidence the costs to health care and society are likely to increase. This chapter will describe the epidemiology and aetiology of chronic pancreatitis worldwide and discusses the factors that influence its socioeconomic impact.

Keywords: Chronic pancreatitis, Epidemiology, Incidence, Prevalence, Mortality, Aetiology, Risk Factors, Health care Costs, Hospital admissions, Time trends, Socioeconomic Factors

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PII: S1521-6918(10)00039-9

doi:10.1016/j.bpg.2010.03.005

Best Practice & Research Clinical Gastroenterology
Volume 24, Issue 3 , Pages 219-231, June 2010