Burden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States

Burden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States

2015 December ; 149(7): 1731–1741.e3. | Anne F. Peery, MD MSCR, Seth D. Crockett, MD MPH, Alfred S. Barritt, MD MSCR, Evan S. Dellon, MD MPH, Swathi Eluri, MD, Lisa M. Gangarosa, MD, Elizabeth T. Jensen, MPH PhD, Jennifer L. Lund, MSPH PhD, Sarina Pasricha, MD MSCR, Thomas Runge, MD, Monica Schmidt, PhD, Nicholas J. Shaheen, MD MPH, Robert S. Sandler, MD MPH
The article provides a comprehensive overview of the burden of gastrointestinal (GI), liver, and pancreatic diseases in the United States. The study, conducted by researchers from the University of North Carolina School of Medicine and the Gillings School of Global Public Health, aims to quantify the morbidity, mortality, and cost associated with these diseases using data from national databases such as the Centers for Disease Control and Prevention, the Agency for Healthcare Research and Quality, and the National Cancer Institute. Key findings include: - **Diagnoses and Visits**: Abdominal pain is the most common symptom, leading to over 27 million visits. Gastroesophageal reflux (GERD) and hemorrhoids account for nearly 7 million and 4 million visits, respectively. Functional and motility disorders result in nearly 1 million emergency department visits, primarily for constipation. - **Hospitalizations**: GI hemorrhage is the leading cause of hospitalization, with over 500,000 discharges in 2012 at a cost of nearly $5 billion. Inflammatory bowel disease, Clostridium difficile infection, and chronic liver disease have seen increasing hospitalization rates over the past 20 years. - **Cancer and Mortality**: Colorectal cancer is the leading cause of death from GI and liver diseases, followed by pancreatic and hepatobiliary neoplasms. In 2011, over 1 million people in the US were living with colorectal cancer. - **Trends**: The study highlights trends in healthcare utilization and costs, noting that hospitalizations and associated charges for certain conditions have increased over time. The authors conclude that GI and liver diseases continue to impose a significant burden on the US healthcare system, emphasizing the need for continued research and public health efforts to address these conditions.The article provides a comprehensive overview of the burden of gastrointestinal (GI), liver, and pancreatic diseases in the United States. The study, conducted by researchers from the University of North Carolina School of Medicine and the Gillings School of Global Public Health, aims to quantify the morbidity, mortality, and cost associated with these diseases using data from national databases such as the Centers for Disease Control and Prevention, the Agency for Healthcare Research and Quality, and the National Cancer Institute. Key findings include: - **Diagnoses and Visits**: Abdominal pain is the most common symptom, leading to over 27 million visits. Gastroesophageal reflux (GERD) and hemorrhoids account for nearly 7 million and 4 million visits, respectively. Functional and motility disorders result in nearly 1 million emergency department visits, primarily for constipation. - **Hospitalizations**: GI hemorrhage is the leading cause of hospitalization, with over 500,000 discharges in 2012 at a cost of nearly $5 billion. Inflammatory bowel disease, Clostridium difficile infection, and chronic liver disease have seen increasing hospitalization rates over the past 20 years. - **Cancer and Mortality**: Colorectal cancer is the leading cause of death from GI and liver diseases, followed by pancreatic and hepatobiliary neoplasms. In 2011, over 1 million people in the US were living with colorectal cancer. - **Trends**: The study highlights trends in healthcare utilization and costs, noting that hospitalizations and associated charges for certain conditions have increased over time. The authors conclude that GI and liver diseases continue to impose a significant burden on the US healthcare system, emphasizing the need for continued research and public health efforts to address these conditions.
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[slides and audio] Burden of Gastrointestinal%2C Liver%2C and Pancreatic Diseases in the United States.