Peptic ulcer epidemiology and demographics
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ;Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]
Overview
The incidence and prevalence of Helicobacter pylori infection are generally higher among people born outside North America. Within North America, the prevalence of the infection is higher in certain racial and ethnic groups, and people who have immigrated to North America. Peptic ulcer disease is acquired during childhood. The incidence of Peptic ulcer disease increases with age; the median age at diagnosis is 18-30 years. Peptic ulcer disease affects both sexes equally in childhood. Men are more commonly affected by peptic ulcer disease than women in adulthood.
Epidemiology and Demographics
Incidence
- The incidence of peptic ulcer disease is approximately 10-19 per 100,000 individuals worldwide[1]
- In 2011, the incidence rate of peptic ulcer disease was estimated to be one case per 1000 individuals and its complications was 0.7 per 1000 individuals[2]
- The incidence and prevalence of Helicobacter pylori infection are generally higher among people born outside North America. Within North America, the prevalence of the infection is higher in certain racial and ethnic groups, and people who have immigrated to North America[3]
Prevalence
- The prevalence of peptic ulcer disease is approximately 23.1 per 100,000 individuals but higher in men 29.4 per 100,000 than women 14.9 per 100,000
- The prevalence of peptic ulcer disease is estimated to be 4.5 million cases annually
- Lifetime prevalence is 11-14% in men and 8-11% in women[4][5][1][6][7][8][9][10]
Mortality rate
- The mortality rate of peptic ulcer disease is approximately 1 per 100,000 individuals
Age
- Peptic ulcer disease is acquired during childhood
- The incidence of Peptic ulcer disease increases with age; the median age at diagnosis is 18-30 years
Race
- Peptic ulcer disease usually affects individuals of the African Americans with a higher proportion of African ancestry race and Mexican Americans[11][12]
- Non-Hispanic whites individuals are less likely to develop the peptic ulcer disease
Gender
- Peptic ulcer disease affect equally in childhood[13]
- Men are more commonly affected by peptic ulcer disease than women in adulthood[5]
References
- ↑ 1.0 1.1 Sung JJ, Kuipers EJ, El-Serag HB (2009). "Systematic review: the global incidence and prevalence of peptic ulcer disease". Aliment. Pharmacol. Ther. 29 (9): 938–46. doi:10.1111/j.1365-2036.2009.03960.x. PMID 19220208.
- ↑ Lin KJ, García Rodríguez LA, Hernández-Díaz S (2011). "Systematic review of peptic ulcer disease incidence rates: do studies without validation provide reliable estimates?". Pharmacoepidemiol Drug Saf. 20 (7): 718–28. doi:10.1002/pds.2153. PMID 21626606.
- ↑ Wang AY, Peura DA (2011). "The prevalence and incidence of Helicobacter pylori-associated peptic ulcer disease and upper gastrointestinal bleeding throughout the world". Gastrointest. Endosc. Clin. N. Am. 21 (4): 613–35. doi:10.1016/j.giec.2011.07.011. PMID 21944414.
- ↑ Ohmann C, Imhof M, Ruppert C, Janzik U, Vogt C, Frieling T, Becker K, Neumann F, Faust S, Heiler K, Haas K, Jurisch R, Wenzel EG, Normann S, Bachmann O, Delgadillo J, Seidel F, Franke C, Lüthen R, Yang Q, Reinhold C (2005). "Time-trends in the epidemiology of peptic ulcer bleeding". Scand. J. Gastroenterol. 40 (8): 914–20. doi:10.1080/00365520510015809. PMID 16165708.
- ↑ 5.0 5.1 Naja F, Kreiger N, Sullivan T (2007). "Helicobacter pylori infection in Ontario: prevalence and risk factors". Can. J. Gastroenterol. 21 (8): 501–6. PMC 2657974. PMID 17703249.
- ↑ Kuipers EJ, Thijs JC, Festen HP (1995). "The prevalence of Helicobacter pylori in peptic ulcer disease". Aliment. Pharmacol. Ther. 9 Suppl 2: 59–69. PMID 8547530.
- ↑ Pounder RE, Ng D (1995). "The prevalence of Helicobacter pylori infection in different countries". Aliment. Pharmacol. Ther. 9 Suppl 2: 33–9. PMID 8547526.
- ↑ Frenck RW, Clemens J (2003). "Helicobacter in the developing world". Microbes Infect. 5 (8): 705–13. PMID 12814771.
- ↑ Dutta AK, Chacko A, Balekuduru A, Sahu MK, Gangadharan SK (2012). "Time trends in epidemiology of peptic ulcer disease in India over two decades". Indian J Gastroenterol. 31 (3): 111–5. doi:10.1007/s12664-012-0201-5. PMID 22766645.
- ↑ Goh KL (2009). "Epidemiology of Helicobacter pylori infection in Malaysia--observations in a multiracial Asian population". Med. J. Malaysia. 64 (3): 187–92. PMID 20527265.
- ↑ Nguyen T, Ramsey D, Graham D, Shaib Y, Shiota S, Velez M, Cole R, Anand B, Vela M, El-Serag HB (2015). "The Prevalence of Helicobacter pylori Remains High in African American and Hispanic Veterans". Helicobacter. 20 (4): 305–15. doi:10.1111/hel.12199. PMID 25689684.
- ↑ Everhart JE, Kruszon-Moran D, Perez-Perez GI, Tralka TS, McQuillan G (2000). "Seroprevalence and ethnic differences in Helicobacter pylori infection among adults in the United States". J. Infect. Dis. 181 (4): 1359–63. doi:10.1086/315384. PMID 10762567.
- ↑ de Martel C, Parsonnet J (2006). "Helicobacter pylori infection and gender: a meta-analysis of population-based prevalence surveys". Dig. Dis. Sci. 51 (12): 2292–301. doi:10.1007/s10620-006-9210-5. PMID 17089189.