Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan
Most studies have evaluated the epidemiology of intussusception only in children. This was the first nationwide population-based study conducted to investigate the epidemiology and associated medical expenses of intussusception for all age groups in Taiwan. Methods: Cases of intussusception were ide...
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| Format: | Article |
| Language: | English |
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Elsevier
2013-06-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957213000053 |
| _version_ | 1828224050899451904 |
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| author | Chien-Chou Hsiao Lon-Yen Tsao Chien-Hsu Lai |
| author_facet | Chien-Chou Hsiao Lon-Yen Tsao Chien-Hsu Lai |
| author_sort | Chien-Chou Hsiao |
| collection | DOAJ |
| description | Most studies have evaluated the epidemiology of intussusception only in children. This was the first nationwide population-based study conducted to investigate the epidemiology and associated medical expenses of intussusception for all age groups in Taiwan.
Methods: Cases of intussusception were identified from the annual hospitalization discharge claims of the National Health Insurance Research Database with corresponding International Classification of Diseases, Ninth Revision (ICD-9) code 560.0, from January 2000 to December 2007.
Results: In total, 7255 incident cases of intussusception were detected. The majority of cases were children younger than 4 years of age. Significant male predominance was observed in the under-10-, 55–59-, and older-than-80-year age groups. The incidence peaked in the 1–2-year age group, reaching as high as 112.84 and 81.96 per 100,000 person-years for males and females, respectively. The incidence of intussusception was very low in adults. However, the medical expenses, number of coexisting neoplasms and malignancies, and hospitalization days were substantially higher in adults than in children. Although coexisting neoplasms developed in 40.8% of adult patients with intussusception, it occurred in only 0.4% of those younger than 3 years.
Conclusion: This study is the first to describe detailed age- and sex-specific incidence rates and medical expenses of intussusception for both pediatric and adult groups in Taiwan. There were significant differences between the two groups, with a much higher incidence in young children, but more coexisting neoplasms and malignancies and average medical expenses in adult patients. |
| first_indexed | 2024-04-12T17:15:35Z |
| format | Article |
| id | doaj.art-12e6027128de42e9abe3c5b005370791 |
| institution | Directory Open Access Journal |
| issn | 1875-9572 |
| language | English |
| last_indexed | 2024-04-12T17:15:35Z |
| publishDate | 2013-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj.art-12e6027128de42e9abe3c5b0053707912022-12-22T03:23:39ZengElsevierPediatrics and Neonatology1875-95722013-06-0154318819310.1016/j.pedneo.2013.01.004Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in TaiwanChien-Chou Hsiao0Lon-Yen Tsao1Chien-Hsu Lai2Department of Pediatrics, Changhua Christian Hospital, Changhua, TaiwanDepartment of Pediatrics, Changhua Christian Hospital, Changhua, TaiwanSchool of Medicine, Chung Shan Medical University, Taichung, TaiwanMost studies have evaluated the epidemiology of intussusception only in children. This was the first nationwide population-based study conducted to investigate the epidemiology and associated medical expenses of intussusception for all age groups in Taiwan. Methods: Cases of intussusception were identified from the annual hospitalization discharge claims of the National Health Insurance Research Database with corresponding International Classification of Diseases, Ninth Revision (ICD-9) code 560.0, from January 2000 to December 2007. Results: In total, 7255 incident cases of intussusception were detected. The majority of cases were children younger than 4 years of age. Significant male predominance was observed in the under-10-, 55–59-, and older-than-80-year age groups. The incidence peaked in the 1–2-year age group, reaching as high as 112.84 and 81.96 per 100,000 person-years for males and females, respectively. The incidence of intussusception was very low in adults. However, the medical expenses, number of coexisting neoplasms and malignancies, and hospitalization days were substantially higher in adults than in children. Although coexisting neoplasms developed in 40.8% of adult patients with intussusception, it occurred in only 0.4% of those younger than 3 years. Conclusion: This study is the first to describe detailed age- and sex-specific incidence rates and medical expenses of intussusception for both pediatric and adult groups in Taiwan. There were significant differences between the two groups, with a much higher incidence in young children, but more coexisting neoplasms and malignancies and average medical expenses in adult patients.http://www.sciencedirect.com/science/article/pii/S1875957213000053epidemiologyintussusceptionTaiwan |
| spellingShingle | Chien-Chou Hsiao Lon-Yen Tsao Chien-Hsu Lai Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan Pediatrics and Neonatology epidemiology intussusception Taiwan |
| title | Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan |
| title_full | Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan |
| title_fullStr | Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan |
| title_full_unstemmed | Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan |
| title_short | Nationwide Population-Based Epidemiologic Study of Childhood and Adulthood Intussusception in Taiwan |
| title_sort | nationwide population based epidemiologic study of childhood and adulthood intussusception in taiwan |
| topic | epidemiology intussusception Taiwan |
| url | http://www.sciencedirect.com/science/article/pii/S1875957213000053 |
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