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. 1989 Mar;30(3):367–370. doi: 10.1136/gut.30.3.367

Disability from inflammatory bowel disease among employees in West Germany.

A Sonnenberg 1
PMCID: PMC1378460  PMID: 2707636

Abstract

The statistics of the German social security system were used to analyse the epidemiology of inflammatory bowel disease (IBD) in Germany and to assess its impact on disability. Patients granted disability pension for IBD were compared with a control group of patients disabled from other causes. Crohn's disease and ulcerative colitis led to disability in significantly younger patients than other diseases. Disability from Crohn's disease was 2.0-fold more common in women than men (95% confidence interval: 1.8-2.3), while disability from ulcerative colitis was similar in both sexes. White collar employees were affected by both diseases more frequently than blue collar employees, the ratio being 1.3 (1.2-1.5) in Crohn's disease and 1.6 (1.4-1.8) in ulcerative colitis. Although IBD is relatively rare, it has severe socioeconomic implications, because compared with other diseases, predominantly young age groups become disabled.

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Selected References

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  1. ACHESON E. D., NEFZGER M. D. Ulcerative colitis in the United States Army in 1944. Epidemiology: comparisons between patients and controls. Gastroenterology. 1963 Jan;44:7–19. [PubMed] [Google Scholar]
  2. Binder V., Both H., Hansen P. K., Hendriksen C., Kreiner S., Torp-Pedersen K. Incidence and prevalence of ulcerative colitis and Crohn's disease in the County of Copenhagen, 1962 to 1978. Gastroenterology. 1982 Sep;83(3):563–568. [PubMed] [Google Scholar]
  3. Brahme F., Lindström C., Wenckert A. Crohn's disease in a defined population. An epidemiological study of incidence, prevalence, mortality, and secular trends in the city of Malmö, Sweden. Gastroenterology. 1975 Aug;69(2):342–351. [PubMed] [Google Scholar]
  4. Brandes J. W., Lorenz-Meyer H. Epidemiologische Aspekte zur Enterocolitis regionalis Crohn und Colitis ulcerosa in Marburg/Lahn (FRG) zwischen 1962 und 1975. Z Gastroenterol. 1983 Feb;21(2):69–78. [PubMed] [Google Scholar]
  5. Calkins B. M., Lilienfeld A. M., Garland C. F., Mendeloff A. I. Trends in incidence rates of ulcerative colitis and Crohn's disease. Dig Dis Sci. 1984 Oct;29(10):913–920. doi: 10.1007/BF01312480. [DOI] [PubMed] [Google Scholar]
  6. Devlin H. B., Datta D., Dellipiani A. W. The incidence and prevalence of inflammatory bowel disease in North Tees Health District. World J Surg. 1980;4(2):183–193. doi: 10.1007/BF02393573. [DOI] [PubMed] [Google Scholar]
  7. Garland C. F., Lilienfeld A. M., Mendeloff A. I., Markowitz J. A., Terrell K. B., Garland F. C. Incidence rates of ulcerative colitis and Crohn's disease in fifteen areas of the United States. Gastroenterology. 1981 Dec;81(6):1115–1124. [PubMed] [Google Scholar]
  8. Gilat T., Ribak J., Benaroya Y., Zemishlany Z., Weissman I. Ulcerative colitis in the Jewish population of Tel-Aviv Jafo. I. Epidemiology. Gastroenterology. 1974 Mar;66(3):335–342. [PubMed] [Google Scholar]
  9. Gollop J. H., Phillips S. F., Melton L. J., 3rd, Zinsmeister A. R. Epidemiologic aspects of Crohn's disease: a population based study in Olmsted County, Minnesota, 1943-1982. Gut. 1988 Jan;29(1):49–56. doi: 10.1136/gut.29.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Jacobsohn W. Z., Levine Y. Incidence and prevalence of ulcerative colitis in the Jewish population of Jerusalem. Isr J Med Sci. 1986 Jul-Aug;22(7-8):559–563. [PubMed] [Google Scholar]
  11. Keighley A., Miller D. S., Hughes A. O., Langman M. J. The demographic and social characteristics of patients with Crohn's disease in the Nottingham area. Scand J Gastroenterol. 1976;11(3):293–296. [PubMed] [Google Scholar]
  12. Lee F. I., Costello F. T. Crohn's disease in Blackpool--incidence and prevalence 1968-80. Gut. 1985 Mar;26(3):274–278. doi: 10.1136/gut.26.3.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Morris T., Rhodes J. Incidence of ulcerative colitis in the Cardiff region 1968-1977. Gut. 1984 Aug;25(8):846–848. doi: 10.1136/gut.25.8.846. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Myren J., Gjone E., Hertzberg J. N., Rygvold O., Semb L. S., Fretheim B. Epidemiology of ulcerative colitis and regional enterocolitis (Crohn's disease) in Norway. Scand J Gastroenterol. 1971;6(6):511–514. doi: 10.3109/00365527109181666. [DOI] [PubMed] [Google Scholar]
  15. Nordenvall B., Broström O., Berglund M., Monsen U., Nordenström J., Sörstad J., Hellers G. Incidence of ulcerative colitis in Stockholm County 1955-1979. Scand J Gastroenterol. 1985 Sep;20(7):783–790. doi: 10.3109/00365528509088823. [DOI] [PubMed] [Google Scholar]
  16. Nyhlin H., Danielsson A. Incidence of Crohn's disease in a defined population in northern Sweden, 1974-1981. Scand J Gastroenterol. 1986 Dec;21(10):1185–1192. doi: 10.3109/00365528608996441. [DOI] [PubMed] [Google Scholar]
  17. Odes H. S., Fraser D., Krawiec J. Ulcerative colitis in the Jewish population of southern Israel 1961-1985: epidemiological and clinical study. Gut. 1987 Dec;28(12):1630–1636. doi: 10.1136/gut.28.12.1630. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Rogers B. H., Clark L. M., Kirsner J. B. The epidemiologic and demographic characteristics of inflammatory bowel disease: an analysis of a computerized file of 1400 patients. J Chronic Dis. 1971 Dec;24(12):743–773. doi: 10.1016/0021-9681(71)90087-7. [DOI] [PubMed] [Google Scholar]
  19. Rozen P., Zonis J., Yekutiel P., Gilat T. Crohn's disease in the Jewish population of Tel-Aviv-Yafo. Epidemiologic and clinical aspects. Gastroenterology. 1979 Jan;76(1):25–30. [PubMed] [Google Scholar]
  20. Sinclair T. S., Brunt P. W., Mowat N. A. Nonspecific proctocolitis in northeastern Scotland: a community study. Gastroenterology. 1983 Jul;85(1):1–11. [PubMed] [Google Scholar]
  21. Stonnington C. M., Phillips S. F., Melton L. J., 3rd, Zinsmeister A. R. Chronic ulcerative colitis: incidence and prevalence in a community. Gut. 1987 Apr;28(4):402–409. doi: 10.1136/gut.28.4.402. [DOI] [PMC free article] [PubMed] [Google Scholar]

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