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. 1987 Oct;28(10):1261–1266. doi: 10.1136/gut.28.10.1261

Prognosis of chronic ulcerative colitis in a community.

C M Stonnington 1, S F Phillips 1, A R Zinsmeister 1, L J Melton 3rd 1
PMCID: PMC1433453  PMID: 3678956

Abstract

Utilising the population based data resources of the Rochester Epidemiology Project, we estimated survival and risk of subsequent colon cancer in the 182 residents of Rochester, Minnesota, initially diagnosed with chronic ulcerative colitis (CUC) between 1985 and 1979. Twenty five (13.7%) had a proctocolectomy during the course of follow up. Three patients developed colorectal adenocarcinoma after the initial diagnosis of CUC (relative risk = 1.9, 95% CI 0.4-5.4). Excluding proctitis cases, the relative risk of cancer was 2.4 (95% CI 0.3-8.7). At last follow up, 37 (20.3%) were dead; only 10 patients had chronic ulcerative colitis mentioned on the death certificate. Overall survival was similar to that expected for the general population of like age and sex. Our results suggest that chronic ulcerative colitis in the community is typically a milder disease than would appear from hospital or referral centre series.

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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. Beart R. W., Melton L. J., 3rd, Maruta M., Dockerty M. B., Frydenberg H. B., O'Fallon W. M. Trends in right and left-sided colon cancer. Dis Colon Rectum. 1983 Jun;26(6):393–398. doi: 10.1007/BF02553382. [DOI] [PubMed] [Google Scholar]
  3. DAWSON I. M., PRYSE-DAVIES J. The development of carcinoma of the large intestine in ulcerative colitis. Br J Surg. 1959 Sep;47:113–128. doi: 10.1002/bjs.18004720202. [DOI] [PubMed] [Google Scholar]
  4. De Dombal F. T., Watts J. M., Watkinson G., Goligher J. C. Local complications of ulcerative colitis: stricture, pseudopolyposis, and carcinoma of colon and rectum. Br Med J. 1966 Jun 11;1(5501):1442–1447. doi: 10.1136/bmj.1.5501.1442. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gilat T. Incidence of inflammatory bowel disease: going up or down? Gastroenterology. 1983 Jul;85(1):196–197. [PubMed] [Google Scholar]
  6. Gilat T., Zemishlany Z., Ribak J., Bennaroya Y., Lilos P. Ulcerative colitis in the Jewish population of Tel-Aviv Uafo. II: The rarity of malignant degeneration. Gastroenterology. 1974 Nov;67(5):933–938. [PubMed] [Google Scholar]
  7. Greenstein A. J., Sachar D. B., Smith H., Janowitz H. D., Aufses A. H., Jr A comparison of cancer risk in Crohn's disease and ulcerative colitis. Cancer. 1981 Dec 15;48(12):2742–2745. doi: 10.1002/1097-0142(19811215)48:12<2742::aid-cncr2820481231>3.0.co;2-p. [DOI] [PubMed] [Google Scholar]
  8. Gyde S., Prior P., Dew M. J., Saunders V., Waterhouse J. A., Allan R. N. Mortality in ulcerative colitis. Gastroenterology. 1982 Jul;83(1 Pt 1):36–43. [PubMed] [Google Scholar]
  9. Hendriksen C., Kreiner S., Binder V. Long term prognosis in ulcerative colitis--based on results from a regional patient group from the county of Copenhagen. Gut. 1985 Feb;26(2):158–163. doi: 10.1136/gut.26.2.158. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Jalan K. N., Prescott R. J., Sircus W., Card W. I., McManus J. P., Falconer C. W., Small W. P., Smith A. N., Bruce J. An experience of ulcerative colitis. 3. Long term outcome. Gastroenterology. 1970 Oct;59(4):598–609. [PubMed] [Google Scholar]
  11. Kurland L. T., Molgaard C. A. The patient record in epidemiology. Sci Am. 1981 Oct;245(4):54–63. doi: 10.1038/scientificamerican1081-54. [DOI] [PubMed] [Google Scholar]
  12. Lennard-Jones J. E., Misiewicz J. J., Parrish J. A., Ritchie J. K., Swarbrick E. T., Williams C. B. Prospective study of outpatients with extensive colitis. Lancet. 1974 Jun 1;1(7866):1065–1067. doi: 10.1016/s0140-6736(74)90551-0. [DOI] [PubMed] [Google Scholar]
  13. Nugent F. W., Haggit R. C., Colcher H., Kutteruf G. C. Malignant potential of chronic ulcerative colitis. Preliminary report. Gastroenterology. 1979 Jan;76(1):1–5. [PubMed] [Google Scholar]
  14. Sackett D. L., Whelan G. Cancer risk in ulcerative colitis: scientific requirements for the study of prognosis. Gastroenterology. 1980 Jun;78(6):1632–1635. [PubMed] [Google Scholar]
  15. Sedlack R. E., Nobrega F. T., Kurland L. T., Sauer W. G. Inflammatory colon disease in Rochester, Minnesota, 1935-1964. Gastroenterology. 1972 May;62(5):935–941. [PubMed] [Google Scholar]
  16. 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]
  17. 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]
  18. Storgaard L., Bischoff N., Henriksen F. W., Fischerman K., Jarnum S. Survival rate in Crohn's disease and ulcerative colitis. Scand J Gastroenterol. 1979;14(2):225–230. doi: 10.3109/00365527909179874. [DOI] [PubMed] [Google Scholar]
  19. WIGLEY R. D., MACLAURIN B. P. A study of ulcerative colitis in New Zealand, showing a low incidence in Maoris. Br Med J. 1962 Jul 28;2(5299):228–231. doi: 10.1136/bmj.2.5299.228. [DOI] [PMC free article] [PubMed] [Google Scholar]

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