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Danish patients with chronic pancreatitis have a four-fold higher mortality rate than the Danish population
Camilla Nøjgaard1, Flemming Bendtsen, Ulrik Becker
1Department of Gastroenterology, Hvidovre Hospital, Copenhagen, Denmark. mille@dadlnet.dk
Insights
Patients with definite chronic pancreatitis (CP) face a 4-fold higher mortality rate than the general population. Non-employment and being underweight significantly impact survival in CP patients.
Area of Science:
- Gastroenterology
- Epidemiology
- Clinical Medicine
Background:
- Chronic pancreatitis (CP) is a significant health concern with potential impacts on patient survival.
- Understanding the mortality risks associated with CP is crucial for patient management and prognosis.
Purpose of the Study:
- To investigate the mortality rates of patients with chronic pancreatitis (CP) compared to the general Danish population.
- To identify clinical factors influencing prognosis and causes of death in CP patients.
Main Methods:
- Prospective study (Copenhagen Pancreatitis Study) of patients diagnosed with acute or chronic pancreatitis between 1977-1982.
- Follow-up data collected in 2008 from Danish Registries for a subcohort of 290 probable or definite CP patients.
Main Results:
- Definite CP patients exhibited a 4-fold higher mortality rate than the Danish population; probable CP patients had a 2-3 fold higher rate.
- Non-employment and underweight status were significantly associated with increased mortality in definite CP patients.
- Digestive diseases, malignancies, and cardiovascular diseases were the leading causes of death.
Conclusions:
- Danish patients with definite CP have substantially higher mortality than the general population and those with probable CP.
- Non-employment and underweight status are critical prognostic indicators for survival in chronic pancreatitis.
Background & Aims:
We investigated mortality of patients with chronic pancreatitis (CP), compared with the Danish population and sought to determine whether clinical presentations of CP can be used in prognosis. We also investigated clinical factors associated with mortality and causes of death among these patients.
Methods:
The Copenhagen Pancreatitis Study is a prospective study of patients admitted from 1977 to 1982 to the 5 main hospitals in Copenhagen with a diagnosis of acute pancreatitis or CP. In 2008, follow-up data were collected from these patients from the Danish Registries; this subcohort comprised 290 patients with probable (n = 41) or definite CP (n = 249).
Results:
The mortality of patients with definite CP was 4-fold that of the Danish population and significantly higher than that of patients with probable CP (P = .003; 95% confidence interval [CI], 1.21-2.57); patients with probable CP had a 2- to 3-fold higher mortality rate than the population. In patients with definite CP, factors significantly associated with mortality included non-employment (P = .015; 95% CI, 0.53-0.93), and being underweight (P = .020; 95% CI, 0.52-0.95). Sex, alcohol use, smoking, single versus co-living, exocrine insufficiency, diabetes, pancreatic calcification, CP inheritance, painless CP, acute exacerbation of CP, or surgery for CP had no impact on survival. The most frequent causes of death were digestive diseases (19.5%), malignancies (19.5%), and cardiovascular diseases (11.3%).
Conclusions:
Danish patients with definite CP had a 4-fold higher mortality rate compared with the background population and a higher mortality rate than patients with probable CP. Being nonemployed or underweight had significant impact on survival.
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