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Seasonal clustering in inflammatory bowel disease: a single centre experience

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dc.contributor.authorBasaranoglu, METİN
dc.contributor.authorSAYILIR, Abdurrahim
dc.contributor.authorDEMIRBAG, Ali E.
dc.contributor.authorMathew, Sanju
dc.contributor.authorALA, Aftab
dc.contributor.authorSenturk, HAKAN
dc.contributor.institutionauthorBAŞARANOĞLU, METİN
dc.contributor.institutionauthorŞENTÜRK, HAKAN
dc.date.accessioned2019-10-05T14:23:09Z
dc.date.available2019-10-05T14:23:09Z
dc.date.issued2015-06-01
dc.description.abstractBackgrounds and aims: External stimuli are considered as possible triggers for the onset of inflammatory bowel disease (IBD), and particularly chronic ulcerative colitis (CUC) in genetically susceptible individuals. Our aims were to investigate monthly clustering-patterns in the onset of symptoms and diagnosis of IBD, as well as health seeking behavior in those individuals. Materials and methods: Two hundred and eighty-two consecutive patients with IBD were included. Onset of symptoms (month) and delay to diagnosis were analyzed. Kruskal-Wallis and Roger-s test were used to analyze for statistical patterns in seasonal clustering. Results: There were 181 males and 101 females with IBD; mean age: 40 +/- 14.7 years (median: 38, range: 14-79 years). The peak number of IBD cases was seen in winter/early spring, with the lowest numbers in autumn, which reached statistical significance in the CUC group (p: 0.029). Seasonal changes were not significantly affected by gender. The time delay to diagnosis from symptom onset was 3.0 +/- 2.3 months in males (median: 2, range: 0-12 months) vs 3.2 +/- 3.2 months (median: 2, range: 0-18 months) in females (not statistically significant). Conclusion: Our results show a seasonal relation in IBD cases, particularly in CUC, which may suggest external stimuli acting as a precipitant to IBD in susceptible individuals. There was a delay between symptom onset and CUC diagnosis, which was not felt to be clinically significant.
dc.identifier10.3748/wjg.v17.i17.2172
dc.identifier.citationBasaranoglu M., SAYILIR A., DEMIRBAG A. E. , Mathew S., ALA A., Senturk H., -Seasonal clustering in inflammatory bowel disease: a single centre experience-, EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY, cilt.9, ss.877-881, 2015
dc.identifier.pubmed25790731
dc.identifier.urihttps://hdl.handle.net/20.500.12645/3733
dc.language.isoen
dc.titleSeasonal clustering in inflammatory bowel disease: a single centre experience
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameWORLD JOURNAL OF GASTROENTEROLOGY
local.avesis.id5a6bd5b7-551b-43d7-821e-b80d529d7db9
local.avesis.response3603
relation.isAuthorOfPublication8a7b20a3-6e3e-4a44-acbf-16854071f233
relation.isAuthorOfPublication278fcf63-3b92-4368-bff6-f140ebd9aeb3
relation.isAuthorOfPublication.latestForDiscovery278fcf63-3b92-4368-bff6-f140ebd9aeb3
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