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P645. A 10 year review of the death rate and cause of death of IBD patients

Background

There is growing data supporting the increased risk of colo-rectal cancer in patients with inflammatory bowel disease but little about the overall mortality and cause of death of patients with IBD. In a large Scandinavian study the mortality rate for IBD patients was found to be higher than that seen in the general poulation. The mortality rate for Crohn's patients was found to be 50% higher than that of the general population whilst UC patients had a mortality rate 10% higher than the general population. Over the last decade improvements have been made to reduce mortality from colorectal cancer, gastrointestinal disorders and suicide.

Methods

A database of all known local IBD patients was established after retrospectively reviewing 37,000 colonoscopy and flexible sigmoidoscopy reports performed at the Luton & Dunstable University Hospital between 2001 and 2011.

Histological assessment was then used to cross correlate all patients diagnosed with colitis. The hospital coding deaths within the cohort over the time period, and the cause of death as listed by the hospital record system.

Results

In total 2640 patients with IBD were identified and 186 (7%

Conclusion

) of these died between 2001 and 2011. The average age at death was 80 years. The cause of death ranged considerable. Sixty of the 186 deaths (32%
  • Written by:

    M. Johnson1, K. Lithgo1, T. Price2, T. Prouse3, 1Luton & Dunstable University Hospital foundation trust NHS, Gastroenterology, Luton, United Kingdom, 2The Luton & Dunstable University Hospital Foundation Trust NHS, Gastroenterology, Luton, United Kingdom, 3Luton & Dunstable University Hospital foundation trust NHS, Information technology, Luton, United Kingdom