Original ResearchFull Report: Clinical—Alimentary TractBurden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States
Section snippets
Methods
We compiled the most recently available statistics from several publicly available databases. We used material available in the public domain or limited datasets with no direct patient identifiers. The methods used to collect the data from the source databases are detailed here.
Symptoms and Diagnoses Across Ambulatory Settings
The leading GI symptoms prompting a visit in 2010 are shown in Table 1. Abdominal pain was responsible for >27 million total visits, followed by diarrhea, vomiting, nausea, and bleeding. Constipation and anorectal symptoms accounted for 3.0 million and 2.6 million visits, respectively.
Abdominal pain is also the most frequent diagnosis (Table 2) with nearly 17 million annual visits. There were >7 million visits with gastroesophageal reflux disease and reflux esophagitis. Hemorrhoids accounted
Discussion
We have compiled the most recently available statistics from several complementary national databases to create a complete and accurate report detailing the current state of GI, liver, and pancreatic morbidity, mortality, and cost in adults in the United States. These diseases account for substantial utilization of health care resources and costs in the United States. This report demonstrates several trends in the data worthy of highlighting.
The US population is growing older.11 This
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This article has an accompanying continuing medical education activity on page e13. Learning Objective: Upon completion of this test, successful learners will be able to cite several current gastrointestinal disease statistics.
Conflicts of interest The authors disclose no conflicts.
Funding This research was supported in part by the National Center for Advancing Translational Sciences, National Institutes of Health, 1KL2TR001109 and a grant from the National Institutes of Health, T32 DK07634.