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Challenges in designing a national surveillance program for inflammatory bowel disease in the United States

  • Millie D. Long
  • , Susan Hutfless
  • , Michael D. Kappelman
  • , Hamed Khalili
  • , Gilaad G. Kaplan
  • , Charles N. Bernstein
  • , Jean Frederic Colombel
  • , Corinne Gower-Rousseau
  • , Lisa Herrinton
  • , Fernando Velayos
  • , Edward V. Loftus
  • , Geoffrey C. Nguyen
  • , Ashwin N. Ananthakrishnan
  • , Amnon Sonnenberg
  • , Andrew Chan
  • , Robert S. Sandler
  • , Ashish Atreja
  • , Samir A. Shah
  • , Kenneth J. Rothman
  • , Neal S. Leleiko
  • Renee Bright, Paolo Boffetta, Kelly D. Myers, Bruce E. Sands
  • University of North Carolina at Chapel Hill
  • Johns Hopkins University
  • Massachusetts General Hospital
  • University of Calgary
  • University of Manitoba
  • Icahn School of Medicine at Mount Sinai
  • Université de Lille
  • Kaiser Permanente
  • University of California at San Francisco
  • Mayo Clinic Rochester, MN
  • University of Toronto
  • Portland VA Medical Center
  • RTI International
  • Boston University
  • Brown University
  • QForma, Inc.

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations

Abstract

This review describes the history of U.S. government funding for surveillance programs in inflammatory bowel diseases (IBD), provides current estimates of the incidence and prevalence of IBD in the United States, and enumerates a number of challenges faced by current and future IBD surveillance programs. A rationale for expanding the focus of IBD surveillance beyond counts of incidence and prevalence, to provide a greater understanding of the burden of IBD, disease etiology, and pathogenesis, is provided. Lessons learned from other countries are summarized, in addition to potential resources that may be used to optimize a new form of IBD surveillance in the United States. A consensus recommendation on the goals and available resources for a new model for disease surveillance are provided. This new model should focus on "surveillance of the burden of disease," including (1) natural history of disease and (2) outcomes and complications of the disease and/or treatments.

Original languageEnglish
Pages (from-to)398-415
Number of pages18
JournalInflammatory Bowel Diseases
Volume20
Issue number2
DOIs
StatePublished - Feb 2014

Keywords

  • Clinical areas
  • Epidemiology
  • Outcomes research/measurements

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