Title: Changing Trends in the Epidemiology of Pancreatitis in Rural Population: Study at a Tertiary Health Care Centre
Authors: Shivani Battin, Dr Ninad Gadekar, Dr Gund
DOI: https://dx.doi.org/10.18535/jmscr/v5i2.120
Abstract
Introduction: Worldwide, over the last decade, yearly incidence of pancreatitis and related hospitalizations have increased [1]. Acute pancreatitis is the most common cause of GI related hospitalizations in the world, with more than 274,000 hospitalizations in 2012[1].The yearly incidence of AP in the United States is approximately 70-80 new cases per 100,000 population [2] and has increased over the last decade. Chronic pancreatitis, although lower in incidence, significantly reduces the patients’ quality of life. According to the data presented by the Department of the Welfare in 2005 [3], the rate of patients discharged for chronic pancreatitis is 32.9/100,000 hospitalized patients. True incidence and prevalence of pancreatitis in India is unknown since, it being difficult to establish an accurate diagnosis, a number of cases are misdiagnosed or are not recorded or reported. Nevertheless, in 2004, a high prevalence of chronic pancreatitis in Southern India (114-200/100,000 population) was registered in a study of chronic pancreatitis in the Asia-Pacific region [4].
Material and Method: A retrospective cross-sectional, non-interventional, analytical hospital based study on the proven cases of pancreatitis admitted and treated in Vikhe Patil Hospital, a tertiary level health care centre was conducted. A specific period of 6 months from November 2014 to April 2015 formed the sample under study. The study was started after the approval from the Institutional Ethics Committee by collecting the medical records of the said cases from the Medical Records Department. These records included the history, clinical profile, biochemical and radiological reports, treatments administered, complications and final outcome of the respective cases. The data available in these records was organised and analysed.
Results: Results were analysed based on the following parameters: 1. Demographic data, 2. Etiological factors, 3. Clinical presentation with reference to diagnosis, 4. Investigations, 5. Treatment and final outcome, 6.Complications.
On analysis of the results, this study reaffirms that alcohol is the major factor associated with pancreatitis in the rural population of Maharashtra in India.
Conclusion: The incidence and epidemiology of pancreatitis in Indian settings in under-studied. This report presents the relevant observations noted at a tertiary health care centre comparing them with the available international studies. Here, a hospital based cross-sectional analytical study about the changing epidemiological and clinical pattern of pancreatitis was undertaken. This study comprised of a relatively small sample size which is a great limitation for arriving at definite conclusions; for this, further studies are required both epidemiological and clinical.
Keywords: Changing trends, Pancreatitis, Rural population, Tertiary health care centre.
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