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. 2017 Feb;9(2):117-123.
doi: 10.14740/jocmr2847w. Epub 2016 Dec 31.

Symptomatic Gallstones in the Young: Changing Trends of the Gallstone Disease-Related Hospitalization in the State of New York: 1996 - 2010

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Symptomatic Gallstones in the Young: Changing Trends of the Gallstone Disease-Related Hospitalization in the State of New York: 1996 - 2010

Sridhar Chilimuri et al. J Clin Med Res. 2017 Feb.

Abstract

Background: The aim of the study was to evaluate if the gallstone-related hospitalizations in the young (< 20 years of age) have increased over time in both the Bronx County and New York State as a whole.

Methods: We retrospectively reviewed 15 years (1996 - 2010) of Statewide Planning and Research Cooperative System (SPARCS) data of New York State Department of Health. Patients with ICD-9 code diagnosis of 574 (cholelithiasis) among the first three discharge diagnoses were reviewed.

Results: Total number of all cause admissions to hospitals had increased from 2.44 million to 2.77 million (1996 - 2010). However, gallstone-related hospitalizations had decreased from 1.7% to 1.2%. It was noted that there was a 30% increment in the proportion of those below 20 years of age with gallstone disease requiring hospitalization over the same period. This young patient population contributed only 2.04% to all gallstone-related hospitalizations in 1996, whereas it had increased to 2.96% in 2010. This trend was more pronounced in women, Hispanics and in those who were residing in the Bronx County as compared to all other New York counties combined.

Conclusion: The gallstone-related hospitalizations in the young (< 20 years of age) have increased over time in both the Bronx County and New York State as a whole. This could be due to increasing prevalence of risk factors such as obesity, physical inactivity, diabetes and early pregnancy.

Keywords: Changing trends of the gallstone disease; Gallstone and teenage pregnancy; Gallstone in young; Gallstone trend in Bronx; Teenage obesity and gallstone.

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Figures

Figure 1
Figure 1
Age distribution in patients under the age of 20 years with gallstones (GSU20).
Figure 2
Figure 2
The decreasing proportion of the young among the all-cause hospitalizations in most of NY counties.
Figure 3
Figure 3
The increasing incidence of gallstone disease in the young (< 20 years), with consistently highest incidence in Bronx County.
Figure 4
Figure 4
Estimated marginal means of percentage of patients with under the age of 20 years with gallstones for Bronx County versus other counties according to year graph.
Figure 5
Figure 5
Scatter plot of percentages of people under 20 years of age according to county group of Bronx County vs. other counties according to year of study.

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