1. Inicio
  2. Publicaciones
  3. Phenotypic concordance in familial inflammatory bowel disease (IBD). Results of a nationwide IBD Spanish database

Phenotypic concordance in familial inflammatory bowel disease (IBD). Results of a nationwide IBD Spanish database

Fecha de publicación:

Autores de IIS La Fe

Participantes ajenos a IIS La Fe

  • Cabré E
  • Mañosa M
  • García-Sánchez V
  • Gutiérrez A
  • Ricart E
  • Esteve M
  • Guardiola J
  • Merino O
  • Ponferrada A
  • Gisbert JP
  • Garcia-Planella E
  • Ceña G
  • Cabriada JL
  • Montoro M
  • Domènech E
  • ENEIDA Project of the Spanish Working Group in Crohn's Disease and Ulcerative Co

Grupos

Abstract

Background & aims: Disease outcome has been found to be poorer in familial inflammatory bowel disease (IBD) than in sporadic forms, but assessment of phenotypic concordance in familial IBD provided controversial results. We assessed the concordance for disease type and phenotypic features in IBD families. Methods: Patients with familial IBD were identified from the IBD Spanish database ENEIDA. Families in whom at least two members were in the database were selected for concordance analysis (K index). Concordance for type of IBD [Crohn's disease (CD) vs. ulcerative colitis (UC)], as well as for disease extent, localization and behaviour, perianal disease, extraintestinal manifestations, and indicators of severe disease (i.e., need for immunosuppressors, biological agents, and surgery) for those pairs concordant for IBD type, were analyzed. Results: 798 out of 11,905 IBD patients (7%) in ENEIDA had familial history of IBD. Complete data of 107 families (231 patients and 144 consanguineous pairs) were available for concordance analyses. The youngest members of the pairs were diagnosed with IBD at a significantly younger age (p < 0.001) than the oldest ones. Seventy-six percent of pairs matched up for the IBD type (kappa = 0.58; 95%CI: 0.42-0.73, moderate concordance). There was no relevant concordance for any of the phenotypic items assessed in both diseases. Conclusions: Familial IBD is associated with diagnostic anticipation in younger individuals. Familial history does not allow predicting any phenotypic feature other than IBD type. (C) 2013 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

Datos de la publicación

ISSN/ISSNe:
1873-9946, 1876-4479

JOURNAL OF CROHNS & COLITIS  OXFORD UNIV PRESS

Tipo:
Article
Páginas:
654-661
PubMed:
24388046
Factor de Impacto:
1,676 SCImago ℠
Cuartil:
Q1 SCImago ℠

Citas Recibidas en Web of Science: 18

Documentos

  • No hay documentos

Métricas

Filiaciones mostrar / ocultar

Keywords

  • Inflammatory bowel disease; Crohn's disease; Ulcerative colitis; Familial aggregation

Campos de Estudio

Cita

Compartir