Increased risk of severe acute pancreatitis in patients with diabetes
Article first published online: 7 OCT 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 11, pages 1419–1424, November 2012
How to Cite
Shen, H.-N., Chang, Y.-H., Chen, H.-F., Lu, C.-L. and Li, C.-Y. (2012), Increased risk of severe acute pancreatitis in patients with diabetes. Diabetic Medicine, 29: 1419–1424. doi: 10.1111/j.1464-5491.2012.03680.x
- Issue published online: 7 OCT 2012
- Article first published online: 7 OCT 2012
- Accepted manuscript online: 16 APR 2012 10:36AM EST
- Accepted 11 April 2012
Aims We prospectively assessed the age- and sex-specific incidence rates and relative risks of overall and severe acute pancreatitis in Taiwanese with diabetes.
Methods The study cohort included age- and-sex-matched groups of patients with (n = 547 554) and without (n = 584 373) diabetes. Incidence rate was estimated under Poisson assumption and relative risks of acute pancreatitis and severe acute pancreatitis, based on modified Atlanta criteria, were indicated by hazard ratios estimated from Cox proportional hazard regression models.
Results Over an 8-year follow-up period, the incidence of acute pancreatitis was 2.98 and 1.68 per 1000 person-years for patients with and without diabetes, respectively, representing a covariate adjusted hazard ratio of 1.53 (95% confidence interval 1.49–1.58). Diabetes was associated with a significantly elevated risk of acute pancreatitis in all sex and age stratifications, with the highest hazard ratio noted for study subjects aged < 45 years (men 2.37; women 2.95). Diabetes was also significantly associated with an increased hazard ratio of severe acute pancreatitis [1.46 (1.36–1.57)], and especially of acute pancreatitis with local complications [1.65 (1.14–2.39)].
Conclusions Diabetes is associated with an increased risk of overall and severe acute pancreatitis, and the relation is stronger in women and young patients.