Using a national cohort of prospective and retrospective data on pediatric inflammatory bowel diagnosis, (PIBD) a recent report indicates a rising incidence of PIBD in Scotland (Inflamm Bowel Dis 2012; 18: 999-1005).

Key findings:

• Between 2003-2008, 436 patients were diagnosed with PIBD; this equates to 7.82/100,000; Crohn’s was 4.75 and UC 2.06 per 100,000 respectively
• Between 1990-1995, 260 patients were diagnosed with PIBD; this equates to 4.45/100,000; Crohn’s was 2.86 and UC 1.59 per 100,000 respectively
• Mean age of diagnosis in more recent cohort was younger: 12.7 years compared with 11.9 years

Currently, a data-base coordinated in a single center along with collaboration with regional networks enables the capture of all new IBD diagnosis (since 1999).  Prior cohort was determined by “exhaustive examination” of previous IBD records.