Briefly noted: NE Burr et al. Clin Gastroenterol Hepatol 2019; 17: 2042-49.
In a retrospective cohort (1994-2013) using a primary care database from England, the authors identified decreasing risk of surgeries with Crohn’s diseae (CD).
- From 1994-2003, the risk of first surgery dropped from 44% to 21%.
- The risk of a second resection dropped as well, from 40% in 1994 to 17% in 2003 (with 10-year followup)
The reasons for this reduction are not certain but could include better clinical care or reduction in other risk factors (like smoking).