The mortality from liver cirrhosis in Iceland is the lowest in the Western world.
To study the epidemiology of liver cirrhosis mortality and morbidity in Iceland and to obtain a reliable separation between alcoholic cirrhosis (AC) and non-alcoholic cirrhosis (NAC) by using multiple data sources.
The study included the whole population of Iceland.
Mortality was studied through death certificate data for the period 1951-90 and morbidity (clinical incidence) through hospital, autopsy and biopsy records for the period 1971-90.
The average mortality for AC in age group 20 years and older was 8.6 and for NAC 19.2 per 10h/year and the average clinical incidence was 22.1 per 106/year for AC and 25.9 per 106/year for NAC.
In the morbidity study 44% of cases were due to AC.
In the mortality study 24% of cases were due to AC but the data suggested an underreporting of AC for males at a rate of 30%. There was a significant decrease in AC mortality with time but no change in NAC.
Average alcohol consumption of inhabitants aged over 15 years increased from 2.1 to 4.9 litres per year (130%) during the period 1951-90.
The incidence of cirrhosis in Iceland is very low for both AC and NAC, accounting for only 0.2% of total deaths.
The reasons are unknown.
The low incidence of AC in Iceland is probably partly due to low alcohol consumption. (...)
Mots-clés Pascal : Cirrhose, Foie, Incidence, Etiologie, Morbidité, Evolution, Mortalité, Epidémiologie, Homme, Islande, Iles Atlantiques, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Cirrhosis, Liver, Incidence, Etiology, Morbidity, Evolution, Mortality, Epidemiology, Human, Iceland, Atlantic Ocean Islands, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0166440
Code Inist : 002B13C03. Création : 21/05/1997.