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Table 1 Reported incidences of peptic ulcer complications (cases per 100000 inhabitants per year).

From: Decreasing incidence of peptic ulcer complications after the introduction of the proton pump inhibitors, a study of the Swedish population from 1974–2002

Country (ref)

Period

Reported incidences

 

Comment

Studied variable

  

perforation

Bleeding

  

Norway (18)

1935–1990

About 10

 

Report birth cohort specific risks for perforation

Admittance rates

USA (44)

1956–1985

10-5

7-4

Relatively stable incidence of emergency operations for PUC

Emergency operations

England and

Wales (13)

1958–1962

1979–1982

  

Increasing incidence of PUC* and NSAID use in elderly ♀

National register

Scotland (13)

1958–1962

1979–1982

  

Increasing incidence of PUC* and NSAID use in elderly ♀

National register

USA (45)

1974–1976

1984-1984

No rate per 100000 inhab

No rate per 100000 inhab

13% increase in perforations and 7% increase in bleedings after H2-rec blocker introduction

Cases operated

Poland (11)

1977–1996

No rate per 100000 inhab

 

Constant number/year, increasing % elderly women, increasing mean age

Cases operated

Hong-Kong (19)

1979–1985

14–18

  

Operating room

logbooks

New South Wales (19)

1979–1985

3–4

  

Diagnosis reported to dept of heath

Finland (12,46)

1972–1987

1987–1999

4–5

5–7

3–4

Increasingly more ♀, increasing mean age

Cases operated, national register

Sweden (1)

1974–92

2–11

 

Significant decrease in incidence

Patients records

Denmark (20)

1974–1984

4–10

5–10

No significant difference before/after H2-receptor blockers

Cases operated

Finland (17)

1977–1989

2–8

3–9

No significant difference before/after H2-receptor blockers

Cases operated

Finland (15)

1979-85-00

3-6-4

 

No significant difference before/after H2-receptor blockers or PPI

Patients records

UK (10)

1989–99

♂ 10–11

♀ 7-7

27–31

14–16

 

Admittance rates

UK (47)

1996–98

♂ 5

♀ 4

 

Only duodenal perforations, increasing mean age in ♀

Patients records

Germany (23)

1989–90

1999-00

 

51

49

Patients older and more NSAID use in the later period

Prospective

  1. *PUC = peptic ulcer complications