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International Journal of Colorectal Disease

, Volume 31, Issue 3, pp 669–673 | Cite as

Prevalence and recurrence rate of perianal abscess—a population-based study, Sweden 1997–2009

  • Karin AdamoEmail author
  • Gabriel Sandblom
  • Fredrik Brännström
  • Karin Strigård
Original Article

Abstract

Introduction

The aim of this study was to assess the impact of diabetes mellitus, Crohn’s disease, HIV/aids, and obesity on the prevalence and readmission rate of perianal abscess.

Methods

The study cohort was based on the Swedish National Patient Register and included all patients treated for perianal abscess in Sweden 1997–2009. The prevalence and risk for readmission were assessed in association with four comorbidity diagnoses: diabetes mellitus, Crohn’s disease, HIV, and/or AIDS and obesity.

Results

A total of 18,877 patients were admitted during the study period including 11,138 men and 4557 women (2.4:1). Crohn’s disease, diabetes, and obesity were associated with a significantly higher prevalence of perianal abscess than an age- and gender-matched background population (p < 0.05). In univariate analysis, neither age nor gender had any significant impact on the risk for readmission. In a multivariate Cox proportional hazard analysis, Crohns disease was the only significant risk factor for readmission of perianal abscess.

Conclusion

Crohn’s disease, diabetes, and obesity increase the risk for perianal abscess. Of these, Crohn’s and HIV has an impact on readmission. The pathogenesis and the influence of diabetes and obesity need further research if we are to understand why these diseases increase the risk for perianal abscess but not its recurrence.

Keywords

Perianal abscess Prevalence Readmission Sweden Risk factor 

Notes

Acknowledgments

The study was supported by a grant from the Olle Engqvist Research Foundation.

Author’s contribution

Karin Strigård and Karin Adamo contributed to the conception, design, and interpretation of data. Fredrik Brännström and Gabriel Sandblom contributed to the acquisition, analysis, and interpretation of data.

Compliance with ethical standards

Ethical standards

The manuscript does not contain clinical studies or patient data. The study was approved by the ethics review board of Stockholm, Sweden, 2009/1787-31.

Conflict of interest

The authors declare that they have no competing interests.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Karin Adamo
    • 1
    Email author
  • Gabriel Sandblom
    • 2
  • Fredrik Brännström
    • 1
  • Karin Strigård
    • 1
  1. 1.Department of Surgical and Perioperative ScienceUmeå UniversityUmeåSweden
  2. 2.Department of Clinical Science, Intervention and TechnologyKarolinska InstituteStockholmSweden

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