1. Acute pancreatitis in akmola region according to emergency surgery

N.S. Igissin; S.A. Ayaganov; R.S. Moldagali; D.K. Turebaev; A.M. Jexenova; S.K. Muratbekova; K.R. Rustemova; G.S. Igissinova; Z.A. Bilyalova; Zh.B. Telmanova; A.G. Nugumanova

doi:10.35805/BSK2024III001

Authors

N.S. Igissin Research Institute of Life and Health Sciences, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan, Higher School of Medicine, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan, Central Asian Institute for Medical Research, Astana, Kazakhstan, Asian Pacific Organization for Cancer Prevention, Bishkek, Kyrgyz Republic https://orcid.org/0000-0002-2517-6315
S.A. Ayaganov Higher School of Medicine, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan https://orcid.org/0009-0003-6332-5232
R.S. Moldagali Kokshetau Higher Medical College, Kokshetau, Kazakhstan, Central Asian Institute for Medical Research, Astana, Kazakhstan https://orcid.org/0000-0003-4406-413X
D.K. Turebaev Astana Medical University, Astana, Kazakhstan, Central Asian Institute for Medical Research, Astana, Kazakhstan https://orcid.org/0000-0003-1557-3496
A.M. Jexenova Astana Medical University, Astana, Kazakhstan, Central Asian Institute for Medical Research, Astana, Kazakhstan https://orcid.org/0000-0001-9771-0882
S.K. Muratbekova Higher School of Medicine, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan https://orcid.org/0009-0001-1532-9584
K.R. Rustemova Astana Medical University, Astana, Kazakhstan, Central Asian Institute for Medical Research, Astana, Kazakhstan https://orcid.org/0009-0004-3222-3118
G.S. Igissinova Kazakh National Medical University named after S.D. Asfendiyarov, Almaty, Kazakhstan https://orcid.org/0000-0001-6881-2257
Z.A. Bilyalova Central Asian Institute for Medical Research, Astana, Kazakhstan, Asian Pacific Organization for Cancer Prevention, Bishkek, Kyrgyz Republic https://orcid.org/0000-0002-0066-235X
Zh.B. Telmanova Central Asian Institute for Medical Research, Astana, Kazakhstan https://orcid.org/0000-0002-2364-6520
A.G. Nugumanova Higher School of Medicine, Kokshetau University named after Sh. Ualikhanov, Kokshetau, Kazakhstan https://orcid.org/0009-0008-1594-0560

DOI:

https://doi.org/10.35805/BSK2024III001

Downloads

PDF

Abstract

Background: Acute pancreatitis is a major issue in surgical practice, with high complications and mortality rates. It severely affects patient quality of life and places a significant economic strain on healthcare systems, making its study crucial for public health. This study aims to analyze trends in acute pancreatitis incidence in the Akmola region from 2009 to 2022.

Materials and methods: The study is based on a retrospective analysis of data from the Ministry of Health of the Republic of Kazakhstan according to the International Classification of Diseases-10 code: K85. Methods of health statistics and time series analysis were used to assess the dynamics of morbidity.

Results: There was an increase in the total number of hospitalizations from 865 cases in 2009 to 1.061 in 2022. The percentage of surgical interventions decreased from 5.7% to 4.2%, while the share of conservative treatment increased to 95.8%. The mortality rate among operated patients was 20.4% in 2019 and increased to 33.3% in 2022. The incidence of hospitalization increased from 117.1 per 100000 population in 2009 to 144.6 per 100000 population in 2022, with a decrease in the rate of late visits from 42.6 to 36.1 per 100000 population, respectively.

Conclusion. The study highlights the need to improve medical approaches to acute pancreatitis in the Akmola region. The results indicate the critical importance of early diagnosis and timely hospitalization to reduce complications and mortality. Additional research is needed to develop more effective clinical protocols.

Keywords

acute pancreatitis, hospitalization, surgical intervention, conservative therapy, mortality, morbidity, late diagnosis, trends

References

Turkvatan A, Erden A, Turkoglu MA, Secil M, Yuce G. Imaging of acute pancreatitis and its complications. Part 2: complications of acute pan-creatitis. Diagn Interv Imaging. Feb 2015;96(2):161-9. doi:10.1016/j.diii.2013.12.018
Szatmary P, Grammatikopoulos T, Cai W, et al. Acute Pancreatitis: Di-agnosis and Treatment. Drugs. Aug 2022;82(12):1251-1276. doi:10.1007/s40265-022-01766-4
Ko YL, Wang JW, Hsu HM, Kao CH, Lin CY. What happened to health service utilization, health care ex-penditures, and quality of care in patients with acute pancreatitis after implementation of global budget-ing in Taiwan? Medicine (Baltimore). Oct 2018;97(41):e12620. doi:10.1097/MD.0000000000012620
Iannuzzi JP, King JA, Leong JH, et al. Global Incidence of Acute Pan-creatitis Is Increasing Over Time: A Systematic Review and Me-ta-Analysis. Gastroenterology. Jan 2022;162(1):122-134. doi:10.1053/j.gastro.2021.09.043
Aghdassi AA, Schneider A, Kahl M, et al. Analysis of lifestyle factors in pa-tients with concomitant chronic pan-creatitis and liver cirrhosis. Pancre-atology. Sep-Oct 2017;17(5):698-705. doi:10.1016/j.pan.2017.07.194
Acher AW, Weber SM, Pawlik TM. Does the Volume-Outcome Associa-tion in Pancreas Cancer Surgery Jus-tify Regionalization of Care? A Review of Current Controversies. Ann Surg Oncol. Feb 2022;29(2):1257-1268. doi:10.1245/s10434-021-10765-w
Song Y, Lee SH. Recent Treatment Strategies for Acute Pancreati-tis. J Clin Med. Feb 8 2024;13(4) doi:10.3390/jcm13040978
Bayot ML, Mirza TM, Sharma S. Acid Fast Bacteria. StatPearls. 2024
Sandhu VK, Jose DM, Feldman CH. Underserved Communities: En-hancing Care with Graduate Med-ical Education. Rheum Dis Clin North Am. Feb 2020;46(1):167-178. doi:10.1016/j.rdc.2019.09.009
Kan C, Liu N, Zhang K, et al. Glob-al, Regional, and National Burden of Pancreatic Cancer, 1990-2019: Re-sults from the Global Burden of Dis-ease Study
Collaborators GBDPC. The glob-al, regional, and national burden of pancreatic cancer and its attribut-able risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Dis-ease Study

Published

2024-09-30

Issue

No. 3 (2024)

Section

Статьи