Abstract
Objective: Because large-scale reports of PSC in the Mediterranean area are still lacking, in this study we evaluated by Kaplan-Meyer analysis the natural history of primary sclerosing cholangitis (PSC) in Italy and by means of other statistical methods we identified the variables most useful in predicting survival of such patients. Design: Retrospective multicentre study of unselected patients with PSC. Several variables involving sex, age, associated diseases, clinical features, laboratory, cholangiographic and histological findings at presentation and clinical outcome at data recording were collected by means of a detailed questionnaire. Setting: 16 Italian university and regional hospitals all over the country, thus giving a geographically representative population. Patients: A total of 117 PSC patients (73 men and 44 women); median age 35 years. Methods: Survival analysis was performed by the Kaplan-Meyer method; the prognostic influence on survival of collected data was evaluated by univariate χ2 analysis with Wilcoxon and log-rank tests. The same prognostic variables were also evaluated by multivariate analysis (Cox model), using a stepwise regression procedure. All statistical analyses were performed using the SAS statistical software. Results: At presentation 70% of patients were symptomatic; symptoms did not relate to liver histology. Both intra- and extrahepatic bile duct lesions were detected in 46% of patients at cholangiography. Inflammatory bowel disease was found in 54% of symptomatic patients, ulcerative colitis was 36% of total. Clinical outcome (91/117): 15 underwent liver transplantation or died from liver disease (cholangiocarcinoma). Survival at 10 years was 74%. Features of poor prognosis were cholesterol, aspartate aminotransferase (AST), haemoglobin and albumin. Conclusion: PSC in Italy mainly follows a benign course and among clinical features recorded at presentation, serum cholesterol, AST, haemoglobin and albumin may provide some objective criteria to assess disease severity.
| Original language | English |
|---|---|
| Pages (from-to) | 685-691 |
| Number of pages | 7 |
| Journal | European Journal of Gastroenterology and Hepatology |
| Volume | 8 |
| Issue number | 7 |
| Publication status | Published - 1996 |
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Keywords
- Chronic cholestasis
- Chronic ulcerative colitis
- Inflammatory bowel disease
- Natural history
- Primary sclerosing cholangitis
- Prognostic variables
ASJC Scopus subject areas
- Gastroenterology
Cite this
Primary sclerosing cholangitis : Clinical presentation, natural history and prognostic variables: An Italian multicentre study. / Okolicsanyi, Lajos; Fabris, Luca; Viaggi, Stefano; Carulli, Nicola; Podda, Mauro; Ricci, Giovanni.
In: European Journal of Gastroenterology and Hepatology, Vol. 8, No. 7, 1996, p. 685-691.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Primary sclerosing cholangitis
T2 - Clinical presentation, natural history and prognostic variables: An Italian multicentre study
AU - Okolicsanyi, Lajos
AU - Fabris, Luca
AU - Viaggi, Stefano
AU - Carulli, Nicola
AU - Podda, Mauro
AU - Ricci, Giovanni
PY - 1996
Y1 - 1996
N2 - Objective: Because large-scale reports of PSC in the Mediterranean area are still lacking, in this study we evaluated by Kaplan-Meyer analysis the natural history of primary sclerosing cholangitis (PSC) in Italy and by means of other statistical methods we identified the variables most useful in predicting survival of such patients. Design: Retrospective multicentre study of unselected patients with PSC. Several variables involving sex, age, associated diseases, clinical features, laboratory, cholangiographic and histological findings at presentation and clinical outcome at data recording were collected by means of a detailed questionnaire. Setting: 16 Italian university and regional hospitals all over the country, thus giving a geographically representative population. Patients: A total of 117 PSC patients (73 men and 44 women); median age 35 years. Methods: Survival analysis was performed by the Kaplan-Meyer method; the prognostic influence on survival of collected data was evaluated by univariate χ2 analysis with Wilcoxon and log-rank tests. The same prognostic variables were also evaluated by multivariate analysis (Cox model), using a stepwise regression procedure. All statistical analyses were performed using the SAS statistical software. Results: At presentation 70% of patients were symptomatic; symptoms did not relate to liver histology. Both intra- and extrahepatic bile duct lesions were detected in 46% of patients at cholangiography. Inflammatory bowel disease was found in 54% of symptomatic patients, ulcerative colitis was 36% of total. Clinical outcome (91/117): 15 underwent liver transplantation or died from liver disease (cholangiocarcinoma). Survival at 10 years was 74%. Features of poor prognosis were cholesterol, aspartate aminotransferase (AST), haemoglobin and albumin. Conclusion: PSC in Italy mainly follows a benign course and among clinical features recorded at presentation, serum cholesterol, AST, haemoglobin and albumin may provide some objective criteria to assess disease severity.
AB - Objective: Because large-scale reports of PSC in the Mediterranean area are still lacking, in this study we evaluated by Kaplan-Meyer analysis the natural history of primary sclerosing cholangitis (PSC) in Italy and by means of other statistical methods we identified the variables most useful in predicting survival of such patients. Design: Retrospective multicentre study of unselected patients with PSC. Several variables involving sex, age, associated diseases, clinical features, laboratory, cholangiographic and histological findings at presentation and clinical outcome at data recording were collected by means of a detailed questionnaire. Setting: 16 Italian university and regional hospitals all over the country, thus giving a geographically representative population. Patients: A total of 117 PSC patients (73 men and 44 women); median age 35 years. Methods: Survival analysis was performed by the Kaplan-Meyer method; the prognostic influence on survival of collected data was evaluated by univariate χ2 analysis with Wilcoxon and log-rank tests. The same prognostic variables were also evaluated by multivariate analysis (Cox model), using a stepwise regression procedure. All statistical analyses were performed using the SAS statistical software. Results: At presentation 70% of patients were symptomatic; symptoms did not relate to liver histology. Both intra- and extrahepatic bile duct lesions were detected in 46% of patients at cholangiography. Inflammatory bowel disease was found in 54% of symptomatic patients, ulcerative colitis was 36% of total. Clinical outcome (91/117): 15 underwent liver transplantation or died from liver disease (cholangiocarcinoma). Survival at 10 years was 74%. Features of poor prognosis were cholesterol, aspartate aminotransferase (AST), haemoglobin and albumin. Conclusion: PSC in Italy mainly follows a benign course and among clinical features recorded at presentation, serum cholesterol, AST, haemoglobin and albumin may provide some objective criteria to assess disease severity.
KW - Chronic cholestasis
KW - Chronic ulcerative colitis
KW - Inflammatory bowel disease
KW - Natural history
KW - Primary sclerosing cholangitis
KW - Prognostic variables
UR - http://www.scopus.com/inward/record.url?scp=0030014102&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030014102&partnerID=8YFLogxK
M3 - Article
C2 - 8853259
AN - SCOPUS:0030014102
VL - 8
SP - 685
EP - 691
JO - European Journal of Gastroenterology and Hepatology
JF - European Journal of Gastroenterology and Hepatology
SN - 0954-691X
IS - 7
ER -