Search tips
Search criteria 


Logo of gutGutView this articleSubmit a manuscriptReceive email alertsContact usBMJ
Gut. 1989 March; 30(3): 367–370.
PMCID: PMC1378460

Disability from inflammatory bowel disease among employees in West Germany.


The statistics of the German social security system were used to analyse the epidemiology of inflammatory bowel disease (IBD) in Germany and to assess its impact on disability. Patients granted disability pension for IBD were compared with a control group of patients disabled from other causes. Crohn's disease and ulcerative colitis led to disability in significantly younger patients than other diseases. Disability from Crohn's disease was 2.0-fold more common in women than men (95% confidence interval: 1.8-2.3), while disability from ulcerative colitis was similar in both sexes. White collar employees were affected by both diseases more frequently than blue collar employees, the ratio being 1.3 (1.2-1.5) in Crohn's disease and 1.6 (1.4-1.8) in ulcerative colitis. Although IBD is relatively rare, it has severe socioeconomic implications, because compared with other diseases, predominantly young age groups become disabled.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (465K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Garland CF, Lilienfeld AM, Mendeloff AI, Markowitz JA, Terrell KB, Garland FC. Incidence rates of ulcerative colitis and Crohn's disease in fifteen areas of the United States. Gastroenterology. 1981 Dec;81(6):1115–1124. [PubMed]
  • Calkins BM, Lilienfeld AM, Garland CF, Mendeloff AI. Trends in incidence rates of ulcerative colitis and Crohn's disease. Dig Dis Sci. 1984 Oct;29(10):913–920. [PubMed]
  • Stonnington CM, Phillips SF, Melton LJ, 3rd, Zinsmeister AR. Chronic ulcerative colitis: incidence and prevalence in a community. Gut. 1987 Apr;28(4):402–409. [PMC free article] [PubMed]
  • Gollop JH, Phillips SF, Melton LJ, 3rd, Zinsmeister AR. Epidemiologic aspects of Crohn's disease: a population based study in Olmsted County, Minnesota, 1943-1982. Gut. 1988 Jan;29(1):49–56. [PMC free article] [PubMed]
  • Devlin HB, Datta D, Dellipiani AW. The incidence and prevalence of inflammatory bowel disease in North Tees Health District. World J Surg. 1980;4(2):183–193. [PubMed]
  • Sinclair TS, Brunt PW, Mowat NA. Nonspecific proctocolitis in northeastern Scotland: a community study. Gastroenterology. 1983 Jul;85(1):1–11. [PubMed]
  • Morris T, Rhodes J. Incidence of ulcerative colitis in the Cardiff region 1968-1977. Gut. 1984 Aug;25(8):846–848. [PMC free article] [PubMed]
  • Lee FI, Costello FT. Crohn's disease in Blackpool--incidence and prevalence 1968-80. Gut. 1985 Mar;26(3):274–278. [PMC free article] [PubMed]
  • Gilat T, Ribak J, Benaroya Y, Zemishlany Z, Weissman I. Ulcerative colitis in the Jewish population of Tel-Aviv Jafo. I. Epidemiology. Gastroenterology. 1974 Mar;66(3):335–342. [PubMed]
  • Rozen P, Zonis J, Yekutiel P, Gilat T. Crohn's disease in the Jewish population of Tel-Aviv-Yafo. Epidemiologic and clinical aspects. Gastroenterology. 1979 Jan;76(1):25–30. [PubMed]
  • Jacobsohn WZ, Levine Y. Incidence and prevalence of ulcerative colitis in the Jewish population of Jerusalem. Isr J Med Sci. 1986 Jul-Aug;22(7-8):559–563. [PubMed]
  • Odes HS, Fraser D, Krawiec J. Ulcerative colitis in the Jewish population of southern Israel 1961-1985: epidemiological and clinical study. Gut. 1987 Dec;28(12):1630–1636. [PMC free article] [PubMed]
  • Myren J, Gjone E, Hertzberg JN, Rygvold O, Semb LS, Fretheim B. Epidemiology of ulcerative colitis and regional enterocolitis (Crohn's disease) in Norway. Scand J Gastroenterol. 1971;6(6):511–514. [PubMed]
  • Brahme F, Lindström C, Wenckert A. Crohn's disease in a defined population. An epidemiological study of incidence, prevalence, mortality, and secular trends in the city of Malmö, Sweden. Gastroenterology. 1975 Aug;69(2):342–351. [PubMed]
  • Binder V, Both H, Hansen PK, Hendriksen C, Kreiner S, Torp-Pedersen K. Incidence and prevalence of ulcerative colitis and Crohn's disease in the County of Copenhagen, 1962 to 1978. Gastroenterology. 1982 Sep;83(3):563–568. [PubMed]
  • Nordenvall B, Broström O, Berglund M, Monsen U, Nordenström J, Sörstad J, Hellers G. Incidence of ulcerative colitis in Stockholm County 1955-1979. Scand J Gastroenterol. 1985 Sep;20(7):783–790. [PubMed]
  • Nyhlin H, Danielsson A. Incidence of Crohn's disease in a defined population in northern Sweden, 1974-1981. Scand J Gastroenterol. 1986 Dec;21(10):1185–1192. [PubMed]
  • Brandes JW, Lorenz-Meyer H. Epidemiologische Aspekte zur Enterocolitis regionalis Crohn und Colitis ulcerosa in Marburg/Lahn (FRG) zwischen 1962 und 1975. Z Gastroenterol. 1983 Feb;21(2):69–78. [PubMed]
  • Rogers BH, Clark LM, Kirsner JB. The epidemiologic and demographic characteristics of inflammatory bowel disease: an analysis of a computerized file of 1400 patients. J Chronic Dis. 1971 Dec;24(12):743–773. [PubMed]
  • Keighley A, Miller DS, Hughes AO, Langman MJ. The demographic and social characteristics of patients with Crohn's disease in the Nottingham area. Scand J Gastroenterol. 1976;11(3):293–296. [PubMed]
  • ACHESON ED, NEFZGER MD. Ulcerative colitis in the United States Army in 1944. Epidemiology: comparisons between patients and controls. Gastroenterology. 1963 Jan;44:7–19. [PubMed]

Articles from Gut are provided here courtesy of BMJ Publishing Group