{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:39:59Z","timestamp":1783471199949,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2014,4,16]],"date-time":"2014-04-16T00:00:00Z","timestamp":1397606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aliment Pharmacol Ther"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Barrett's oesophagus (<jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content>) is a risk factor for oesophageal adenocarcinoma (<jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content>). Several studies report increasing incidences of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> with substantial variation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine age\u2010 and sex\u2010stratified incidence rates (<jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>) of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cohort study using two primary care databases in the United Kingdom (<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) and the Netherlands (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>) (2000\u20132012). <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content> cases were identified using disease\u2010specific <jats:styled-content style=\"fixed-case\">READ<\/jats:styled-content> codes (<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) and free\u2010text search with manual validation (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>). Age\u2010 and sex\u2010specific incidence rates (<jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>s) were calculated for both <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From the study population of 6\u00a0885\u00a0420 subjects in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>, we identified 12\u00a0312 incident <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> and 40 (0.3%) subsequent incident <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content> cases. There were 1383 incident <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content>, and subsequent 5 (0.4%) incident <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content> cases among the 1\u00a0487\u00a0191 subjects in the <jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>. The <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> increased linearly with age: 15.6\/100\u00a0000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content>s (<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) and 23.7\/100\u00a0000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content>s (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>) for patients aged 40\u201344\u00a0years, increasing to 85.6\/100\u00a0000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content>s (<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) and 87.0\/100\u00a0000 <jats:styled-content style=\"fixed-case\">PY<\/jats:styled-content>s (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>) for 70\u201374\u00a0years. In both the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and the <jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> IR<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> was 2\u20134 times higher in males than females across all age groups. With respect to calendar time, the <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content> of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> increased by 35% (<jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>) and 41% (<jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content>) from 2000 to 2003, after which <jats:styled-content style=\"fixed-case\">IR<\/jats:styled-content>s remained stable until 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The incidence rates of <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> in the <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content> and the <jats:styled-content style=\"fixed-case\">NL<\/jats:styled-content> increased until 2003, but levelled off thereafter. Around 0.3% of patients with <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> developed <jats:styled-content style=\"fixed-case\">OAC<\/jats:styled-content> at least 1\u00a0year after <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content> diagnosis. These findings may help tailor endoscopic surveillance strategies among patients with <jats:styled-content style=\"fixed-case\">BO<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apt.12759","type":"journal-article","created":{"date-parts":[[2014,4,17]],"date-time":"2014-04-17T02:41:24Z","timestamp":1397702484000},"page":"1321-1330","source":"Crossref","is-referenced-by-count":45,"title":["The incidence of Barrett's oesophagus and oesophageal adenocarcinoma in the United Kingdom and the Netherlands is levelling off"],"prefix":"10.1111","volume":"39","author":[{"given":"G. M. C.","family":"Masclee","sequence":"first","affiliation":[{"name":"Department of Medical Informatics Erasmus University Medical Center Rotterdam The Netherlands"},{"name":"Department of Gastroenterology and Hepatology Erasmus University Medical Center Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. M.","family":"Coloma","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics Erasmus University Medical Center Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"de Wilde","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics Erasmus University Medical Center Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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