Fournier gangrene epidemiology and demographics
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Steven C. Campbell, M.D., Ph.D.; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[1]; Jesus Rosario Hernandez, M.D. [2]
Overview
Epidemiology and Demographics
Incidence
Incidence of Fournier gangrene in the United states:[1]
- The overall incidence of Fournier gangrene annually is 1.6 cases per 100,000 males. The incidence peaked and remained steady after age 50 at 3.3 cases per 100,000 males.
- The incidence of Fournier gangrene increased 0.2 per 100,000 males for each 1% increase in the regional prevalence of diabetes.
- The incidence rate was highest in the southern U.S. and lowest in the western and mid-western U.S.
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![Distribution of annual cases per hospital.[1]](/images/4/45/Epidemiology.jpg)
Distribution of annual cases per hospital.[1]
![Distribution of annual cases per hospital.[1]](/index.php/File:Epidemiology.jpg)
Age
Fournier gangrene affects individuals of all ages but more commonly affects individuals older than 50 years of age.[2][3]
Gender
Men are more commonly affected with Fournier gangrene than women, with a male:female ratio of 10:1.[4][3]
Mortality
- Mortality rate decreases with early aggressive treatment.
- The mortality rate of Fournier gangrene is between 20% to 80%. Higher mortality rates are found in daibetics, alcoholics and those with colorectal sources of infection.[5]
References
- ↑ 1.0 1.1 Sorensen MD, Krieger JN (2016). "Fournier's Gangrene: Epidemiology and Outcomes in the General US Population". Urol Int. 97 (3): 249–259. doi:10.1159/000445695. PMID 27172977.
- ↑ Mallikarjuna MN, Vijayakumar A, Patil VS, Shivswamy BS (2012). "Fournier's Gangrene: Current Practices". ISRN Surg. 2012: 942437. doi:10.5402/2012/942437. PMC 3518952. PMID 23251819.
- ↑ 3.0 3.1 Shyam DC, Rapsang AG (2013). "Fournier's gangrene". Surgeon. 11 (4): 222–32. doi:10.1016/j.surge.2013.02.001. PMID 23578806.
- ↑ Chennamsetty A, Khourdaji I, Burks F, Killinger KA (2015). "Contemporary diagnosis and management of Fournier's gangrene". Ther Adv Urol. 7 (4): 203–15. doi:10.1177/1756287215584740. PMC 4580094. PMID 26445600.
- ↑ Moslemi MK, Sadighi Gilani MA, Moslemi AA, Arabshahi A (2009). "Fournier gangrene presenting in a patient with undiagnosed rectal adenocarcinoma: a case report". Cases J. 2: 9136. doi:10.1186/1757-1626-2-9136. PMC 2803933. PMID 20062653.