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Chronic liver disease: morbidity

Data on trends in chronic liver disease (CLD) hospital stays in Scotland are presented below.

The excel file CLD morbidity rates - Scotland, overall and by sex (20Kb) shows trends in CLD hospital stays as European age standardised rates (EASRs) in Scotland, between 1982/83 and 2015/16, overall and by sex in Chart 1;

  • Hospital stays including a diagnosis of CLD increased markedly between 1982/83 and 2006/07. Rates then remained relatively stable until around 2012/13, and have since been increasing. Over the last two years admissions for non-alcohol related chronic liver disease have accounted for the majority of this increase. 
  • In 2015/16, there were 194 stays per 100,000 including a diagnosis of CLD.
  • In 2015/16, male morbidity rates for CLD were nearly twice as high than those reported for women (248 per 100,000 compared to 139 per 100,000 population)
  • Since 1982/83 there has been a four-fold increase in CLD morbidity rates overall. The increase in rate of hospital stays with a diagnosis of CLD has been larger for males compared to females.  For males, the rate of hospital stays in 2015/15 was 4.6 times greater than in 1982/83; for females the rate of hospital stays is 3.5 times greater.

The Excel file CLD morbidity rates – Scotland by age (25Kb) shows CLD age-specific hospital stay rates in Scotland, for the time period 1982/83 to 2015/16. In summary, Chart 2 shows:

  • In 2015/16, CLD morbidity rates were highest in people aged 55-64 years (424 per 100,000 population.
  • Between 1982/83 and 2015/16, CLD morbidity rates have increased across all age groups. The largest increases in hospital stay rates were in the older age groups, above the age of 45 years.

The Excel file CLD morbidity rates – Scotland by conditions (18Kb) shows trends in CLD hospital stay rates (EASRs) by condition for Scotland, for the time period 1982/83 to 2015/16. In summary, Chart 3 shows:

  • The main cause of CLD morbidity is alcoholic liver disease. In 2015/16, approximately two thirds of CLD hospitals stays included a diagnosis of alcoholic liver disease and around one third of CLD included a diagnosis of a non-alcohol related chronic liver disease.
  • Since 1982/83, hospital stay rates for both alcoholic and non-alcohol related CLD have increased. Stays with a diagnosis of alcoholic liver disease has increased five-fold, from 26 per 100,000 population in 1982/83 to 133 per 100,000 population in 2015/16. Over the same time period the increase in rates of hospital stays for other chronic liver disease have been more modest, increasing three-fold from 21 per 100,000 to 63 per 100,000.

The Excel file CLD morbidity rates - NHS Boards (18Kb) shows trends in CLD hospital stay rates (EASRs) for NHS Boards in Scotland, for the time period 1982/83 to 2015/16. In summary:

  • Morbidity rates in 2015/16 are highest in NHS Greater Glasgow and Clyde, 305 per 100,000.
  • There has been an increase in CLD morbidity in all NHS boards since 1982/83. Over the last 10 years hospital stays including a diagnosis of CLD have been greatest for residents of NHS Greater Glasgow and Clyde, Ayrshire and Arran, Forth Valley and Lanarkshire.  Over the same time period CLD hospital stays for residents of NHS Fife and Tayside have reduced.

The Excel file CLD morbidity rates – Scotland by deprivation (23Kb) shows the trends in CLD hospital stay rates (EASRs)  in Scotland between 1996/97 and 2015/16, by Scottish Index of Multiple Deprivation deciles. In summary, Chart 4 shows:

  • In 2015/16, CLD stays rates were five times higher in the most deprived decile (435 per 100,000 population) compared to the least deprived decile (88 per 100,000 population).
  • The rate of stays has increased across all deprivation deciles between 1996/97 and 2015/16. Over the last three years increases in hospital stays for those living in the more deprived areas of Scotland have been more pronounced.

Please note: If you require the most up-to-date data available, please check the data sources directly as new data may have been published since these data pages were last updated. Although we endeavour to ensure that the data pages are kept up-to-date, there may be a time lag between new data being published and the relevant ScotPHO web pages being updated.

 

Page last updated: 08 September 2017

© Scottish Public Health Observatory 2014