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Inflammatory Bowel Disease - Springer Nature

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Last Updated: 08 August 2022

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A Dedicated Pregnancy Clinic Improves Reproductive Knowledge in Inflammatory Bowel Disease

Background and Aims Factors affecting pregnancy-related information in women with inflammatory bowel disease are uncertain. Methods Adult women with IBD at the University of Alberta's pregnancy IBD clinic from 2014 to 2018 were accepted. At baseline and after personalized education at every clinic visit, each patient completed the Crohn's and Colitis Pregnancy Knowledge questionnaire at baseline and later. If CCPKnow scores u2265 14. Knowledge levels were considered as very good, if CCPKnow scores were higher. U2265 14. The mean CCPKnow score in 117 patients at baseline was 9. 65 percent, according to the study. Compared to those with disease duration 5 years, there were higher rates of extremely detailed baseline knowledge. Likewise, those focusing on preconception IBD-related therapy were more likely to have a lot of knowledge than those on no therapy. With a mean CCPKnow of 10. 72 percent, fifty-one patients completed a post-clinical CCPKnow survey, resulting in a median CCPKnow of 10. 72 percent. Women with IBD can receive fertility assistance from a dedicated pregnancy clinic, which can also help with fertility issues in women with IBD.

Source link: https://doi.org/10.1007/s10620-021-06998-0


Risk of Postpartum Flare Hospitalizations in Patients with Inflammatory Bowel Disease Persists After Six Months

Background: Although patients with IBD are at a greater risk for flares during the postpartum period, no details are known about the risk factors, timeline, and healthcare-related costs of a readmission flare. Aims To determine the time in which patients are hospitalized for postpartum inflammatory bowel disease flares and the associated risk factors, please contact us. Methods This is a national retrospective cohort study of 7054 patients with IBD who lived between 2010 and 2014, according to the National Readmissions Database. Compared to patients aged 25 to 39, those 20u201324 were at a greater risk of an IBD flare readmission, whereas patients aged 35–39 years were at a reduced risk. Conclusions The conclusion of a postpartum IBD flare hospitalization was among patients with IBD, Crohn's disease, Medicare insurance, multiple comorbidities, and younger age.

Source link: https://doi.org/10.1007/s10620-021-06999-z


Impact of Comorbid Psychiatric Disorders on Healthcare Utilization in Patients with Inflammatory Bowel Disease: A Nationally Representative Cohort Study

Patients with inflammatory bowel disease suffer comorbid psychiatric disorders, which jeopardize quality of life. We characterized the longitudinal prevalence of hospitalization-related healthcare use among adults with IBD with and without comorbid anxiety, depression, or bipolar disorder. The results of IBD's 40,177 adults were hospitalized, and 25% of them had comorbid psychiatric disorders. Patients with comorbid psychiatric disorders spent more days in the hospital, experienced increased 30-day and 90-day readmission rates, and had higher hospitalization costs as a result of hospitalization-related expenses over a 10-month period. The presence of comorbid psychiatric disorders, according to a 16% increased risk of readmission and a 13% greater risk of severe IBD-related hospitalization was found in the OnCox proportional hazard study. Conclusions: IBD-related surgery or procedures were unrelated in adults with IBD, comorbid psychiatric disorders, and hospitalization were all linked with increased prevalence and cost of hospitalization, but not an increase in the risk of IBD-related surgical or surgical interventions.

Source link: https://doi.org/10.1007/s10620-022-07505-9


A Comparative Analysis of Drug Therapy, Disease Phenotype, and Health Care Outcomes for Men and Women with Inflammatory Bowel Disease

Sex and gender refer to socioeconomic and socioeconomic differences between men and women. Background Sex and gender refer to socioeconomic and socioeconomic gaps between men and women. Methods The Western University Personalized Medicine Clinic's retrospective single-centre cohort study was conducted to compare differences between men and women receiving medical treatment for Crohn's disease and ulcerative colitis from March 2012 to September 2019. The main endpoint was the percentage of IBD drugs used for all drug classes. Conclusions These results reveal discrepancies in disease course and treatment decisions between men and women with IBD, and promote the use of sex and gender when determining disease outcomes.

Source link: https://doi.org/10.1007/s10620-021-07177-x


A Novel Decision Aid Improves Quality of Reproductive Decision-Making and Pregnancy Knowledge for Women with Inflammatory Bowel Disease

Introduction Women with inflammatory bowel disease and inadequate IBD-specific reproductive skills have increased childlessness and anxiety with IBD medications in pregnancy. The Pregnancy in IBD Decision Aid, a multinational multidisciplinary group, provides personalized online decision assistance regarding pregnancy in IBD. Methods For Pre- and Post-PIDA patients with IBD aged 18-to-201545 completed questionnaires to determine the decision-making Process; Decision Self-Efficacy Scale and IBD-in-Pregnancy Data ; Decision Self-Efficacy Scale; Decision Decision-based Decision Making Techniques (IBD) and pregnant patients with IBD experience ; and pregnancy-related outcomes ; and IBD-in-pregnancy Information. DCS' improved dramatically post-PIDA in PC patients regarding pregnancy planning and drug administration, especially in pregnant patients. Post-PIDA, the DSES for PC patients improved dramatically. CCPKnow's PC and pregnant patients responded quickly post-PIDA in PC and pregnant women. Patients using PIDA had an improved quality of reproductive decision-making and IBD-in-pregnancy information, which was useful in determining pregnancy outcomes. PIDA is a simple device that can help women with IBD make values-congruent, evidence-based decisions regarding pregnancy, as well as reducing voluntary childlessness.

Source link: https://doi.org/10.1007/s10620-022-07494-9


Outcomes after acute coronary syndrome in patients with inflammatory bowel disease

Age and sex were used to create a matched cohort for each MI patient with IBD to a patient without IBD using age and sex. Compared to MI patients without IBD, MI patients with IBD were younger with a higher incidence of elevated body mass index, diagnosis of ischemic cardiopathy, and chronic renal disease. Moreover, an increase in the blood transfusion rate in MI patients with IBD compared to MI patients without IBD was found at the 1-year follow-up. Conclusions Both residual MI risk and bleeding events should be carefully monitored in MI patients with chronic inflammation, as shown by IBD.

Source link: https://doi.org/10.1007/s00380-022-02061-8


Ambient Air Pollution and Pediatric Inflammatory Bowel Diseases: An Updated Scoping Review

To review and discuss recent research relating to pediatric/early-life exposures to ambient air pollution and the risk of pediatric-onset inflammatory bowel diseases. Following screening, we found nine papers with data on air pollution as a risk factor for IBD, but only four epidemiological studies specifically looked at the association between air pollution and IBD development in children and young adults. These four studies reveal that air pollution components have contradictory links with pediatric IBD incidence. Hence, sulfur dioxide, nitrogen dioxide, and the oxidant capacity of air pollution were positively linked to pIBD risk, although the effects of particulate matter and ozone exposures were not clear. Future studies should include epidemiology of air pollutants and its sources, detecting and assessing the connection between air pollution and pIBD, and determining biological responses to air pollutants.

Source link: https://doi.org/10.1007/s10620-022-07597-3


Ironing It All Out: A Comprehensive Review of Iron Deficiency Anemia in Inflammatory Bowel Disease Patients

About 45% of patients with inflammatory bowel disease have iron deficiency anemia, which adversely affects the quality of life in this patient group and substantially increases our healthcare services, according to Iron deficiency anemia. IBD patients' iron deficiency is multifactorial, including digestive bleeding, malabsorption, and poor oral intake. Although oral iron is safe, inexpensive, and simple to administer, patients often suffer from intolerable gastro side effects, and in IBD patients, oral iron may exacerbate inflammation and contribute to flares. Intrvenous iron, thromboetin, and erythropoietin requirements are all considered first-line therapy for patients with active disease, significant anemia, oral iron intolerance, and erythropoietin requirements, despite the fact that it is greatly underutilised. Several IV iron formulations are available, including iron sucrose and ferric carboxymaltose, are the most commonly used and well studied in patients with IBD. Patients with IBD are also affected by screening, diagnosis, and treatment of iron deficiency anemia.

Source link: https://doi.org/10.1007/s10620-022-07599-1


Impact of Disease Activity and Inflammatory Bowel Disease Subtype on Quality of Life in Preconception and Pregnant Patients

Aims To determine HRQoL in pregnant and pregnant patients with Crohn's disease and ulcerative colitis, aims want to determine the course and predictors of HRQoL. Preconception and pregnant patients with IBD were followed closely from preconception to twelve months postpartum at a tertiary referral center, according to the IBD Prevention and Breast Cancer Center. Participants completed the Short IBD Questionnaire and were assessed for clinical disease presence and objective disease involvement. During preconception, patients with UC had higher SIBDQ bowel and social sub-scores than those with CD, but this changed during postpartum. During trimester 1 and earlier in pregnancy, but not later. At T2, T3, and 6 months postpartum, the SIBDQ bowel sub-scores were significantly lower in patients with FCP u2265 250 mg/kg at T2, T3, and 6 months postpartum. Patients with UC have improved preconception HRQoL, but they have lower postpartum HRQoL than those with CD.

Source link: https://doi.org/10.1007/s10620-022-07638-x

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions

* Please keep in mind that all text is summarized by machine, we do not bear any responsibility, and you should always check original source before taking any actions