Health Care utilization in elderly onset inflammatory bowel disease: a population-based study

Inflammatory Bowel Diseases
Geoffrey C NguyenEric I Benchimol

Abstract

There is an increasing burden of inflammatory bowel disease (IBD) among the elderly. We sought to characterize health care utilization of elderly onset IBD. We identified incident IBD cases in Ontario, Canada between 1999 and 2008 and categorized subjects by age at diagnosis as young (18-40 yr), middle-age (41-64 yr), and elderly (≥65 yr). We compared IBD-specific health utilization indicators, including outpatient visits, emergency department visits, and hospitalizations. The elderly accounted for 8.1% (N = 725) and 11.6% (N = 1749) of incident Crohn's disease (CD) and ulcerative colitis (UC), respectively. They were less likely than young adults to have any IBD-specific gastroenterology visit in the first year after diagnosis (CD, 63% versus 71%, P < 0.001; UC, 63% versus 69%, P < 0.001). They less frequently received continuous gastroenterology care (CD, 36% versus 46%, P < 0.001; UC, 33% versus 43%, P < 0.001). Elderly patients with IBD were less likely than young adults to require an IBD-specific emergency department visit in the first year (CD, 8.8% versus 18.5%, P < 0.001; UC, 7.8% versus 11.6%, P < 0.001). Similarly, elderly patients with CD exhibited lower hospitalization rates (incidence rate ratio, 0.62; 95% confiden...Continue Reading

References

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Citations

Mar 2, 2016·Journal of Crohn's & Colitis·Ashwin N AnanthakrishnanSiew C Ng
Apr 19, 2016·Expert Review of Gastroenterology & Hepatology·Osman Ahmed, Geoffrey C Nguyen
Nov 1, 2016·Journal of Crohn's & Colitis·Andreas SturmPaolo Gionchetti
Dec 25, 2016·Digestive Diseases and Sciences·Mimi C TanJason K Hou
Jan 13, 2017·Inflammatory Bowel Diseases·Gabriella VeloniasAshwin N Ananthakrishnan
Dec 21, 2016·Inflammatory Bowel Diseases·Geoffrey C NguyenEric I Benchimol
Mar 15, 2020·Journal of Crohn's & Colitis·Johann BartkoMartina Behanova
Jan 5, 2017·Gastroenterology Research and Practice·Carthage MoranFergus Shanahan
Jul 12, 2019·Journal of the Canadian Association of Gastroenterology·Geoffrey C NguyenGilaad G Kaplan
Jul 12, 2019·Journal of the Canadian Association of Gastroenterology·M Ellen KuenzigSanjay K Murthy
Mar 1, 2018·Journal of the Canadian Association of Gastroenterology·Holly MathiasJennifer Jones
May 14, 2020·BMC Gastroenterology·Irene ZammarchiChiara Ricci
Nov 11, 2017·Gastroenterology·Parambir S DulaiWilliam J Sandborn
May 27, 2021·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Soo-Young Na
Aug 24, 2021·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Alexa N SassonAshwin N Ananthakrishnan

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