دورية أكاديمية
Healthcare Utilization Patterns and Excessive Steroid Use in Late Adolescence Age and Young Adults With Crohn’s Disease and Ulcerative Colitis
| العنوان: | Healthcare Utilization Patterns and Excessive Steroid Use in Late Adolescence Age and Young Adults With Crohn’s Disease and Ulcerative Colitis |
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| المؤلفون: | Fatima S. Hussain, Aniruddh Setya, Isaac Molina, Naueen A. Chaudhry, Xiaofei Chi, Matthew J. Gurka, Stephanie L. Filipp, Angela Pham, David Kerman, Maria T. Abreu, Ellen M. Zimmermann |
| المصدر: | Gastro Hep Advances, Vol 2, Iss 7, Pp 928-934 (2023) |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2023 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | College students, Access to healthcare, Biologics, Antidepressants, Narcotics, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Background and Aims: Late adolescents and young adults (AYA) with inflammatory bowel disease (IBD) are a vulnerable population as they transition to adult healthcare. We aim to provide a real-world data on their healthcare utilization patterns and medication use through a large database. Methods: We performed a retrospective cohort study from January 1, 2012, to June 30, 2020, using OneFlorida Data-Trust, an electronic health record-based data repository representing over half of the Florida population. Outcomes of interest included demographics, healthcare utilization, medications, and disease severity. Chi-square tests and logistic regression were used to compare the rates of medication use, healthcare utilization, and disease severity by age groups. Results: The number of patients who met our inclusion criteria was 10,578 with 2731 (25.8%) in the 17–25-year-old group. AYA patients had fewer ambulatory visits vs children (90% vs 95%; P value <.05). AYA patients were admitted more frequently from emergency facilities vs children (22.3% vs 10.9%; P value <.05). AYA patients received steroids more often than adults and younger patients (48.9% vs 45.3 vs 44.3% P value <.05, respectively). AYA patients received more narcotic (41.1% vs 22.3 % P value <.05) and antidepressant prescriptions (15.9% vs 9.5%; P value <.05) compared with children. With advancing age, a decrease in biologic use was noted (51% vs 40% vs 25.4% P value <.05, respectively). Conclusion: AYA patients with IBD have higher rates of hospital admissions from emergency department, fewer ambulatory health visits and they receive more steroids compared to children. Our study demonstrates the need for age-specific IBD programs for AYA patients. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| ردمك: | 978-2-7725-7232-9 2-7725-7232-3 |
| تدمد: | 2772-5723 |
| العلاقة: | http://www.sciencedirect.com/science/article/pii/S277257232300095XTest; https://doaj.org/toc/2772-5723Test; https://doaj.org/article/ce1d384f086a4e55917b927a91bfbe52Test |
| DOI: | 10.1016/j.gastha.2023.06.009 |
| الإتاحة: | https://doi.org/10.1016/j.gastha.2023.06.009Test https://doaj.org/article/ce1d384f086a4e55917b927a91bfbe52Test |
| رقم الانضمام: | edsbas.3B30C0CE |
| قاعدة البيانات: | BASE |
Full Text Finder | ردمك: | 9782772572329 2772572323 |
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| تدمد: | 27725723 |
| DOI: | 10.1016/j.gastha.2023.06.009 |