P171. Smoking is associated with watery diarrhea and decreased likelihood to achieve clinical remission in collagenous colitis
Pourquoi ce travail est dans la base
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Notice bibliographique
Résumé
Background: As the population ages the incidence of elderly onset inflammatory bowel disease (IBD) is expected to increase. In this study we compared clinical presentation and disease behaviour of IBD diagnosed in geriatric age (65 yrs ) vs adulthood (40-64 years). Methods: From January 2000 to May 2014 all patients diagnosed with IBD after the age of 65 were enrolled (elderly-onset IBD), each case was matched 1:1 by disease (UC or CD), gender and year of diagnosis with a control with IBD onset from 40 to 64 years (adult-onset IBD). Results: Table Symptoms at the presentation of UC and CD where similar between elderly and adults except for weight loss which was more common in elderly-onset UC and for constipation which was more frequent in elderly-onset CD. At the diagnosis of UC, higher proportion of elderly were classified as E2 and less as E1 according to Montreal Classification (65% vs 43%, p=0.02), while disease progression at maximum follow up was similar. For CD there were no differences between extension, phenotypes and histological activity between elderly and adults; disease progression was negligible. Therapy at the diagnosis and clinical behavior of UC and CD were similar between groups . Kaplan Meier analysis for time to first relapse showed no differences between elderly and adults neither for UC, nor for CD. Elderly onset UC, had a tendency to higher surgical approach (18% vs 8%, p=0.07). For CD, in both groups, about 50% of patients received surgical intervention but elderly onset CD were more likely to be operated early in the course of the disease; mean time to the surgical intervention was 1.51.9 months and 18.5 22.8 months, p=0.02 in elderly and adults respectively. Complications were more likely to occur among elderly-onset UC, we recorded an higher number of systemic infections (28% elderly VS 9% adults, p=0.027), deep vein thrombosis (14% elderly vs 1.5% adults, p= 0.003), intestinal complication (17% elderly vs 5% adults, p=0.022). Iatrogenic complications like steroidal diabetes, hypertension and osteoporosis occurred more frequently among elderly (17% vs 8%, p=0.029) Conclusions: Elderly-onset IBD seems to have similar presentation and clinical behaviour when compared to adult-onset IBD. Elderly IBD patients presents more comorbidities and are more likely to develop complications; these aspects needs to be taken into account when treating these patients
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle