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Steroid Use Dropping Since Biologic Therapy Emerged
Am J Gastroenterol; ePub 2018 Jan 9; Jeuring, et al
Since the introduction of biologic therapy and immunomodulator drugs, the use of corticosteroids has declined, according to an analysis of an inflammatory bowel disease database. A total of 2,823 patients who were newly diagnosed with Crohn’s disease or ulcerative colitis were included in the analysis. Researchers found:
- Exposure and cumulative use of corticosteroids were measured in 1991-1998, 1999-2005, and 2006-2011.
- Over time, there was a gradual drop in steroid use among patients with Crohn’s disease, declining from 366 days in 1991-1998 to 120 days in 2006-2011.
- Steroid use in ulcerative colitis patients dropped from 184 days in 1991-1998 to 166 days in 1999-2005 but stabilized after that.
- Researchers concluded that such declines in corticosteroid use justifies increased used of biologics and immunomodulator drugs.
Jeuring SF, Biemans VB, van den Heuvel TR, et al. Corticosteroid sparing in inflammatory bowel disease is more often achieved in the immunomodulator and biological era—Results from the Dutch population-based IBDSL cohort. [Published online ahead of print January 9, 2018]. Am J Gastroenterol. doi:10.1038/ajg.2017.482.
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