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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.
Citation:

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.