Treatment of Inflammatory Bowel Disease in the Older Patient

被引:4
|
作者
Dorreen, Alastair [1 ]
Heisler, Courtney [2 ]
Jones, Jennifer [2 ,3 ]
机构
[1] Univ Ottawa, Dept Med, Ottawa, ON, Canada
[2] Dalhousie Univ, Dept Med, Halifax, NS, Canada
[3] Dalhousie Univ, Dept Epidemiol & Biostat, Halifax, NS, Canada
关键词
advanced age; Crohn's disease; inflammatory bowel disease; treatment; adverse events; POPULATION-BASED COHORT; ANTI-TNF THERAPY; CLINICAL-PRACTICE GUIDELINES; POUCH-ANAL ANASTOMOSIS; LOW-GRADE DYSPLASIA; CROHNS-DISEASE; ULCERATIVE-COLITIS; ELDERLY-PATIENTS; MAINTENANCE THERAPY; COLORECTAL-CANCER;
D O I
10.1093/ibd/izy023
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The incidence of inflammatory bowel disease (IBD) is increasing, and as our population ages, there is a growing number of IBD patients who are transitioning into advanced age; 15% to 20% of IBD patients are classified as late-onset (between 60-65 years of age). This has led clinicians to treat a large number of older patients with IBD. The principles of management of IBD in older patients are the same as those who are younger. There are, however, phenotypic differences that are unique to late-onset IBD and age-related concerns that clinicians must consider when initiating therapy for their older patients with IBD. Given the increasing number of older IBD patients, the aim of this article is to present an updated, evidence-based review of the therapeutic options and issues that arise in this unique patient population.
引用
收藏
页码:1155 / 1166
页数:12
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