Healthcare Utilization Patterns and Excessive Steroid Use in Late Adolescence Age and Young Adults With Crohn’s Disease and Ulcerative Colitis

Autor: 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
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Gastro Hep Advances, Vol 2, Iss 7, Pp 928-934 (2023)
Druh dokumentu: article
ISSN: 2772-5723
DOI: 10.1016/j.gastha.2023.06.009
Popis: 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
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