Prevalence, Characteristics, Management, and Outcomes of Difficult-to-Treat Inflammatory Bowel Disease - Takeaways - MDSpire

Prevalence, Characteristics, Management, and Outcomes of Difficult-to-Treat Inflammatory Bowel Disease

  • By

  • Tommaso Lorenzo Parigi

  • Luca Massimino

  • Alfredo Carini

  • Roberto Gabbiadini

  • Peter Bertoli

  • Mariangela Allocca

  • Cristina Bezzio

  • Arianna Dal Buono

  • Ferdinando D’Amico

  • Federica Furfaro

  • Laura Loy

  • Alessandra Zilli

  • Federica Ungaro

  • Vipul Jairath

  • Laurent Peyrin-Biroulet

  • Alessandro Armuzzi

  • Silvio Danese

  • September 12, 2024

  • 0 min

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  • 1

    Approximately 24.8% of IBD patients treated with biologics in Italy met at least one criterion for difficult-to-treat inflammatory bowel disease (DTT-IBD).

  • 2

    In ulcerative colitis, left-sided and extended colitis significantly increased the risk of DTT-IBD compared to proctitis.

  • 3

    Crohn's disease patients with multiple localizations, stricturing, penetrating behaviors, and perianal disease were at higher risk for DTT-IBD.

  • 4

    Delayed initiation of advanced treatment was associated with increased risk of DTT in Crohn's disease but was protective in ulcerative colitis.

  • 5

    Symptomatic, biochemical, and endoscopic remission rates were significantly lower in DTT-IBD patients compared to non-DTT-IBD patients.

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