Description of the inflammatory bowel disease natural history in Tehran province, Iran: Mixed panel approaches

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OLFATIFAR MEYSAM; ASADZADEH AGHDAEI HAMID; POURHOSEINGHOLI MOHAMAD AMIN; BALAII HEDIEH; Hashemi Nazari Saeed; SHAHROKH SHABNAM; SABOUR SIAMAK; Ivanchuk Maria; Ivanchuk Pavlo; KHODAKARIM SOHEILA; ZALI MOHAMMAD REZA; ROHANI PEJMAN; MEHRALIAN GHOLAMHOSSEIN

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Journal: Gastroenterology and Hepatology From Bed to Bench Year:2021 | Volume:14 | Issue:suppl1 Page(s): 66-74

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Title

Description of the inflammatory bowel disease natural history in Tehran province, Iran: Mixed panel approaches

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Keywords

Inflammatory bowel disease

Multi-state model

Panel data

Crohn's disease

Ulcerative colitis

Abstract

Aim: Description of the Inflammatory bowel disease natural history in Tehran province. Background: Inflammatory bowel disease (IBD) is a non-homogeneous disorder with an unpredictable natural history that impairs a patient's quality of life over the course of their life. As a result, providing evidence for efficient patient management is critical. Methods: In this case series study, 198 IBD patients who were visited in our clinic at least three times routinely from Oct 2015 to May 2020 were included. Then, two panel-based approaches, the Multi-state model (MSM) and random-effect ordered logistic, were used to deduce the clinical course of IBD, which included remission, mild, moderate to severe, and surgical states. Results For Ulcerative colitis (UC), women had a slightly poorer condition for remission but better for moderate to severe and a faster transition from moderate to severe to mild (HR=1. 490, 95% CI: 1. 02-2. 16) compared to men. For Crohn's disease (CD), they had a better condition for remission but a slightly poorer condition for the severe state and higher transition from mild to moderate to severe (HR=1. 221, 95% CI: 0. 471-3. 22) than men. Oral 5-ASA had better efficacy in people with remission and/or mild states but not for those with moderate to severe states, especially in CD (mild to moderate to serve, HR=1. 526, 95% CI: 0. 59-3. 89). Immunosuppressive drugs were better for patients with lower disease severity, especially with UC (mild to remission, HR=1. 258, 95% CI: 0. 75-2. 09). Conclusion: Panel approaches have the potential efficacy to tackle the unpredictable clinical course of IBD (UC/CD). Hence, we highly recommend that our findings be included into the Iranian routine clinical environment of IBD and/or that related studies be conducted in Iran and other regions to gain a better understanding of the natural history of IBD.

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APA: Copy

OLFATIFAR, MEYSAM, ASADZADEH AGHDAEI, HAMID, POURHOSEINGHOLI, MOHAMAD AMIN, BALAII, HEDIEH, Hashemi Nazari, Saeed, SHAHROKH, SHABNAM, SABOUR, SIAMAK, Ivanchuk, Maria, Ivanchuk, Pavlo, KHODAKARIM, SOHEILA, ZALI, MOHAMMAD REZA, ROHANI, PEJMAN, & MEHRALIAN, GHOLAMHOSSEIN. (2021). Description of the inflammatory bowel disease natural history in Tehran province, Iran: Mixed panel approaches. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, 14(suppl1), 66-74. SID. https://sid.ir/paper/980182/en

Vancouver: Copy

OLFATIFAR MEYSAM, ASADZADEH AGHDAEI HAMID, POURHOSEINGHOLI MOHAMAD AMIN, BALAII HEDIEH, Hashemi Nazari Saeed, SHAHROKH SHABNAM, SABOUR SIAMAK, Ivanchuk Maria, Ivanchuk Pavlo, KHODAKARIM SOHEILA, ZALI MOHAMMAD REZA, ROHANI PEJMAN, MEHRALIAN GHOLAMHOSSEIN. Description of the inflammatory bowel disease natural history in Tehran province, Iran: Mixed panel approaches. GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH[Internet]. 2021;14(suppl1):66-74. Available from: https://sid.ir/paper/980182/en

IEEE: Copy

MEYSAM OLFATIFAR, HAMID ASADZADEH AGHDAEI, MOHAMAD AMIN POURHOSEINGHOLI, HEDIEH BALAII, Saeed Hashemi Nazari, SHABNAM SHAHROKH, SIAMAK SABOUR, Maria Ivanchuk, Pavlo Ivanchuk, SOHEILA KHODAKARIM, MOHAMMAD REZA ZALI, PEJMAN ROHANI, and GHOLAMHOSSEIN MEHRALIAN, “Description of the inflammatory bowel disease natural history in Tehran province, Iran: Mixed panel approaches,” GASTROENTEROLOGY AND HEPATOLOGY FROM BED TO BENCH, vol. 14, no. suppl1, pp. 66–74, 2021, [Online]. Available: https://sid.ir/paper/980182/en

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