Intestinal complications in patients with Crohn's disease in the Brazilian public healthcare system between 2011 and 2020

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorState Off Pharmaceut Assistance Espirito Santo Hlt-
Autor(es): dc.contributorSETE Specialized Med Ctr-
Autor(es): dc.contributorIQVIA Brazil-
Autor(es): dc.contributorTakeda Pharmaceut Brazil-
Autor(es): dc.creatorSassaki, Ligia Yukie-
Autor(es): dc.creatorMartins, Adalberta Lima-
Autor(es): dc.creatorGalhardi-Gasparini, Rodrigo-
Autor(es): dc.creatorSaad-Hossne, Rogerio-
Autor(es): dc.creatorRitter, Alessandra Mileni Versut-
Autor(es): dc.creatorBarreto, Tania Biatti-
Autor(es): dc.creatorMarcolino, Taciana-
Autor(es): dc.creatorBalula, Bruno-
Autor(es): dc.creatorYang-Santos, Claudia-
Data de aceite: dc.date.accessioned2025-08-21T22:52:08Z-
Data de disponibilização: dc.date.available2025-08-21T22:52:08Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2023-05-16-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.12998/wjcc.v11.i14.3224-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/299784-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/299784-
Descrição: dc.descriptionBACKGROUNDThis is a secondary database study using the Brazilian public healthcare system database.AIMTo describe intestinal complications (ICs) of patients in the Brazilian public healthcare system with Crohn's disease (CD) who initiated and either only received conventional therapy (CVT) or also initiated anti-tumor necrosis factor (anti-TNF) therapy between 2011 and 2020.METHODSThis study included patients with CD [international classification of diseases - 10(th) revision (ICD-10): K50.0, K50.1, or K50.8] (age: >= 18 years) with at least one claim of CVT (sulfasalazine, azathioprine, mesalazine, or methotrexate). IC was defined as a CD-related hospitalization, pre-defined procedure codes (from rectum or intestinal surgery groups), and/or associated disease (pre-defined ICD-10 codes), and overall (one or more type of ICs).RESULTSIn the 16809 patients with CD that met the inclusion criteria, the mean follow-up duration was 4.44 (2.37) years. In total, 14697 claims of ICs were found from 4633 patients. Over the 1- and 5-year of follow-up, 8.3% and 8.2% of the patients with CD, respectively, presented at least one IC, of which fistula (31%) and fistulotomy (48%) were the most commonly reported. The overall incidence rate (95%CI) of ICs was 6.8 (6.5-7.04) per 100 patient years for patients using only-CVT, and 9.2 (8.8-9.6) for patients with evidence of anti-TNF therapy.CONCLUSIONThe outcomes highlighted an important and constant rate of ICs over time in all the CD populations assessed, especially in patients exposed to anti-TNF therapy. This outcome revealed insights into the real-world treatment and complications relevant to patients with CD and highlights that this disease remains a concern that may require additional treatment strategies in the Brazilian public healthcare system.-
Descrição: dc.descriptionTakeda Pharmaceutical Brazil-
Descrição: dc.descriptionSao Paulo State Univ UNESP, Med Sch, Dept Internal Med, BR-18618687 Botucatu, Brazil-
Descrição: dc.descriptionState Off Pharmaceut Assistance Espirito Santo Hlt, Dept Gastroenterol, BR-29017010 Vitoria, ES, Brazil-
Descrição: dc.descriptionSETE Specialized Med Ctr, Dept Gastroenterol, BR-17502020 Sao Paulo, Brazil-
Descrição: dc.descriptionSao Paulo State Univ UNESP, Med Sch, Dept Surg, BR-18618687 Botucatu, Brazil-
Descrição: dc.descriptionIQVIA Brazil, Real World Evidence, BR-04719002 Sao Paulo, Brazil-
Descrição: dc.descriptionTakeda Pharmaceut Brazil, Med Affairs, BR-04794000 Sao Paulo, Brazil-
Descrição: dc.descriptionTakeda Pharmaceut Brazil, Clin Res, BR-04794000 Sao Paulo, Brazil-
Descrição: dc.descriptionTakeda Pharmaceut Brazil, Clin Res, Av Nacoes Unidas,14-401 Torre Jequitiba 10,11&12 a, BR-04794000 Sao Paulo, Brazil-
Descrição: dc.descriptionSao Paulo State Univ UNESP, Med Sch, Dept Internal Med, BR-18618687 Botucatu, Brazil-
Descrição: dc.descriptionSao Paulo State Univ UNESP, Med Sch, Dept Surg, BR-18618687 Botucatu, Brazil-
Formato: dc.format3224-3237-
Idioma: dc.languageen-
Publicador: dc.publisherBaishideng Publishing Group Inc-
Relação: dc.relationWorld Journal Of Clinical Cases-
???dc.source???: dc.sourceWeb of Science-
Palavras-chave: dc.subjectCrohn's disease-
Palavras-chave: dc.subjectIntestinal complications-
Palavras-chave: dc.subjectAnti-tumor necrosis factor-
Palavras-chave: dc.subjectConventional therapy-
Palavras-chave: dc.subjectPublic healthcare system-
Título: dc.titleIntestinal complications in patients with Crohn's disease in the Brazilian public healthcare system between 2011 and 2020-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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