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Management of inflammatory bowel disease in the elderly: Do biologicals offer a better alternative?

机译:老年人炎症性肠病的管理:生物制剂是否提供更好的选择?

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摘要

The management of inflammatory bowel disease (IBD) in elderly patients provides added complexity for healthcare providers who need to take into account the high likelihood of co-morbid disease, the need for polypharmacy and, in many instances, greater patient fragility. While biologics are often considered first-line corticosteroid-sparing strategies for moderate to severe disease, the additional variables unique to an elderly patient warrant consideration when discussing IBD therapeutics. As chronic corticosteroid use, although relatively common among older IBD patients, is suboptimal, the efficacy and safety of biologics compared with immunomodulators among older IBD patients needs additional investigation.
机译:老年患者的炎症性肠病(IBD)的管理为医疗服务提供者增加了复杂性,他们需要考虑到合并病的高可能性,多药店的需要以及在许多情况下患者的更大脆弱性。虽然生物制剂通常被认为是中度至重度疾病的一线皮质激素治疗策略,但在讨论IBD治疗方法时,应考虑老年患者特有的其他变量。由于慢性皮质类固醇的使用虽然在老年IBD患者中相对普遍,但次优,因此与免疫调节剂相比,在老年IBD患者中使用生物制剂的疗效和安全性需要进一步研究。

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