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INFLAMMATORY BOWEL DISEASE: OUTPATIENT TREATMENT PROFILE
Rachael Miranda Dos Santos1,2, Ana Teresa Pugas Carvalho1, Kelly Dos Santos Silva1
1Ambulatório de Doenças Inflamatórias Intestinais, Disciplina de Gastroenterologia, Policlínica Piquet Carneiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Insights
Inflammatory bowel disease (IBD) is increasingly prevalent. This study describes IBD patient profiles in Brazil, finding a high incidence in white females, with Crohn's disease and the stenotic phenotype being most common.
Area of Science:
- Gastroenterology
- Epidemiology
- Internal Medicine
Background:
- Inflammatory bowel disease (IBD), encompassing Crohn's disease and ulcerative colitis, presents a growing global health challenge.
- Rising incidence and prevalence rates, coupled with disease severity and recurrence, underscore the need for robust epidemiological data.
- A deficit in Brazilian epidemiological data for IBD contributes to patient vulnerability and increased morbidity.
Purpose of the Study:
- To characterize the demographic and clinical profiles of patients diagnosed with inflammatory bowel disease.
- To provide a comprehensive overview of IBD patient cohorts within a Brazilian outpatient setting.
Main Methods:
- A descriptive, exploratory, and retrospective documentary study was conducted.
- Data were collected from 556 patients at an IBD outpatient service in Rio de Janeiro, Brazil, between May and July 2016.
- Quantitative analysis was employed following ethical approval.
Main Results:
- A notable prevalence of IBD was observed in white female patients.
- Crohn's disease was diagnosed more frequently than ulcerative colitis.
- The ileocolon represented the most affected site in Crohn's disease patients, with a prevalent stenotic phenotype.
Conclusions:
- The high prevalence of the stenotic phenotype in Crohn's disease warrants further investigation within the Brazilian context.
- The epidemiological profile of the studied population aligns with existing national and international literature.
- Understanding these profiles is crucial for improving IBD patient care and management in Brazil.
Background:
Crohn's disease and ulcerative colitis are the two major forms of inflammatory bowel disease. The incidence and prevalence of both conditions have increased and are progressively increasing. These diseases are frequently recurrent and clinically highly severe. In Brazil, the lack of epidemiological data related to such diseases has left these patients in a vulnerable state and contributed to increased morbidity.
Objective:
To describe the profiles of patients with inflammatory bowel disease treated in an outpatient service in Brazil.
Methods:
This descriptive, exploratory, and retrospective documentary study with a quantitative approach was performed in an outpatient treatment service for inflammatory bowel disease, at a university polyclinic located in Rio de Janeiro, Brazil, from May to July 2016. The study included 556 patients and was approved by the research ethics committee of the institution (CAAE no. 55179316.6.0000.5259/2016).
Results:
The data showed a high prevalence of inflammatory bowel disease in white female patients. Crohn's disease was diagnosed in more patients than was ulcerative colitis; the ileocolon was the most commonly affected location in patients with Crohn's disease. The stenotic phenotype was prevalent in patients with Crohn's disease.
Conclusion:
The prevalence of the stenotic phenotype in Crohn's disease in relation to others demonstrates the need for further investigations in this field of study in Brazil. In conclusion, the data showed that the epidemiologic profile of the study population is similar to that published in the national and international literature.
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