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Updated: Aug 10, 2025

Investigating Intestinal Inflammation in DSS-induced Model of IBD
Published on: February 1, 2012
Opioid Use in Patients With Inflammatory Bowel Disease
Xiwu Lin1, Jennifer Lofland2, Ling Zhang1
1Quantitative Sciences, Janssen Pharmaceutical Research & Development, LLC., Spring House, Pennsylvania, USA.
Opioid use is more common in inflammatory bowel disease (IBD) patients. Opioid users with IBD face higher risks of hospitalizations and emergency room visits, indicating potential disease undertreatment.
Area of Science:
- Gastroenterology
- Pharmacology
- Health Services Research
Background:
- Limited data exists on opioid utilization in inflammatory bowel disease (IBD) patients.
- The relationship between IBD, opioid use, and healthcare resource utilization requires further investigation.
Purpose of the Study:
- To analyze real-world data on opioid use patterns in IBD patients.
- To assess the association between opioid use and healthcare resource utilization in IBD.
Main Methods:
- Utilized real-world data from the IBM Watson Health Commercial Claims and Encounters Database (2007-2014).
- Included patients with an initial inflammatory bowel disease (IBD) diagnosis.
- Matched IBD patients with a non-IBD cohort for comparison.
Main Results:
- Opioid use was significantly higher among patients with IBD compared to the matched non-IBD cohort.
- Opioid users, in both IBD cohorts, demonstrated a higher risk of inpatient and emergency room visits, even after adjusting for age, gender, and Charlson Comorbidity Index.
- This suggests a potential link between opioid use and disease severity or control.
Conclusions:
- Opioid use may serve as an indicator of suboptimal inflammatory bowel disease (IBD) control.
- Increased risks of hospitalizations and emergency visits in opioid users highlight the need for improved IBD management strategies.
- Development of a specific outcomes measurement tool for IBD-related pain is recommended.
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