Arthritis & Rheumatology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Oct. 21, 2024
Objective
We
aimed
to
investigate
the
incidence
of
juvenile
idiopathic
arthritis
(JIA)
in
three
geographic
regions
Norway
and
whether
potential
regional
differences
are
explained
by
environmental
or
genetic
factors
across
regions.
Methods
conducted
a
register‐based
cohort
study
including
all
Norwegian
children
born
from
2004
2019,
with
follow‐up
throughout
2020.
The
JIA
diagnosis,
defined
at
least
two
International
Classification
Diseases,
Tenth
Revision
codes
for
JIA,
was
validated
against
medical
records.
rate
(IR)
hazard
ratio
(HR)
were
estimated
North,
Mid,
South
In
subsample
Mother,
Father,
Child
Cohort
Study
(MoBa),
risk
assessed
Results
After
median
9.1
(range
0.3–16.0)
years
follow‐up,
we
identified
1,184
patients
910,058
controls.
IR
JIA/100,000
person‐years
14.4
Norway,
25.9
North
region,
17.9
Mid
12.5
region.
HR
(95%
confidence
interval
[CI])
region
2.07
(1.77–2.43)
1.43
CI
1.23–1.67)
compared
Adjustments
perinatal
factors,
socioeconomic
status,
early
antibiotic
exposure
did
not
change
our
estimates
substantially.
MoBa
(238
57,392
controls),
association
between
birth
no
longer
significant
when
adjusting
factors.
Conclusion
found
higher
increasing
latitude
without
evidence
available
explaining
observed
gradient.
contrast,
modified
association,
but
further
studies
warranted.
Inflammatory Bowel Diseases,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 29, 2024
Only
about
30%
of
conceptions
end
in
live
births,
yet
there
are
little
data
on
paternal
causes
pregnancy
loss.
Men
with
inflammatory
bowel
disease
may
have
multiple
disease-related
issues
that
affect
fertility.
We
aimed
to
examine
outcomes
women
undergoing
assisted
reproduction
whose
male
partners
had
Crohn's
or
ulcerative
colitis.
Gut,
Journal Year:
2024,
Volume and Issue:
unknown, P. gutjnl - 332885
Published: July 25, 2024
Objective
In
utero
exposure
to
maternal
inflammation
may
impact
immune
system
development
and
subsequent
risk
of
disease.
We
investigated
whether
a
diagnosis
IBD
before
childbirth
is
linked
higher
in
offspring
compared
with
after
childbirth.
Further,
we
analysed
paternal
status
for
comparison.
Design
Using
Danish
health
registers,
identified
all
individuals
born
Denmark
between
1997
2022
their
legal
parents,
as
well
status.
Cox
proportional
hazards
regression
analyses
adjusted
calendar
period
mode
delivery
were
used
estimate
by
Results
Of
1
290
358
children,
10
041
(0.8%)
had
mothers
9985
Over
18
370
420
person-years,
3537
diagnosed
IBD.
Offspring
an
HR
6.27
(95%
CI
5.21,
7.54)
those
without
IBD,
while
3.88
3.27,
4.60).
Corresponding
HRs
5.26
4.22,
6.56)
among
3.73
3.10,
4.50)
Conclusion
greater
when
either
parent
was
rather
than
later,
emphasising
genetic
predisposition
environmental
factors
The American Journal of Gastroenterology,
Journal Year:
2024,
Volume and Issue:
119(9), P. 1875 - 1884
Published: Feb. 20, 2024
INTRODUCTION:
Up
to
15%
of
women
with
Crohn's
disease
(CD)
or
ulcerative
colitis
(UC)
undergo
bowel
surgery
before
pregnancy,
and
there
is
little
data
on
pregnancy
outcomes
in
this
population.
We
aimed
assess
maternal/fetal
CD
UC
who
underwent
surgeries
pregnancy.
METHODS:
In
nationwide
study,
we
included
all
pregnancies
from
1997
2022
examined
6
categories
used
multilevel
logistic
regression
compute
crude
adjusted
odds
ratios
(aOR)
95%
confidence
intervals
(95%
CI)
for
the
risk
offspring
complications
did,
vs
did
not,
RESULTS:
There
were
833
3,150
prior
12,883
6,972
without
surgery.
For
UC,
was
associated
Cesarian
section
(C-section)
(ileoanal
pouch:
aOR:
20.03
[95%
CI
10.33–38.83];
functional
ileostomy:
aOR:8.55
[6.10–11.98];
diverting
38.96
[17.05–89.01])
preterm
birth
(aOR:
2.25
[1.48–3.75];
3.25
[2.31–4.59];
2.17
[1.17–4.00])
respectively.
intestinal
surgery,
risks
C-section
1.94
[1.66–2.27]),
1.30
[1.04–1.61]),
low
5-minute
Apgar
1.95
1.07–3.54])
increased
premature
rupture
membranes
0.68
[0.52–0.89])
decreased.
only
perianal
3.02
[2.31–3.95])
gestational
hypertension/preeclampsia/eclampsia
0.52
[0.30–0.89])
DISCUSSION:
Providers
should
be
aware
an
likelihood
certain
perinatal
patients
Pragmatic and Observational Research,
Journal Year:
2024,
Volume and Issue:
Volume 15, P. 17 - 29
Published: Feb. 1, 2024
Drug
repurposing,
utilizing
electronic
healthcare
records
(EHRs),
offers
a
promising
alternative
by
repurposing
existing
drugs
for
new
therapeutic
indications,
especially
patients
lacking
effective
therapies.
Intestinal
fibrosis,
severe
complication
of
Crohn's
disease
(CD),
poses
significant
challenges,
increasing
morbidity
and
mortality
without
available
pharmacological
treatments.
This
article
focuses
on
identifying
medications
associated
with
an
elevated
or
reduced
risk
fibrosis
in
CD
through
population-wide
real-world
data
artificial
intelligence
(AI)
approach.
Alimentary Pharmacology & Therapeutics,
Journal Year:
2024,
Volume and Issue:
60(1), P. 52 - 60
Published: May 1, 2024
Summary
Background
The
risk
of
chronic
opioid
use
after
surgery
for
Crohn's
disease
(CD)
is
not
known.
Aim
aim
this
study
to
examine
the
according
age
at
time
and
prior
surgery.
Methods
This
nationwide
cohort
included
patients
with
a
first
CD
(January
1,
1996
through
2021).
We
examined
prescribed
opioids
9
months
estimated
adjusted
odds
ratios
(OR)
in
elderly
(≥60
years),
adults
(≥40
<60
young
(≥18
<40
years)
Chronic
was
defined
as
prescriptions
least
two
three
consecutive
quarters.
Results
A
total
797
had
elderly,
1603
adults,
2786
adults.
Across
all
groups,
18%–38%
received
throughout
surgery,
if
were
If
corresponding
proportions
2%–5%.
(≥1)
ORs
(95%
CIs)
their
10.37
(6.77–15.88),
10.48
(7.74–14.19),
6.55
(4.93–8.72),
respectively.
Conclusion
Clinicians
should
be
aware
that
need
before
may
change
opioids.
Future
research
effective
analgesic
strategies
help
minimise
population.
Clinical and Translational Gastroenterology,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Nov. 7, 2023
Abstract
Introduction:
Inflammatory
bowel
disease
(IBD)
is
associated
with
depression
and
anxiety
in
adults,
but
data
scarce
on
risk
of
psychiatric
diseases
children
IBD.
We
aimed
to
estimate
the
anxiety,
depression,
or
attention-deficit/hyperactivity
disorder
patients
pediatric-onset
Methods:
performed
a
nationwide,
register-based
cohort
study
including
all
IBD
diagnosed
Denmark
period
1998-2018,
resulting
3,559
matched
1:5
age,
sex,
municipality
residence,
time
period,
17,795
reference
individuals.
used
Cox
regression
calculate
hazard
ratios
for
each
outcome
following
diagnosis
Results:
Patients
had
an
increased
(hazard
ratio
[HR]
1.50,
95%
confidence
interval
[CI]
1.26-1.80)
using
antidepressants
(HR
1.54,
CI
1.39-1.71),
surprisingly
reduced
methylphenidate
0.75,
0.58-0.98).
both
subtypes
(Crohn’s
[CD]
ulcerative
colitis
[UC])
developing
which
was
particularly
high
CD
1.73,
1.35-2.22).
UC
0.63,
0.43-0.93)
–
though
not
statistically
significant
being
ADHD
compared
background
population.
Discussion:
have
50%
important
health
care
providers
be
aware
manage.
Remarkably,
we
found
receiving
ADHD,
merits
further
investigation.
Inflammatory Bowel Diseases,
Journal Year:
2023,
Volume and Issue:
30(7), P. 1121 - 1129
Published: July 31, 2023
Use
of
traditional
opioids
(TOs)
for
pain
management
has
been
associated
with
adverse
outcomes
among
patients
inflammatory
bowel
diseases
(IBDs).
It
is
unknown
if
similar
associations
exist
tramadol,
a
partial
opioid
agonist
and
serotonin
norephinephrine
reuptake
inhibitor.
We
sought
to
compare
tramadol
vs
TOs
in
an
IBD
population.
Inflammatory Bowel Diseases,
Journal Year:
2024,
Volume and Issue:
31(1), P. 123 - 130
Published: April 2, 2024
Appendectomy
may
affect
the
clinical
course
of
Crohn's
disease
(CD),
but
rigorous
evidence
is
sparse
and
contradicting.
The
aim
this
study
was
to
examine
association
between
appendectomy
CD.