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Healthcare maintenance in elderly patients with inflammatory bowel disease

The increasing number of older patients (age ≥60 years) with inflammatory bowel disease (IBD) highlights the importance of healthcare maintenance in this vulnerable population. Older IBD patients are more susceptible and have higher rates of many disease- and treatment-related adverse effects. Compa...

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Detalles Bibliográficos
Autores principales: Shrestha, Manish P., Ruel, Joannie, Taleban, Sasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hellenic Society of Gastroenterology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5411377/
https://www.ncbi.nlm.nih.gov/pubmed/28469357
http://dx.doi.org/10.20524/aog.2017.0130
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author Shrestha, Manish P.
Ruel, Joannie
Taleban, Sasha
author_facet Shrestha, Manish P.
Ruel, Joannie
Taleban, Sasha
author_sort Shrestha, Manish P.
collection PubMed
description The increasing number of older patients (age ≥60 years) with inflammatory bowel disease (IBD) highlights the importance of healthcare maintenance in this vulnerable population. Older IBD patients are more susceptible and have higher rates of many disease- and treatment-related adverse effects. Compared to younger IBD patients, older patients are at increased risk for infection, malignancy, bone disease, eye disease, malnutrition and thrombotic complications. Preventive strategies in the elderly differ from those in younger adults and are imperative. Changes to the immune system with aging can decrease the efficacy of vaccinations. Cancer screening guidelines in older IBD patients have to account for unique considerations, such as life expectancy, functional performance status, multimorbidity, financial status, and patient desires. Additionally, providers need to be vigilant in screening for osteoporosis, ocular disease, depression, and adverse events arising from polypharmacy.
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spelling pubmed-54113772017-05-03 Healthcare maintenance in elderly patients with inflammatory bowel disease Shrestha, Manish P. Ruel, Joannie Taleban, Sasha Ann Gastroenterol Review Article The increasing number of older patients (age ≥60 years) with inflammatory bowel disease (IBD) highlights the importance of healthcare maintenance in this vulnerable population. Older IBD patients are more susceptible and have higher rates of many disease- and treatment-related adverse effects. Compared to younger IBD patients, older patients are at increased risk for infection, malignancy, bone disease, eye disease, malnutrition and thrombotic complications. Preventive strategies in the elderly differ from those in younger adults and are imperative. Changes to the immune system with aging can decrease the efficacy of vaccinations. Cancer screening guidelines in older IBD patients have to account for unique considerations, such as life expectancy, functional performance status, multimorbidity, financial status, and patient desires. Additionally, providers need to be vigilant in screening for osteoporosis, ocular disease, depression, and adverse events arising from polypharmacy. Hellenic Society of Gastroenterology 2017 2017-02-17 /pmc/articles/PMC5411377/ /pubmed/28469357 http://dx.doi.org/10.20524/aog.2017.0130 Text en Copyright: © Hellenic Society of Gastroenterology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Shrestha, Manish P.
Ruel, Joannie
Taleban, Sasha
Healthcare maintenance in elderly patients with inflammatory bowel disease
title Healthcare maintenance in elderly patients with inflammatory bowel disease
title_full Healthcare maintenance in elderly patients with inflammatory bowel disease
title_fullStr Healthcare maintenance in elderly patients with inflammatory bowel disease
title_full_unstemmed Healthcare maintenance in elderly patients with inflammatory bowel disease
title_short Healthcare maintenance in elderly patients with inflammatory bowel disease
title_sort healthcare maintenance in elderly patients with inflammatory bowel disease
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5411377/
https://www.ncbi.nlm.nih.gov/pubmed/28469357
http://dx.doi.org/10.20524/aog.2017.0130
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