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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hellenic Society of Gastroenterology
2017
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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. |
format | Online Article Text |
id | pubmed-5411377 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hellenic Society of Gastroenterology |
record_format | MEDLINE/PubMed |
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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