Considerations on Multimorbidity and Frailty in Inflammatory Bowel Diseases
- PMID: 39475079
- PMCID: PMC11523040
- DOI: 10.1093/ecco-jcc/jjae067
Considerations on Multimorbidity and Frailty in Inflammatory Bowel Diseases
Abstract
There are growing numbers of older people with inflammatory bowel diseases [IBD]. These older patients are more likely to have other comorbidities and polypharmacy, which can make recognizing and treating IBD complex. Frailty is a newer concept in the IBD field, and we are beginning to recognize the importance of this as a marker of biological age and its association with risk of adverse IBD-related outcomes. In this review article we aim to provide practical insight into the specific challenges facing older patients and their clinicians at each stage of the patient journey. We also discuss the latest understanding of the impact of frailty for these patients with IBD and highlight areas for future research.
Keywords: Ageing; IBD; frailty.
© The Author(s) 2024. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation.
Conflict of interest statement
IC has received speaker honoraria from Celltrion, research grants from Celltrion, and a travel grant from Galapagos. CPS has received unrestricted research grants from Warner Chilcott, Janssen, and AbbVie, has provided consultancy to Warner Chilcott, Dr Falk, AbbVie, Takeda, Fresenius Kabi, Galapagos, Ferring, RedX, Arena, and Janssen, and had speaker arrangements with Warner Chilcott, Dr Falk, AbbVie, MSD, Pfizer, Celltrion, and Takeda. SS has received consulting fees from Celltrion, Lilly, Takeda, AbbVie, Merck, Ferring, Pharmacocosmos, Warner Chilcott, Janssen, Falk Pharma, Biohit, TriGenix, Celgene, and Tillots Pharma, has received payment or honoraria for lectures from AbbVie, Takeda, Celltrion, Pfizer, Biogen, AbbVie, Janssen, Merck, Warner Chilcott, and Falk Pharma Janssen, and holds research grants from Abbvie, Janssen, Takeda, and Olympus. OT reports no conflicts of interest.
References
-
- Coward S, Clement F, Benchimol EI, et al. Past and future burden of inflammatory bowel diseases based on modeling of population-based data. Gastroenterology 2019;156:1345–53.e4. - PubMed
-
- Gisbert JP, Chaparro M.. Systematic review with meta-analysis: inflammatory bowel disease in the elderly. Aliment Pharmacol Ther 2014;39:459–77. - PubMed
-
- Sturm A, Maaser C, Mendall M, et al. European Crohn’s and Colitis Organisation topical review on IBD in the elderly. J Crohns Colitis 2017;11:263–73. - PubMed
-
- United Nations. World Population Ageing 2019. New York: Department of Economic and Social Affairs; 2020.
-
- Whitty C. Chief Medical Officer’s Annual Report 2023: Health in an Ageing Society. 2023. https://assets.publishing.service.gov.uk/media/65562ff2d03a8d000d07faa6/....
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
