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001-es BibID:	BIBFORM040343
Első szerző:	Molnár T. (orvos)
Cím:	Predictors of relapse in patients with Crohn's disease in remission after 1 year of biological therapy / Molnár T., Lakatos P. L., Farkas K., Nagy F., Szepes Z., Miheller P., Horváth G., Papp M., Palatka K., Nyári T., Bálint A., Lőrinczy K., Wittmann T.
Dátum:	2013
Megjegyzések:	BACKGROUND: Some of the most important questions relating to the use of biological therapy in inflammatory bowel diseases concern the duration of maintenance therapy. AIM: To assess the disease course and frequency of relapse of Crohn's disease (CD) following discontinuation of biological therapy, and to determine predictive factors for relapse. METHODS: One hundred twenty-one CD patients who had achieved clinical remission following 1 year of biological therapy and for whom biological therapy was then discontinued participated in this prospective observational study. Eighty-seven CD patients had received infliximab and 34 adalimumab. The definition of relapse was an increase of >100 points in CDAI to at least a CDAI of 150 points. RESULTS: Biological therapy was restarted within 1 year of treatment cessation in 45% of patients. Logistic regression analysis revealed that previous biological therapy (P = 0.011) and dose intensification during the 1-year course of biological therapy (P = 0.024) were associated with the need for and the time to the restarting of biological therapy. Smoking was observed to have an effect that was not statistically significant (P = 0.053). CONCLUSIONS: Biological therapy was restarted a median of 6 months after discontinuation in almost half of Crohn's disease patients in who had been in clinical remission following 1 year of biological therapy. These results suggest that, in the event of the presence of certain predictive factors, biological therapy should probably be continued for more than 1 year by most patients.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Alimentary Pharmacology and Therapeutics. - 37 : 2 (2013), p. 225-233. -
További szerzők:	Lakatos Péter (Semmelweis Egyetem) Farkas K. Nagy Ferenc (orvos Szeged) Szepes Zoltán Miheller Pál Horváth G. Papp Mária (1975-) (belgyógyász, gasztroenterológus) Palatka Károly (1961-) (belgyógyász, gasztroenterológus) Nyári Tibor Bálint Anita Lőrinczy K. Wittmann Tibor
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