ArticleDigestive diseases and sciences2014
Clinical presentation and disease course of inflammatory bowel disease differs by race in a large tertiary care hospital.
Article in Digestive diseases and sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Red flags for appropriate referral to the gastroenterologist and the rheumatologist of patients with inflammatory bowel disease and spondyloarthritis.Clinical and experimental immunology · 2019Pooled it
- Genome-Wide Association Study Identifies African-Specific Susceptibility Loci in African Americans With Inflammatory Bowel Disease.Gastroenterology · 2017Pooled it
- IBD Care Across Diverse Patient Populations: Changing the Narrative.Digestive diseases and sciences · 2026Review
- Discrepancies in Race and Ethnicity in the Electronic Health Record Compared to Self-report.Journal of racial and ethnic health disparities · 2023Observational
- Epidemiology of Inflammatory Bowel Disease in a Cohort of US Black Women.Inflammatory bowel diseases · 2023Article
- Evaluation of Racial/Ethnic Disparities in the Surgical Management of Inflammatory Bowel Disease.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Black Race and Public Insurance Are Predictive of Inappropriate Evaluation of Iron Deficiency Anemia and Diarrhea.Digestive diseases and sciences · 2021Article
- Black and White Patients With Inflammatory Bowel Disease Show Similar Biologic Use Patterns With Medicaid Insurance.Inflammatory bowel diseases · 2021Article
- Ethnic differences in inflammatory bowel disease: Results from the United Kingdom inception cohort epidemiology study.World journal of gastroenterology · 2019Observational
- Emergent colectomy rates decreased while elective ileal pouch rates were stable over time: a nationwide inpatient sample study.International journal of colorectal disease · 2019Article
- Lack of Difference in Treatment Patterns and Clinical Outcomes Between Black and White Patients With Inflammatory Bowel Disease.Inflammatory bowel diseases · 2018Article
- A comparison of the risk of postoperative recurrence between African-American and Caucasian patients with Crohn's disease.Alimentary pharmacology & therapeutics · 2018Article
- Epidemiology of inflammatory bowel disease in racial and ethnic migrant groups.World journal of gastroenterology · 2018Article
- Identification of Specific Oral and Gut Pathogens in Full Thickness Colon of Colitis Patients: Implications for Colon Motility.Frontiers in microbiology · 2018Article
- Race/Ethnicity-Specific Disparities in the Severity of Disease at Presentation in Adults with Ulcerative Colitis: A Cross-Sectional Study.Digestive diseases and sciences · 2017Article
- Re: Genome-Wide Association Study Identifies African-Specific Susceptibility Loci in African Americans With Inflammatory Bowel Disease.Gastroenterology · 2017Article
- African Americans and Short-Term Outcomes after Surgery for Crohn's Disease: An ACS-NSQIP Analysis.Journal of Crohn's & colitis · 2017Article
- Zinc Deficiency is Associated with Poor Clinical Outcomes in Patients with Inflammatory Bowel Disease.Inflammatory bowel diseases · 2017Article
- Characterization and prevalence of spondyloarthritis and peripheral arthritis among patients with inflammatory bowel disease.Clinical and experimental gastroenterology · 2017Article
- Clinical features of Crohn disease concomitant with ankylosing spondylitis: A preliminary single-center study.Medicine · 2016Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundWhile the incidence of inflammatory bowel disease (IBD) among African-Americans (AAs) is increasing, there is limited understanding of phenotypic differences and outcomes by race.
aimTo describe disease characteristics of AA patients compared to Caucasian (Ca) patients in a tertiary care population.
methodsWe performed a cross-sectional review of the IBD registry at the University of Chicago from January 2008 to January 2013. Data regarding race, phenotype, disease onset, disease duration, medical therapy, and surgical treatment were abstracted from the database, then compared via Pearson's chi-square analysis, Kruskal-Wallis analysis, and logistic regression with a significance level of p < 0.05.
resultsA total of 1,235 patients with Crohn's disease (CD) and 541 patients with ulcerative colitis (UC) included 108 AA CD patients and 28 AA UC patients. AA CD patients had an increased rate of IBD-related arthralgias (36.5 vs. 23.9 %, p < 0.01) and surgery (p < 0.01), less ileal involvement (57.8 vs. 71.0 %, p < 0.01), and no differences for other extraintestinal manifestations or disease locations compared to Ca CD patients. AA UC patients were older at diagnosis, had an increased rate of arthralgias (28.6 vs. 14.6 %, p = 0.047) and ankylosing spondylitis/sacroiliitis (7.1 vs. 1.6 %, p = 0.035), with no differences for disease extent or rate of IBD-related surgeries compared to Ca UC patients. There were no differences in medication usage by race for CD and UC patients.
conclusionWe identified significant differences in disease characteristics and extraintestinal manifestations between AA and Ca IBD patients in a large tertiary care population. These results have implications for future genotype-phenotype studies.
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