Evidence map›Paper›PMID 39699202›Full record

ArticleInflammatory bowel diseases2025

Low Surgery Rates in Early Crohn's Disease: Results from a Prospective Population-Based Inception Cohort-The Inflammatory Bowel Disease in South-Eastern Norway III Study.

Charlotte Lund, Vibeke Strande, Milada Hagen, May-Bente Bengtson, Raziye Boyar, Trond Espen Detlie, Svein Oskar Frigstad, Asle W Medhus, Magne Henriksen, Kristina I Aass Holten and 16 more

Abstract read
In one paragraph

Article in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Treatment and Outcomes of Crohn's Disease and Ulcerative Colitis in Newly Diagnosed Adults in the United States, 2007 to 2023.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Charlotte LundDepartment of Gastroenterology, Oslo University Hospital, PO Box 4956 Nydalen, 0424 Oslo, Norway.ORCID 0009-0006-5348-4645
Vibeke StrandeInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.ORCID 0009-0004-9121-6807
Milada HagenInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.ORCID 0000-0001-8947-8649
May-Bente BengtsonDepartment of Gastroenterology, Tønsberg Hospital, Vestfold Hospital Trust, PO Box 2168, 3103 Tønsberg, Norway.ORCID 0000-0002-5615-7141
Raziye BoyarDepartment of Medicine, Diakonhjemmet Hospital, PO Box 23 Vinderen, 0319 Oslo, Norway.
Trond Espen DetlieInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.ORCID 0000-0002-1576-5298
Svein Oskar FrigstadDepartment of Internal Medicine, Bærum Hospital, Vestre Viken Hospital Trust, PO Box 800, 3004 Drammen, Norway.ORCID 0000-0001-7841-608X
Asle W MedhusDepartment of Gastroenterology, Oslo University Hospital, PO Box 4956 Nydalen, 0424 Oslo, Norway.ORCID 0000-0001-7118-5127
Magne HenriksenDepartment of Gastroenterology, Østfold Hospital Trust, PO Box 300, 1714 Grålum, Sarpsborg, Norway.ORCID 0000-0002-8067-5838
Kristina I Aass HoltenInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.ORCID 0009-0007-4041-2623
Øistein HovdeInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.ORCID 0000-0003-4662-4153
Gert Huppertz-HaussDepartment of Gastroenterology, Skien Hospital, Telemark Hospital Trust, PO Box 2900 Kjørbekk, 3710 Skien, Norway.ORCID 0000-0002-5693-8773
Ingunn JohansenFaculty of Health, Welfare and Org, Østfold University College, PO Box 700, 1757 Halden, Norway.ORCID 0000-0003-2371-5036
Bjørn Christian OlsenInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.
Randi OpheimDepartment of Gastroenterology, Oslo University Hospital, PO Box 4956 Nydalen, 0424 Oslo, Norway.ORCID 0000-0002-0513-1435
Jens PallenschatDepartment of Internal Medicine, Flekkefjord Hospital, Sørlandet Hospital Trust, PO Box 416 Lundsiden, 4604 Kristiansand, Norway.
Gøri PerminowDepartment of Paediatrics, Oslo University Hospital, PO Box 4950 Nydalen, 0424 Oslo, Norway.ORCID 0000-0002-4158-372X
Petr RicanekDepartment of Gastroenterology, Lovisenberg Diaconal Hospital, PO Box 4970 Nydalen, 0440 Oslo, Norway.ORCID 0000-0003-2454-7388
Roald TorpDepartment of Internal Medicine, Hamar Hospital, Innlandet Hospital Trust, PO Box 104, 2381 Brumunddal, Norway.ORCID 0000-0001-9350-1717
Carl Magnus YstrømDepartment of Internal Medicine, Elverum Hospital, Innlandet Hospital Trust, PO Box 407, 2418 Elverum, Norway.ORCID 0000-0001-7103-8426
Ole HøieDepartment of Medicine, Kristiansand Hospital, Sørlandet Hospital Trust, PO Box 416 Lundsiden, 4604 Kristiansand, Norway.ORCID 0000-0003-2637-8063
Øivind AsakDepartment of Medicine, Lillehammer Hospital, Innlandet Hospital Trust, PO Box 990, 2629 Lillehammer, Norway.
Simen VatnDepartment of Gastroenterology, Akershus University Hospital, PO Box 1000, 1478 Lørenskog, Norway.ORCID 0000-0002-6124-4995
Tone Bergene AabrekkInstitute of Clinical Medicine, University of Oslo, PO Box 1171 Blindern, 0318 Oslo, Norway.
Vendel A KristensenDepartment of Gastroenterology, Oslo University Hospital, PO Box 4956 Nydalen, 0424 Oslo, Norway.ORCID 0000-0002-0876-8634
Marte Lie HøivikDepartment of Gastroenterology, Oslo University Hospital, PO Box 4956 Nydalen, 0424 Oslo, Norway.ORCID 0000-0002-0104-465X

Funding

PfizerTillotts Pharma
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe emergence of biologic therapy has coincided with a decline in surgery rates for Crohn's disease (CD). This study aims to describe the disease course, including intra-abdominal surgery rates, biologic therapy use, and variables associated with biologic therapy initiation in a cohort of newly diagnosed CD patients.

methodsThe Inflammatory Bowel Disease in South-Eastern Norway (IBSEN) III study is a population-based inception cohort study. From 2017 to 2019, newly diagnosed inflammatory bowel disease patients were included for prospective follow-up. The present study included CD patients ≥ 18 years. Clinical, endoscopic, and demographic data were collected at diagnosis and 1-year follow-up. Data were analyzed by using the Kaplan-Meier method and regression analyses.

resultsIn total, 424 CD patients (median age 37.0 years (range 18-80), female 55.0%) were included. At diagnosis, 50.5% presented with ileal disease and 80.7% with inflammatory behavior. Within a 1-year follow-up, 39.6% of patients received their first biologic therapy and 5.2% required intra-abdominal surgery. Systemic steroid treatment, CRP ≥ 5.0 mg dL-1, Harvey-Bradshaw Index score > 4, ileocolonic disease and penetrating disease behavior at diagnosis were independently associated with increased risk of initiation of biologic therapy, while age > 40 years was associated with decreased risk.

conclusionA high proportion of patients had ileal disease and inflammatory behavior at diagnosis. Still, nearly 40% started biologic therapy within the 1-year follow-up, while only 5% required intra-abdominal surgery.

Indexed as

Crohn DiseaseDigestive System Surgical ProceduresAdolescentAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedNorwayProspective StudiesYoung Adultbiologic therapyCrohn’s diseaseepidemiologyIBDintra-abdominal surgery

Identifiers

PMID39699202
PMCPMC12342730

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.