Evidence map›Paper›PMID 40198541›Full record

ArticleDrugs - real world outcomes2025

Real-World Treatment Patterns Among Pediatric and Adult Patients with Crohn's Disease in the United States.

Art Kastl, Theresa Hunter Gibble, Debbie Tinsley, Wallace V Crandall, Wendy J Komocsar, Yu Du, Casey K Choong, Payal Jha, Wai Man Maria Chan

Abstract read
In one paragraph

Article in Drugs - real world outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Art KastlChildren'S Hospital of Philadelphia, Philadelphia, USA.
Theresa Hunter GibbleEli Lilly and Company, Indianapolis, USA.
Debbie TinsleyEli Lilly and Company, Indianapolis, USA.
Wallace V CrandallEli Lilly and Company, Indianapolis, USA.
Wendy J KomocsarEli Lilly and Company, Indianapolis, USA.
Yu DuEli Lilly and Company, Indianapolis, USA.
Casey K ChoongEli Lilly and Company, Indianapolis, USA.
Payal JhaEli Lilly and Company, Indianapolis, USA.
Wai Man Maria ChanEli Lilly and Company, Indianapolis, USA. chan_wai_man_maria@lilly.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe advent of biologics has expanded treatment options for Crohn's disease (CD). This study assessed treatment patterns in pediatric and adult patients with CD in the United States during 1- and 3-year follow-up periods.

methodsThis retrospective, claims-based cohort study utilized the Merative™ MarketScan

resultsData from 2809 pediatric and 25,940 adult patients were analyzed at 1-year follow-up. Mean age in years was 13.5 for pediatric and 46.0 for adult patients. Combination therapies were more common in pediatric versus adult patients, especially among those newly diagnosed with CD (38.2% vs 13.9%). A higher percentage of pediatric patients were prescribed biologics than adults (35.1% vs 24.3%). Numerically shorter time from diagnosis to corticosteroid initiation was observed in pediatric versus adult patients (9.5 vs 35 days). Higher persistence to biologics was observed in pediatric versus adult patients (94.6% vs 87.1%).

conclusionsCombination therapies with biologics were more frequent among pediatric patients than adults. Although the overall treatment pattern among pediatric and adult patients was similar, early initiation of corticosteroids and adoption of biologics were more frequently observed in pediatric than adult patients, consistent with pediatric CD presenting with more aggressive disease.

Identifiers

PMID40198541
PMCPMC12173977

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