Evidence map›Paper›PMID 41783918›Full record

ArticleUnited European gastroenterology journal2026

Corticosteroid Use in Childhood-Onset Inflammatory Bowel Disease: A Nationwide Cohort Study (2006-2022).

Karl Mårild, Mikkel Malham, Petter Malmborg, Jonas Söderling, Mads Damsgaard Wewer, Vibeke Wewer, SWIBREG Study Group, Tim Raine, Johan Burisch, Ola Olén

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2026. 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

10 authors.

Karl MårildDepartment of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, Gothenburg, Sweden.ORCID https://orcid.org/0000-0003-2285-8713
Mikkel MalhamDepartment of Paediatrics and Adolescent Medicine, Copenhagen University Hospital, Amager Hvidovre Hospital, Hvidovre, Denmark.ORCID https://orcid.org/0000-0002-6956-7676
Petter MalmborgSachs' Children and Youth Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-1465-0963
Jonas SöderlingDivision of Clinical Epidemiology, Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Mads Damsgaard WewerCopenhagen Centre for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital, Hvidovre, Denmark.
Vibeke WewerCopenhagen Centre for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital, Hvidovre, Denmark.
SWIBREG Study Group
Tim RaineDepartment of Gastroenterology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID https://orcid.org/0000-0002-5855-9873
Johan BurischGastro Unit, Medical Division, University Hospital Copenhagen, Amager and Hvidovre Hospital, Hvidovre, Denmark.
Ola OlénSachs' Children and Youth Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-5478-7019

Funding

Region Stockholm FoUI-1002495Swedish Research Council 2020-02002
6 · The paper itself

Abstract

backgroundWe aimed to determine corticosteroid (CS) use in paediatric inflammatory bowel disease (PIBD, < 18 years), which remains common despite recommendations for limited use and the emergence of steroid-sparing therapies.

methodsWe conducted a study of all children in Sweden diagnosed with CD (n = 2460) or UC (n = 2470) in 2006-2022. Nationwide health registers provided annual individual-level data on CS use, classified as any use and excess use (i.e., ≥ 2 courses or ≥ 3 months of use per year).

resultsThe mean age at diagnosis was 13.7 (SD = 3.4) for CD and 13.9 (SD = 3.8) years for UC. In CD, the proportion of patients with any annual CS use decreased from 42.9% (2006) to 27.6% (2022; p < 0.001), particularly for excess CS use (decreasing from 33.7% to 19.1%; p < 0.001). Rates in UC remained largely unchanged, with any CS use at 41.0% in 2006 and 43.6% in 2022 (p = 0.43), while excess use was 32.4% in 2006 and 36.2% in 2022 (p = 0.21). Although any CS use was most common during the first year after diagnosis (CD: 63.8%, UC: 70.6%), annual rates stabilised only during the fourth (CD) and fifth (UC) years of diagnosis. Older age at diagnosis and prior IBD-related hospitalisation were risk factors for excess CS use in both CD and UC.

conclusionsThe use of CS in PIBD remains high, with annual rates showing no reduction in UC over the past more than 15 years, while a marked decline is observed in CD. Our data should inform strategies to reduce excess CS use in children.

Indexed as

Adrenal Cortex HormonesColitis, UlcerativeCrohn DiseaseAdolescentAge of OnsetChildChild, PreschoolCohort StudiesFemaleHumansMaleRegistriesSwedenAdrenal Cortex Hormonescolitis ulcerosaIBDmorbus crohnpopulation basedsteroid

Identifiers

PMID41783918
PMCPMC12961413

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.