4.6 Article

COVID-19 outcomes in patients with inflammatory bowel diseases in Latin America: Results from SECURE-IBD registry

Journal

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
Volume 36, Issue 11, Pages 3033-3040

Publisher

WILEY
DOI: 10.1111/jgh.15588

Keywords

COVID-19; Crohn's disease; Latin America; Ulcerative colitis

Funding

  1. Helmsley Charitable Trust [2003-04445]
  2. National Center for Advancing Translational Sciences [UL1TR002489]
  3. Pfizer
  4. Takeda
  5. Janssen
  6. AbbVie
  7. Lilly
  8. Genentech
  9. Boehringer Ingelheim
  10. Bristol Myers Squibb
  11. Arenapharm
  12. Celltrion
  13. [T32DK007634]
  14. [K23KD111995-01A1]

Ask authors/readers for more resources

In Latin America, IBD patients diagnosed with COVID-19 have similar outcomes to global data, with risk factors for severe COVID-19 being similar to previous reports.
Background and Aim One of the most impacted regions by the pandemic globally, Latin America is facing socioeconomic and health-care challenges that can potentially affect disease outcomes. Recent data suggest that inflammatory bowel disease (IBD) patients do not have an increased risk of the development of COVID-19 complications. However, the impact of COVID-19 on IBD patients living in least developed areas remains to be fully elucidated. This study aims to describe the outcomes of IBD patients diagnosed with COVID-19 in countries from Latin America based on data from the SECURE-IBD registry. Methods Patients from Latin America enrolled in the SECURE-IBD registry were included. Descriptive analyses were used to summarize clinical and sociodemographic characteristics. The studied outcomes were (i) a composite of need for intensive care unit admission, ventilator use, and/or death (primary outcome) and (ii) a composite of any hospitalization and/or death (secondary outcome). Multivariable regression was used to identify risk factors of severe COVID-19. Results During the study period, 230 cases (Crohn's disease: n = 115, ulcerative colitis: n = 114, IBD-unclassified [IBD-U]: n = 1) were reported to the SECURE-IBD database from 13 different countries. Primary outcome was observed in 17 (7.4%) patients, and the case fatality rate was 1.7%. In the adjusted multivariable model, the use of systemic corticosteroids (odds ratio [OR] 10.97; 95% confidence interval [CI]: 3.44-34.99) was significantly associated with the primary outcome. Older age (OR 1.03; 95% CI: 1.00-1.05), systemic corticosteroids (OR 9.33; 95% CI: 3.84-22.63), and the concomitant presence of one (OR 2.14; 95% CI: 0.89-5.15) or two (OR 10.67; 95% CI: 1.74-65.72) comorbidities were associated with the outcome of hospitalization or death. Conclusion Inflammatory bowel disease patients with COVID-19 in Latin America appear to have similar outcomes to the overall global data. Risk factors of severe COVID-19 are similar to prior reports.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.6
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Letter Gastroenterology & Hepatology

What is the Real Impact of Corticosteroids in the Contemporary Treatment of Crohn's Disease?

Karime Lucas Uemura, Natalia Sousa Freitas Queiroz, Charlie W. Lees

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY (2022)

Article Sport Sciences

Evening chronotype predicts dropout of physical exercise: a prospective analysis

Flavio Augustino Back, Adriano Akira Ferreira Hino, Wilynson Gomes Bojarski, Joao Manoel Goncalves Aurelio, Claudia Roberta de Castro Moreno, Fernando Mazzilli Louzada

Summary: Chronotype is another variable that can predict the risk of dropout in physical exercise programs, along with the frequency of exercise in the first week and the duration of membership.

SPORT SCIENCES FOR HEALTH (2023)

Editorial Material Gastroenterology & Hepatology

Going Beyond a Treat-To-Target to a Treat-To-Clear and a Treat-To-Trough Therapeutic Strategy in Patients with Inflammatory Bowel Disease?

Natalia Sousa Freitas Queiroz, Adam S. Cheifetz, Konstantinos Papamichael

JOURNAL OF CROHNS & COLITIS (2023)

Article Biochemistry & Molecular Biology

Efficacy of Early Optimization of Infliximab Guided by Therapeutic Drug Monitoring during Induction-A Prospective Trial

Karoline Soares Garcia, Matheus Freitas Cardoso de Azevedo, Alexandre de Sousa Carlos, Luisa Leite Barros, Jane Oba, Carlos Walter Sobrado Junior, Aytan Miranda Sipahi, Olivia Duarte de Castro Alves, Tomas Navarro-Rodriguez, Rogerio Serafim Parra, Julio Maria Fonseca Chebli, Liliana Andrade Chebli, Cristina Flores, Andrea Vieira, Christianne Damasceno Arcelino do Ceara, Natalia Sousa Freitas Queiroz, Aderson Omar Mourao Cintra Damiao

Summary: Therapeutic drug monitoring (TDM) is important in optimizing response to anti-tumor necrosis factor drugs and preventing inadequate drug exposure. This study aimed to describe the remission rates of Brazilian inflammatory bowel disease (IBD) patients at six months using a proactive TDM algorithm guided by IFX trough levels (ITL) and antibodies to IFX (ATI) levels. The results showed that proactive TDM was associated with a high persistence rate of 82.9% and favorable remission rates at six months.

BIOMEDICINES (2023)

Article Nutrition & Dietetics

Pro-Inflammatory Diet Is Correlated with High Veillonella rogosae, Gut Inflammation and Clinical Relapse of Inflammatory Bowel Disease

Ilanna Marques Gomes da Rocha, Raquel Torrinhas, Danielle Fonseca, Clelia de Oliveira Lyra, Julianna Lys de Sousa Alves Neri, Bianca Depieri Balmant, Leticia Callado, Karen Charlton, Natalia Queiroz, Dan L. Waitzberg

Summary: This study investigated the association between inflammatory diet, gut microbiota profile, inflammation, and permeability in patients with IBD in clinical remission. The results showed a positive correlation between the inflammatory potential of the diet and elevated calprotectin levels, but not with zonulin levels. Specific bacteria sequences were also found to have an exponential behavior across different inflammatory diet groups and correlated with calprotectin or zonulin levels. The study suggests that a pro-inflammatory diet intake may contribute to disease relapse in IBD patients.

NUTRIENTS (2023)

Article Medicine, General & Internal

Practical Management of Biosimilar Use in Inflammatory Bowel Disease (IBD): A Global Survey and an International Delphi Consensus

Ferdinando D'Amico, Virginia Solitano, Fernando Magro, Pablo A. Olivera, Jonas Halfvarson, David Rubin, Axel Dignass, Sameer Al Awadhi, Taku Kobayashi, Natalia Sousa Freitas Queiroz, Marta Calvo, Paulo Gustavo Kotze, Subrata Ghosh, Laurent Peyrin-Biroulet, Silvio Danese

Summary: As the patents for biologic originator drugs expire, biosimilars are emerging as cost-effective alternatives within healthcare systems. A global survey was conducted to shed light on physicians' knowledge, beliefs, practical approaches, and concerns related to biosimilar adoption. Based on the survey results, a consensus was reached on key statements covering biosimilar effectiveness, safety, indications, rationale, multiple switches, therapeutic drug monitoring, non-medical switching, and future perspectives. The consensus affirmed that biosimilars are equally effective and safe compared to originator drugs.

JOURNAL OF CLINICAL MEDICINE (2023)

Article Gastroenterology & Hepatology

Vedolizumab in Mild-to-Moderate Crohn's Disease Patients Naïve to Biological Therapy: A Multicentric Observational Study

Adriana Zanoni Dotti, Daniela Oliveira Magro, Eduardo Garcia Vilela, Julio Maria Fonseca Chebli, Liliana Andrade Chebli, Flavio Steinwurz, Marjorie Argollo, Nayara Salgado Carvalho, Jose Miguel Luz Parente, Murilo Moura Lima, Rogerio Serafim Parra, Ramir Luan Perin, Cristina Flores, Eloa Marussi Morsoletto, Sandro da Costa Ferreira, Juliano Coelho Ludvig, Roberto Luiz Kaiser, Mikaell Alexandre Gouvea Faria, Guilherme Mattioli Nicollelli, Adriana Ribas Andrade, Natalia Sousa Freitas Queiroz, Paulo Gustavo Kotze

Summary: This study demonstrates the effectiveness and safety of vedolizumab as a first-line biological agent in patients with mild-to-moderate Crohn's disease.

CROHNS & COLITIS 360 (2023)

Article Gastroenterology & Hepatology

Active tuberculosis in inflammatory bowel disease patients: a case-control study

Matheus Freitas Cardoso de Azevedo, Luisa Leite Barros, Filipe Fernandes Justus, Jane Oba, Karoline Soares Garcia, Camilla de Almeida Martins, Alexandre de Sousa Carlos, Andre Zonetti Arruda Leite, Aytan Miranda Sipahi, Natalia Sousa Freitas Queiroz, Aderson Omar Mourao Cintra Damiao

Summary: This study aimed to identify risk factors for active tuberculosis (TB) development in inflammatory bowel disease (IBD) patients and describe their clinical characteristics and outcomes in a tertiary referral center in Brazil. Results showed that active TB was significantly associated with IBD diagnosis older than 17 years and anti-TNF therapy. Reintroduction of anti-TNFs after TB treatment appears to be safe.

THERAPEUTIC ADVANCES IN GASTROENTEROLOGY (2023)

Article Medicine, General & Internal

Perianal fistulizing Crohn's disease is associated with a higher prevalence of HPV in the anorectal fistula tract. A comparative study

Lucas Rodrigues Boarini, Carlos Walter Sobrado, Giana Rabello Mota, Luisa Lina Villa, Idblan Carvalho de Albuquerque, Natalia Sousa Freitas Queiroz, Carolina Bortolozzo Graciolli Facanali, Sidney Roberto Nadal, Ivan Cecconello

Summary: The aim of the study was to evaluate the prevalence of HPV and high-risk HPV in patients with perianal Crohn's disease compared to a control group. The results showed that perianal fistulizing Crohn's disease patients had a higher frequency of HPV in the fistulous tract than those without Crohn's disease.

CLINICS (2023)

Review Gastroenterology & Hepatology

IBD barriers across the continents: a continent-specific analysis: Latin America

Natalia Sousa Freitas Queiroz, Camilla de Almeida Martins, Abel Botelho Quaresma, Pablo A. Olivera A. Sendra, Kenneth Ernest-Suarez, Paulo Gustavo Kotze

Summary: Latin America is a diverse region with 47 countries and territories, each with its own cultural, historical, and healthcare management differences. However, there is a lack of high-quality data on inflammatory bowel diseases (IBD) in this region, including information on the use of biological and advanced therapies. Patients with IBD in Latin America face barriers and inequities in accessing healthcare services. This review examines the obstacles to IBD care in Latin America and gathers data from various sources, including epidemiological studies and surveys of healthcare professionals in the region.

THERAPEUTIC ADVANCES IN GASTROENTEROLOGY (2023)

Article Gastroenterology & Hepatology

Effectiveness and Safety of Tofacitinib in the Management of Ulcerative Colitis: A Brazilian Observational Multicentric Study

Ramir Luan Perin, Daniela Oliveira Magro, Adriana Ribas Andrade, Marjorie Argollo, Nayara Salgado Carvalho, Aderson Omar Moura Cintra Damiao, Adriana Zanoni Dotti, Sandro da Costa Ferreira, Cristina Flores, Juliano Coelho Ludvig, Rodrigo Bremer Nones, Natalia Sousa Freitas Queiroz, Rogerio Serafim Parra, Flavio Steinwurz, Fabio Vieira Teixeira, Paulo Gustavo Kotze

Summary: The study demonstrated the efficacy and safety of tofacitinib in patients with ulcerative colitis from Latin America, which was consistent with previous studies from other countries and meta-analyses.

CROHNS & COLITIS 360 (2023)

Article Gastroenterology & Hepatology

Predictive factors of response to infliximab therapy in Brazilian inflammatory bowel disease patients

Camilla de Almeida Martins, Matheus Freitas Cardoso de Azevedo, Alexandre Sousa Carlos, Aderson Omar Mourao Cintra Damiao, Carlos Walter Sobrado Jr, Sergio Carlos Nahas, Natalia Sousa Freitas Queiroz

Summary: This study has enhanced our understanding of the predictive factors of treatment response to IFX in a well-characterized Brazilian IBD population. The study found that the duration of IFX therapy and higher albumin levels increased the likelihood of clinical remission, while previous surgery decreased its chance. Prior use of adalimumab and higher C-reactive protein levels reduced the likelihood of endoscopic remission.

THERAPEUTIC ADVANCES IN GASTROENTEROLOGY (2023)

Article Health Care Sciences & Services

Temporal trends in the epidemiology of inflammatory bowel diseases in the public healthcare system in Brazil: A large population-based study

Abel B. Quaresma, Aderson O. M. C. Damiao, Claudio S. R. Coy, Daniela O. Magro, Adriano A. F. Hino, Douglas A. Valverde, Remo Panaccione, Stephanie B. Coward, Siew C. Ng, Gilaad G. Kaplan, Paulo G. Kotze

Summary: The incidence of Crohn's disease (CD) is decreasing while the incidence of ulcerative colitis (UC) is increasing in Brazil, leading to a stable incidence of inflammatory bowel diseases (IBD) from 2012 to 2020. The prevalence of IBD has been climbing, with 0.1% of Brazilians living with IBD in 2020. Additionally, there is a south-north gradient in the prevalence rates of IBD, CD, and UC in Brazil in 2020.

LANCET REGIONAL HEALTH-AMERICAS (2022)

No Data Available