Patient characteristic | Crohn’s disease | Ulcerative colitis | ||||||||||||
% | Biologics† | Corticosteroids‡ with biologics | Corticosteroids‡ without biologics | % | Biologics† | Corticosteroids‡ with biologics | Corticosteroids‡ without biologics | |||||||
% (95% CI) | P value | % (95% CI) | P value | % (95% CI) | P value | % (95% CI) | P value | % (95% CI) | P value | % (95% CI) | P value | |||
Overall | N=52, 892 | 30.3 (29.9 to 30.7) | — | 11.0 (10.7 to 11.3) | — | 17.2 (16.9 to 17.5) | — | N=52 280 | 13.6 (13.4 to 13.9) | — | 5.9 (5.7 to 6.1) | — | 20.4 (20.0 to 20.7) | — |
Age (years) | ||||||||||||||
<18 | 2.8 | 41.3 (38.7 to 43.8) | 0.001 | 16.8 (14.9 to 18.7) | <0.001 | 13.0 (11.3 to 14.8) | 0.004 | 1.4 | 22.3 (19.3 to 25.3) | 0.003 | 12.5 (10.1 to 14.9) | <0.001 | 20.1 (17.2 to 23.0) | 0.89 |
18–59 (ref) | 59.6 | 37.1 (36.6 to 37.6) | — | 13.6 (13.2 to 13.9) | — | 15.9 (15.4 to 16.3) | — | 53.4 | 18.0 (17.5 to 18.4) | — | 7.9 (7.6 to 8.3) | — | 20.3 (19.9 to 20.8) | — |
≥60 | 37.6 | 18.8 (18.3 to 19.3) | <0.001 | 6.6 (6.2 to 6.9) | <0.001 | 19.6 (19.0 to 20.1) | <0.001 | 45.2 | 8.3 (7.9 to 8.6) | <0.001 | 3.3 (3.1 to 3.6) | <0.001 | 20.4 (19.9 to 20.9) | 0.89 |
Sex | ||||||||||||||
Female (ref) | 58.1 | 29.3 (28.7 to 29.8) | — | 11.0 (10.7 to 11.4) | — | 17.9 (17.5 to 18.3) | — | 55.9 | 12.6 (12.2 to 13.0) | — | 5.5 (5.2 to 5.8) | — | 20.7 (20.2 to 21.1) | — |
Male | 41.9 | 31.8 (31.2 to 32.4) | <0.001 | 11.0 (10.6 to 11.4) | 0.88 | 16.2 (15.7 to 16.6) | <0.001 | 44.1 | 15.0 (14.5 to 15.5) | <0.001 | 6.5 (6.1 to 6.8) | <0.001 | 19.9 (19.4 to 20.5) | 0.04 |
Race and ethnicity | ||||||||||||||
Non-Hispanic white (ref) | 77.7 | 30.8 (30.3 to 31.2) | — | 11.3 (11.0 to 11.6) | — | 17.4 (17.1 to 17.8) | — | 77.1 | 13.8 (13.5 to 14.1) | — | 6.0 (5.8 to 6.2) | — | 20.6 (20.2 to 21.0) | — |
Non-Hispanic black | 5.8 | 32.9 (31.2 to 34.6) | 0.01 | 11.9 (10.8 to 13.1) | 0.30 | 17.5 (16.1 to 18.8) | 0.94 | 4.7 | 14.5 (13.1 to 15.9) | 0.34 | 6.3 (5.3 to 7.2) | 0.57 | 19.9 (18.3 to 21.5) | 0.41 |
Other§ | 2.0 | 29.4 (26.7 to 32.2) | 0.36 | 12.4 (10.4 to 14.4) | 0.30 | 18.7 (16.3 to 21.1) | 0.29 | 2.6 | 15.1 (13.2 to 17.0) | 0.16 | 7.3 (5.9 to 8.7) | 0.05 | 21.5 (19.3 to 23.7) | 0.43 |
Unknown | 14.6 | 27.1 (26.1 to 28.1) | <0.001 | 8.8 (8.1 to 9.4) | <0.001 | 15.4 (14.6 to 16.2) | <0.001 | 15.7 | 12.4 (11.7 to 13.1) | <0.001 | 5.3 (4.8 to 5.7) | 0.01 | 19.0 (18.2 to 19.9) | 0.001 |
Number of comorbidities¶ | ||||||||||||||
0 (ref) | 69.3 | 33.2 (32.7 to 33.7) | — | 11.7 (11.4 to 12.1) | — | 15.1 (14.8 to 15.5) | — | 69.9 | 15.0 (14.6 to 15.3) | — | 6.5 (6.2 to 6.7) | — | 19.0 (18.6 to 19.4) | — |
1 | 22.6 | 25.8 (25.0 to 26.6) | <0.001 | 10.1 (9.5 to 10.6) | <0.001 | 20.0 (19.3 to 20.7) | <0.001 | 22.2 | 11.4 (10.9 to 12.0) | <0.001 | 5.0 (4.6 to 5.4) | <0.001 | 21.8 (21.0 to 22.5) | <0.001 |
2 | 6.1 | 19.5 (18.1 to 20.9) | <0.001 | 7.4 (6.5 to 8.3) | <0.001 | 26.1 (24.6 to 27.6) | <0.001 | 5.9 | 8.9 (7.9 to 9.8) | <0.001 | 4.0 (3.3 to 4.7) | <0.001 | 26.9 (25.3 to 28.4) | <0.001 |
≥3 | 2.0 | 13.8 (11.7 to 15.9) | <0.001 | 7.3 (5.7 to 8.8) | <0.001 | 29.5 (26.7 to 32.3) | <0.001 | 2.0 | 6.5 (5.0 to 8.0) | <0.001 | 3.3 (2.2 to 4.4) | <0.001 | 32.6 (29.7 to 35.5) | <0.001 |
*With or without a biologic prescription within the same calendar year. The denominators are all patients with CD or UC.
†Including adalimumab, infliximab, certolizumab, golimumab, vedolizumab, natalizumab, and ustekinumab.
‡Including prednisone, prednisolone, methylprednisolone, hydrocortisone, and budesonide.
§Others include Hispanics, non-Hispanic Asians, and other racial/ethnical groups.
¶Comorbidities include cardiovascular disease (acute myocardial infarction, heart failure, and stroke), diabetes, depression, chronic obstructive pulmonary disease, obesity, chronic kidney disease.
ref, referent group.