Systematic review with meta-analysis: loss of response and requirement of anti-TNFα dose intensification in Crohn's disease.

Author: Ben-HorinShomron, ChenBai-Li, ChenMin-Hu, HeYao, MaoRen, QiuYun, ZengZhi-Rong, ZhangSheng-Hong

Paper Details 
Original Abstract of the Article :
BACKGROUND: To review the frequency with which anti-TNF-α loses its effect and dose "intensification" is required for Crohn's disease (CD) treatment. METHODS: Electronic databases were searched for eligible studies. Raw data from studies meeting inclusion criteria were pooled for effect estimates. ...See full text at original site
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引用元:
https://doi.org/10.1007/s00535-017-1324-3

データ提供:米国国立医学図書館(NLM)

Anti-TNF-α Therapy for Crohn's Disease: Addressing Loss of Response

Gastroenterology, a branch of medicine that focuses on the digestive system, tackles challenging conditions like Crohn's disease. This research examines the frequency of loss of response (LOR) to anti-TNF-α therapy, a common treatment for Crohn's disease, and the need for dose intensification.

Loss of Response to Anti-TNF-α Therapy: A Common Occurrence

The systematic review found that approximately one-third of patients with Crohn's disease experience a LOR to anti-TNF-α therapy within a year. This finding highlights the need for careful monitoring and potential adjustments to treatment strategies. The study also found that a significant proportion of patients require dose intensification to maintain treatment effectiveness.

Implications for Crohn's Disease Management and Personalized Treatment

This research underscores the importance of recognizing LOR to anti-TNF-α therapy and being prepared to adjust treatment accordingly. Just as a desert traveler must adapt to changing terrain, doctors need to be adaptable in managing Crohn's disease. The findings suggest that personalized treatment approaches, tailored to individual patient needs and responses, are crucial for optimal management of the condition.

Dr.Camel's Conclusion

This research provides valuable insights into the management of Crohn's disease. It emphasizes the importance of recognizing and addressing LOR to anti-TNF-α therapy. Like navigating a desert landscape, managing Crohn's disease requires continuous assessment and adaptation to ensure the best possible outcomes for the patient.

Date :
  1. Date Completed 2017-09-25
  2. Date Revised 2022-03-18
Further Info :

Pubmed ID

28275925

DOI: Digital Object Identifier

10.1007/s00535-017-1324-3

SNS
PICO Info
in preparation
Languages

English

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