In this study, researchers assessed the incidence of Crohn’s disease in the elderly.
The team also compared outcomes in patients who were less than 60 years of age at diagnosis, with those who were 60 years or older.
They included a population based inception cohort of all incident Crohn’s disease cases diagnosed in Brittany, France, between 1994 and 1997.
There were 63 patients who were 60 years or over at diagnosis, and 201 who were under 60.
Standardized questionnaires were used to collect the study data.
|Older patients had a higher rate of colon involvement.|
|European Journal of Gastroenterology and Hepatology|
The researchers found that in patients ≥60 years, the annual incidence of Crohn’s disease was 2.5 per 105 persons. Clinical features in these patients were similar to those in younger patients, except for a higher rate of colon involvement.
They found that older patients with diverticula (46%) were more likely to have granulomas (58%) than patients without diverticula (33%).
Early resection rates were not higher in older patients.
Older patients were less likely to require immunosuppressants or re-admission for Crohn’s disease flares.
Dr Denis Heresbach and colleagues concluded, “In Brittany, the age specific incidence, clinical features, and prognosis of Crohn’s disease among the elderly are comparable to those in younger individuals”.
“Colon involvement is more common”.
“Concomitant diverticular disease is common and should prompt a search for Crohn’s diseaese lesions at other sites to confirm the diagnosis”.
“Older patients are less likely to require immunosuppressants or admission for flares”.