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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 3/2014

01-03-2014 | Editorial

Radiating Disparity in IBD

Authors: Mark Flasar, Seema Patil

Published in: Digestive Diseases and Sciences | Issue 3/2014

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Excerpt

In remote corners of the rapidly expanding IBD literature universe, two separate areas of investigation and controversy continue to grow independently. The first is in regard to the risks of diagnostic radiation exposure, whereas the second concerns the disparities in access to care and health care resource utilization in IBD patients. …
Literature
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Brenner DJ, Hall EJ. Computed tomography—an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284.PubMedCrossRef
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Kroeker KI, Lam S, Birchall I, Fedorak RN. Patients with IBD are exposed to high levels of ionizing radiation through CT scan diagnostic imaging: a five-year study. J Clin Gastroenterol. 2011;45:34–39.PubMedCrossRef
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Peloquin JM, Pardi DS, Sandborn WJ, et al. Diagnostic ionizing radiation exposure in a population-based cohort of patients with inflammatory bowel disease. Am J Gastroenterol. 2008;103:2015–2022.PubMedCentralPubMedCrossRef
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Newnham E, Hawkes E, Surender A, James SL, Gearry R, Gibson PR. Quantifying exposure to diagnostic medical radiation in patients with inflammatory bowel disease: are we contributing to malignancy? Aliment Pharmacol Ther. 2007;26:1019–1024.PubMedCrossRef
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Berrington de Gonzalez A, Darby S. Risk of cancer from diagnostic X-rays: estimates for the UK and 14 other countries. Lancet. 2004;363:345–351.PubMedCrossRef
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Israeli E, Ying S, Henderson B, Mottola J, Strome T, Bernstein CN. The impact of abdominal computed tomography in a tertiary referral centre emergency department on the management of patients with inflammatory bowel disease. Aliment Pharmacol Ther. 2013;38:513–521.PubMedCrossRef
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Sewell JL, Velayos FS. Systematic review: the role of race and socioeconomic factors on IBD healthcare delivery and effectiveness. Inflamm Bowel Dis. 2013;19:627–643.PubMedCrossRef
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Nguyen GC, LaVeist TA, Harris ML, Wang MH, Datta LW, Brant SR. Racial disparities in utilization of specialist care and medications in inflammatory bowel disease. Am J Gastroenterol. 2010;105:2202–2208.PubMedCentralPubMedCrossRef
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Flasar MH, Johnson T, Roghmann MC, Cross RK. Disparities in the use of immunomodulators and biologics for the treatment of inflammatory bowel disease: a retrospective cohort study. Inflamm Bowel Dis. 2008;14:13–19.PubMedCrossRef
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Hou JK, Malaty HM, Thirumurthi S. Radiation exposure from diagnostic imaging studies among patients with inflammatory bowel disease in a safety-net health-care system. Dig Dis Sci. (Epub ahead of print). doi:10.​1007/​s10620-013-2852-1.
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Nguyen GC, Torres EA, Regueiro M, et al. Inflammatory bowel disease characteristics among African Americans, Hispanics, and non-Hispanic Whites: characterization of a large North American cohort. Am J Gastroenterol. 2006;101:1012–1023.PubMedCrossRef
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Silverberg MS, Satsangi J, Ahmad T, et al. Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a working party of the 2005 Montreal World Congress of Gastroenterology. Can J Gastroenterol. 2005;19 Suppl A:5A–36A.
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Flasar M, Chao J, Yang M, Mulani P, Lu M, Cross R. Racial differences in use of biologics for Crohn’s disease in a medicaid population. Am J Gastroenterol. 2010;105:S443.CrossRef
Metadata
Title
Radiating Disparity in IBD
Authors
Mark Flasar
Seema Patil
Publication date
01-03-2014
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 3/2014
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-013-2922-4

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