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Incidence of Adverse Psychiatric Events During Treatment of Inflammatory Bowel Disease With Biologic Therapies: A Systematic Review.


ABSTRACT: We conducted a systematic review and a fixed-effects meta-analysis to determine whether incident adverse psychiatric events (APE) including depression, anxiety, psychosis, or suicide were associated with biologic therapy in IBD. Six randomized controlled trials and a cohort study met criteria, reporting an incidence of APE in 4,882 patients. The risk difference per 100 person-months of any APE with a biologic medication was 0.01 (95% confidence interval = 0.00-0.02). There was insufficient evidence available in randomized controlled trials to conclude that biologic therapy in IBD is associated with an increased incidence of APE.

SUBMITTER: Jain A 

PROVIDER: S-EPMC6977711 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Incidence of Adverse Psychiatric Events During Treatment of Inflammatory Bowel Disease With Biologic Therapies: A Systematic Review.

Jain Avni A   Marrie Ruth Ann RA   Shafer Leigh Anne LA   Graff Lesley A LA   Patten Scott B SB   El-Gabalawy Renée R   Sareen Jitender J   Bolton James M JM   Fisk John D JD   Bernstein Charles N CN  

Crohn's & colitis 360 20191219 1


We conducted a systematic review and a fixed-effects meta-analysis to determine whether incident adverse psychiatric events (APE) including depression, anxiety, psychosis, or suicide were associated with biologic therapy in IBD. Six randomized controlled trials and a cohort study met criteria, reporting an incidence of APE in 4,882 patients. The risk difference per 100 person-months of any APE with a biologic medication was 0.01 (95% confidence interval = 0.00-0.02). There was insufficient evide  ...[more]

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