Sa1216 Management Differences Between Early and Late-Onset Inflammatory Bowel Disease

Abstract

Background: As our population has aged more patients are being diagnosed with inflammatory bowel disease (IBD) at a later age. Despite the limited literature on the subject, clinical observation suggests that patients with late-onset IBD (LOIBD) have a different severity of disease compared to younger patients and, therefore, may have different management requirements. The primary objective of this study was to perform a retrospective analysis of the disease severity and therapy requirements of patients with a LOIBD as compared to those diagnosed at an earlier age. Methods: Patients were selected at random from a list of those billed for diagnosis codes attributed to inflammatory bowel disease. Of our initial list of 350 patients, we excluded 88 patients who were inappropriately coded as having IBD leaving us with a final list of 262 patients. We separated our list into three cohorts: those diagnosed with IBD before the age of 45, but who are currently younger than 45 (Group 1); those diagnosed with IBD before the age of 45, but who are currently older than 45