Discover and read the best of Twitter Threads about #mnibdtweetorial

Most recents (3)

@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 3/ Social determinants of health #SDOH
👉Conditions in places where people live, learn, work, & play shaped by 💰wealth, power, & resources that affect a wide range of health risks/outcomes
📌SDOH can lead to unfair & avoidable differences in health status w/in pops #disparities Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 4/ #SDOH impact health outcomes
📌Unemployed >6yrs👉2x⬆️mortality
📌Chicago area👉16yrs⬇️ life expectancy
📌Social isolation👉2x⬆️ risk of CAD
📌Unsafe childhood👉5x⬆️risk mental health disorder
📌Dual M/M ins👉24%-67% ⬆️readmission
📌Language services👉60% ⬆️risk ED utilization Image
@MondayNightIBD @DCharabaty @BonumCe @pfizer @JanssenUS @TakedaPharma 5/ How do #SDOH impact pts w/ #IBD?

📌 Low socioeconomic status (SES) in pts w/ IBD 👉
⬆️ICU admissions
⬆️hospitalizations 🏥
⬆️mortality risk
⬆️use of steroids >2,000mg/yr
⬆️outpatient visits
⬆️narcotic/psych med use

#MondayNightIBD
Read 21 tweets
@MondayNightIBD @DCharabaty @pfizer @JanssenUS @TakedaPharma @BonumCe 3/ 👋@MondayNightIBD crew
#MentalHealth in #IBD:
⬆️Anxiety & depression
✅Patients experience medical trauma & Post-traumatic stress symptoms (PTSS)

👉Treat-to-target approach inc.⬇️disability & ⬆️QoL
⚠️Yet #MentalHealth is often overlooked in #IBD
#MondayNightIBD #GastroPsych Image
@MondayNightIBD @DCharabaty @pfizer @JanssenUS @TakedaPharma @BonumCe 4/ 📌#Depression in #IBD
👉 21% of #IBD pts vs 13% healthy pts

⬆️ 90-day readmissions
⬆️ Surgeries
⬆️ Unnecessary CT-scans/CLN
⬆️ ED visits
⬆️ Annual cost ~$18k

🚨Bi-directional effect
⚡️Poor #MentalHealth 🔁 Poor self-mgmt
⚡️⬆️ inflammation 🔁 ⬆️ depression
#MondayNightIBD Image
@MondayNightIBD @DCharabaty @pfizer @JanssenUS @TakedaPharma @BonumCe 5/ #Anxiety in #IBD
👉 19% of #IBD pts vs 10% healthy pts

🚨Bi-directional effect🚨
⬆️Anxiety = risk factor for IBD & IBD = risk factor for anxiety
⬆️Inflammation 🔁 ⬆️Anxiety
#MondayNightIBD #GastroPsych Image
Read 16 tweets
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 2/ 📸 Faculty disclosures & CME certification ℹ 👇
#CME certificate 🏅 → ℹ️ bit.ly/3GOowNG Image
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 3/ 👌let's 🚴

In addition to 💉, pts w #IBD should undergo regular #PreventiveHealth #HCM:
📌Cancer Screening 🦀
📌Bone Health assessment 🦴
📌Mental Health 🥺
📌Treatment specific Testing 💉💊
📌Nutrition
📌Smoking cessation 🚬

#ICYMI vaccines #MNIBDTweetorial 📎 @🔚 of 🧵 Image
@MondayNightIBD @DCharabaty @JanssenUS @pfizer @TakedaPharma 4/ 🧩Who is IS? #IBD pts on or had within last 3 months:
🚩 Prednisone > 20mg/day >2wks
🚩 AZA >2.5 mg/kg/day
🚩 6MP >1.5 mg/kg/day
🚩 MTX >0.4 mg/kg/week
🚩 Cyclosporine
🚩 Tacrolimus
🚩 Tofacitinib, ozanimod
🚩 TNFi, UST

Also:
🚩 Significant protein-calorie malnutrition
Read 22 tweets

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