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Editorial: Ulcerative Colitis Management in the Biologic Era—Data From the English Healthcare Databases

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Reduced elective and emergency colectomy rates in ulcerative colitis patients coincided with increased use of biologics.
Patients diagnosed between 2003 and 2020 showed a significant decline in elective colectomy from 2.6% to 1.3% and emergency from 3.27% to 2.27%.
Analysis of 39,198 patients highlights modest progress in corticosteroid prescribing practices, indicating ongoing concerns over steroid overuse.
While the study reveals positive trends, observed associations may reflect confounding by indication due to severe disease treatment.

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Population-based analysis shows reduced colectomy rates in ulcerative colitis, suggesting biologic therapies impact surgical management.

Cosquer et al. (2025) studied this question.

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