The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study
Backgrounds and Aims. Elobixibat is a bile acid transporter inhibitor indicated for constipation. Previous studies were performed mainly for the nonelderly and were biased to female. We analyzed the efficacy of elobixibat also for the elderly and male. Materials and Methods. This was a multicenter r...
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Hindawi Limited
2020
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Online Access: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085176371&doi=10.1155%2f2020%2f9656040&partnerID=40&md5=604d80601864f66c882b6deb174cdc9a |
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2-s2.0-85085176371 Tomie A.; Yoshida N.; Kugai M.; Hirose R.; Dohi O.; Inoue K.; Okuda K.; Motoyoshi T.; Fukumoto K.; Inagaki Y.; Yoriki H.; Inada Y.; Okuda T.; Hasegawa D.; Ogiso K.; Murakami T.; Soga K.; Rani R.A.; Yoshida N.; Itoh Y. The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study 2020 Gastroenterology Research and Practice 2020 10.1155/2020/9656040 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085176371&doi=10.1155%2f2020%2f9656040&partnerID=40&md5=604d80601864f66c882b6deb174cdc9a Backgrounds and Aims. Elobixibat is a bile acid transporter inhibitor indicated for constipation. Previous studies were performed mainly for the nonelderly and were biased to female. We analyzed the efficacy of elobixibat also for the elderly and male. Materials and Methods. This was a multicenter retrospective cohort study. The subjects were patients aged ≥20 years treated for chronic constipation from May 2018 to November 2019 at 12 related institutions. Patients were divided into ≤74 years and ≥75 years old. Elobixibat at 10 mg/day was prescribed for two weeks. We then analyzed the discontinuation due to ineffectiveness, change of spontaneous bowel movements (SBM), stool consistency, the time until the first SBM, adverse events, and effect-related factors. Results. There were 140 cases (61 males) evaluated, with an average age of 72.1±13.6 years (≤74 years: 71 cases; ≥75 years: 69 cases). The discontinuation rate was 7.9%. The SBM (times/week) increased from 2.86 to 6.08 (p<0.001). The overall SBM improvement rate was 74.0% (≤74 years: 78.2% vs. ≥75 years: 68.9%, p=0.31; male: 75.0% vs. female: 73.3%, p=0.78). The overall improvement rate of stool consistency was 59.6% (≤74 years: 62.9%, ≥75 years: 56.1%, p=0.42). The time until the first SBM (hours) for those ≤74 years and ≥75 years was 17.2±14.3 and 11.2±8.4 (p=0.04). Adverse event rates for those ≤74 years and ≥75 years were 28.2% and 10.1% (p<0.01). There were no significant effect-related factors for gender, age, and use of laxatives. Conclusions. Short-period elobixibat is shown to be effective also for the elderly and male. © 2020 Akira Tomie et al. Hindawi Limited 16876121 English Article All Open Access; Gold Open Access; Green Open Access |
author |
Tomie A.; Yoshida N.; Kugai M.; Hirose R.; Dohi O.; Inoue K.; Okuda K.; Motoyoshi T.; Fukumoto K.; Inagaki Y.; Yoriki H.; Inada Y.; Okuda T.; Hasegawa D.; Ogiso K.; Murakami T.; Soga K.; Rani R.A.; Yoshida N.; Itoh Y. |
spellingShingle |
Tomie A.; Yoshida N.; Kugai M.; Hirose R.; Dohi O.; Inoue K.; Okuda K.; Motoyoshi T.; Fukumoto K.; Inagaki Y.; Yoriki H.; Inada Y.; Okuda T.; Hasegawa D.; Ogiso K.; Murakami T.; Soga K.; Rani R.A.; Yoshida N.; Itoh Y. The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
author_facet |
Tomie A.; Yoshida N.; Kugai M.; Hirose R.; Dohi O.; Inoue K.; Okuda K.; Motoyoshi T.; Fukumoto K.; Inagaki Y.; Yoriki H.; Inada Y.; Okuda T.; Hasegawa D.; Ogiso K.; Murakami T.; Soga K.; Rani R.A.; Yoshida N.; Itoh Y. |
author_sort |
Tomie A.; Yoshida N.; Kugai M.; Hirose R.; Dohi O.; Inoue K.; Okuda K.; Motoyoshi T.; Fukumoto K.; Inagaki Y.; Yoriki H.; Inada Y.; Okuda T.; Hasegawa D.; Ogiso K.; Murakami T.; Soga K.; Rani R.A.; Yoshida N.; Itoh Y. |
title |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
title_short |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
title_full |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
title_fullStr |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
title_full_unstemmed |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
title_sort |
The Efficacy and Safety of Elobixibat for the Elderly with Chronic Constipation: A Multicenter Retrospective Cohort Study |
publishDate |
2020 |
container_title |
Gastroenterology Research and Practice |
container_volume |
2020 |
container_issue |
|
doi_str_mv |
10.1155/2020/9656040 |
url |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085176371&doi=10.1155%2f2020%2f9656040&partnerID=40&md5=604d80601864f66c882b6deb174cdc9a |
description |
Backgrounds and Aims. Elobixibat is a bile acid transporter inhibitor indicated for constipation. Previous studies were performed mainly for the nonelderly and were biased to female. We analyzed the efficacy of elobixibat also for the elderly and male. Materials and Methods. This was a multicenter retrospective cohort study. The subjects were patients aged ≥20 years treated for chronic constipation from May 2018 to November 2019 at 12 related institutions. Patients were divided into ≤74 years and ≥75 years old. Elobixibat at 10 mg/day was prescribed for two weeks. We then analyzed the discontinuation due to ineffectiveness, change of spontaneous bowel movements (SBM), stool consistency, the time until the first SBM, adverse events, and effect-related factors. Results. There were 140 cases (61 males) evaluated, with an average age of 72.1±13.6 years (≤74 years: 71 cases; ≥75 years: 69 cases). The discontinuation rate was 7.9%. The SBM (times/week) increased from 2.86 to 6.08 (p<0.001). The overall SBM improvement rate was 74.0% (≤74 years: 78.2% vs. ≥75 years: 68.9%, p=0.31; male: 75.0% vs. female: 73.3%, p=0.78). The overall improvement rate of stool consistency was 59.6% (≤74 years: 62.9%, ≥75 years: 56.1%, p=0.42). The time until the first SBM (hours) for those ≤74 years and ≥75 years was 17.2±14.3 and 11.2±8.4 (p=0.04). Adverse event rates for those ≤74 years and ≥75 years were 28.2% and 10.1% (p<0.01). There were no significant effect-related factors for gender, age, and use of laxatives. Conclusions. Short-period elobixibat is shown to be effective also for the elderly and male. © 2020 Akira Tomie et al. |
publisher |
Hindawi Limited |
issn |
16876121 |
language |
English |
format |
Article |
accesstype |
All Open Access; Gold Open Access; Green Open Access |
record_format |
scopus |
collection |
Scopus |
_version_ |
1809677686027583488 |