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Using administrative health data of a population based sample of persons with IBD we found that milestones of health care utilization suggesting moderate to severe disease (higher number of IBD-related hospitalizations, IBD-related surgeries, and corticosteroid or anti-TNF usage) predicted later development of IBD-related disability.

Health Care Indicators of Moderate to Severe IBD and Subsequent IBD-Related Disability: A Longitudinal Study