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. 2021 Apr 21;15(11):1877–1884. doi: 10.1093/ecco-jcc/jjab071

Table 3.

Gastrointestinal symptoms due to COVID-19 in adult patients on VDZ compared to those on other IBD therapies, and on VDZ monotherapy compared to anti-TNF monotherapy, in the SECURE-IBD registry, overall and stratified by IBD activity

Gastrointestinal symptom VDZ use vs non-use VDZ monotherapy vs anti-TNF monotherapy
VDZ All other IBD therapies p value Vedolizumab monotherapy Anti-TNF monotherapy p value
N [%] N [%] N [%] N [%]
Overall
Abdominal pain 37 8.1% 250 7.8% 0.847 30 9.0% 58 5.6% 0.026
Diarrhoea 89 19.5% 616 19.3% 0.934 74 22.2% 167 16.0% 0.010
Nausea 32 7.0% 167 5.2% 0.120 29 8.7% 38 3.6% <0.001
Vomiting 14 3.1% 86 2.7% 0.653 12 3.6% 18 1.7% 0.042
Other 10 2.2% 88 2.8% 0.481 9 2.7% 19 1.8% 0.325
Any GI symptom 116 25.4% 770 24.1% 0.822 99 29.6% 200 19.2% <0.001
Among patients with active IBD a
Abdominal pain 18 8.7% 148 11.3% 0.258 13 10.0% 35 10.6% 0.840
Diarrhoea 41 19.8% 289 22.1% 0.449 30 23.1% 80 24.3% 0.779
Nausea 12 5.8% 84 6.4% 0.726 10 7.7% 15 4.6% 0.183
Vomiting 6 2.9% 43 3.3% 0.765 5 3.8% 8 2.4% 0.532
Other 4 1.9% 41 3.1% 0.341 3 2.3% 11 3.3% 0.766
Any GI symptom 49 23.7% 353 27.0% 0.556 37 28.5% 95 28.9% 0.875
Among patients with IBD in remission a
Abdominal pain 18 7.9% 93 5.3% 0.109 17 9.0% 23 3.4% 0.001
Diarrhoea 46 20.2% 292 16.6% 0.183 43 22.9% 82 12.3% <0.001
Nausea 20 8.8% 77 4.4% 0.004 19 10.1% 23 3.4% <0.001
Vomiting 8 3.5% 38 2.2% 0.205 7 3.7% 10 1.5% 0.072
Other 5 2.2% 39 2.2% 0.977 5 2.7% 7 1.0% 0.150
Any GI symptom 64 28.1% 374 21.3% 0.027 60 31.9% 99 14.8% <0.001

Abbreviations: COVID-19 = coronavirus disease 2019; SECURE-IBD = Surveillance Epidemiology of Coronavirus Under Research Exclusion for Inflammatory Bowel Disease; VDZ = vedolizumab; TNF = tumor necrosis factor.

Statistically significant associations are in bold.

aBased on Physician Global Assessment [PGA].