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Peer-Reviewed Publication
Adv Ther2026August 25, 2026Journal Article

Development of a Claims-Based Algorithm and Validation Through Medical Chart Review to Identify Patients with Crohn's Disease-Related Fibrostenosis: A Retrospective Observational Study in the United States.

Yiran Zhang1, William K Mountford2, Jennifer Thompson2, Ling Zhang2, Maureen Carlyle1, John White1, Valery Walker1, Florian Rieder3,4
1Value and Evidence Solutions, Optum, Eden Prairie, Minnesota, USA.
2Boehringer Ingelheim Pharmaceuticals Inc., Ridgefield, Connecticut, USA.
3Department of Inflammation and Immunity, Lerner Research Institute, Cleveland Clinic Foundation, 9500 Euclid Ave. NC2, Cleveland, Ohio, 44195, USA. riederf@ccf.org.
4Department of Gastroenterology, Hepatology and Nutrition, Digestive Diseases Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. riederf@ccf.org.

Abstract

INTRODUCTION: Fibrostenosis is a prevalent and clinically burdensome complication of Crohn's disease (CD), which is a type of inflammatory bowel disease. Identifying CD-related fibrostenosis (fsCD) in large datasets is challenging due to a lack of specific diagnostic codes. Manual chart review is the current standard, but it is not scalable for broader research. The objective of this study was the…

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