Usefulness of magnetic resonance enterography in the clinical decision-making process for patients with inflammatory bowel disease
| Autor: | María S. Garrido, Noemi Hernández Álvarez-Builla, Iago Rodríguez-Lago, Luis Cejas Dorta, G. Esther Rodríguez, Lucio Díaz-Flórez, Alejandro Hernandez Camba, Alba Hidalgo, Daniel Eiroa, Marta Carrillo Palau, Inmaculada Abreu, Laura Ramos López, Yolanda Rodríguez, Marta Aduna, Ainara Elorza, José A. Larena, José Luis Cabriada, Enrique Quintero Carrión, C Tardillo, M Vela |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Clinical Decision-Making Inflammatory bowel disease 03 medical and health sciences 0302 clinical medicine Maintenance therapy Clinical decision making Internal medicine medicine Humans In patient Retrospective Studies Hepatology business.industry Gastroenterology Clinical course Middle Aged Inflammatory Bowel Diseases Magnetic resonance enterography medicine.disease Magnetic Resonance Imaging Ulcerative colitis 030220 oncology & carcinogenesis Cohort Female 030211 gastroenterology & hepatology business |
| Zdroj: | Gastroenterología y Hepatología. 43:439-445 |
| ISSN: | 0210-5705 |
| DOI: | 10.1016/j.gastrohep.2020.03.007 |
| Popis: | Objective To evaluate the impact of magnetic resonance enterography (MRE) diagnosis on clinical decision-making regarding treatment choice and maintenance of treatment over time in patients with inflammatory bowel disease (IBD). Methods A cohort of patients who underwent MRE for IBD assessment between 2011 and 2014 was analyzed. From clinical records, we retrospectively retrieved their demographic data and clinical data on their IBD at the time of MRE, the results of MRE and the patient's clinical course. Medical management decisions made during the three months following MRE and at the 15-month follow-up were assessed. Results In total, 474 MREs were reviewed. In the first three-month period, MRE results led to changes in the medical management of 266 patients (56.1%). Of those, maintenance therapy was altered in 140 patients (68.3%) (90.7% step-up and 9.3% top-down strategy), 65 (24.4%) were prescribed a course of steroids and 61 (22.9%) underwent surgery. MRE confirmed a CD diagnosis in 14/41 patients (34.1%) previously diagnosed with indeterminate colitis or ulcerative colitis and in 4/18 patients (22.2%) with suspected IBD. At the 15-month follow-up, treatment remained unchanged in 289 patients (65.8%). Conclusions These results suggest that MRE is a diagnostic tool that provides valid information for the clinical-decision making process for patients with CD. |
| Databáze: | OpenAIRE |
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