Health Maintenance Consensus for Adults With Inflammatory Bowel Disease
| Autor: | Benjamin L Cohen, Animesh Jain, Stefan D. Holubar, Bincy Abraham, Anita Afzali, Jill Gaidos, Florian Rieder, Adam S. Cheifetz, Christian D. Stone, Robert P. McCabe, Alan C. Moss, David Hudesman, Gaurav Syal, Mariastella Serrano, Lisa Malter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Consensus Psychological intervention Inflammatory bowel disease Preventive care 03 medical and health sciences 0302 clinical medicine Cancer screening medicine Immunology and Allergy Humans 030212 general & internal medicine Intensive care medicine Crohn's disease business.industry Gastroenterology Disease Management medicine.disease Colitis Inflammatory Bowel Diseases digestive system diseases Increased risk Scale (social sciences) Health maintenance 030211 gastroenterology & hepatology Leading Off business |
| Zdroj: | Inflamm Bowel Dis |
| Popis: | Background With the management of inflammatory bowel disease (IBD) becoming increasingly complex, incorporating preventive care health maintenance measures can be challenging. The aim of developing these updated recommendations is to provide more specific details to facilitate their use into a busy clinical practice setting. Method Fifteen statements were formulated with recommendations regarding the target, timing, and frequency of the health maintenance interventions in patients with IBD. We used a modified Delphi method and a literature review to establish a consensus among the panel of experts. The appropriateness of each health maintenance statement was rated on a scale of 1 to 5 (1–2 as inappropriate, and 4–5 as appropriate) by each panelist. Interventions were considered appropriate, and statements were accepted if ≥80% of the panelists agreed with a score ≥4. Results The panel approved 15 health maintenance recommendations for adults with IBD based on the current literature and expert opinion. These recommendations include explicit details regarding specific screening tools, timing of screening, and vaccinations for adults with IBD. Conclusions Patients with IBD are at an increased risk for infections, malignancies, and other comorbidities. Given the complexity of caring for patients with IBD, this focused list of recommendations can be easily incorporated in to clinical care to help eliminate the gap in preventative care for patients with IBD. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|