Acceptance of Inflammatory Bowel Disease Treatment Recommendations Based on Appropriateness Ratings: do Practicing Gastroenterologists Agree with Experts?

Pittet, Valérie; Maillard, Michel H.; Lauvergeon, Stéphanie; Timmer, Marjan; Michetti, Pierre; Froehlich, Florian; Burnand, Bernard; Vader, John‐Paul; Mottet, Christian

doi:10.1093/ecco-jcc/jju021

Cited by 7 publications

(3 citation statements)

References 25 publications

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“…62 Evidence-based clinical pathways are one strategy for standardizing care, improving appropriateness, and reducing variability in care, and thereby improve outcomes and reduce costs; but they are often complex, out of date, lack credibility, or poorly implemented. 63,64 Suboptimal adherence to international, evidence-based guidelines is an ongoing problem across various aspects of IBD care. [65][66][67] Clinician engagement, staying up-to-date with the research, and strategies to improve uptake are imperative if clinical pathways and guidelines are to improve the appropriateness of IBD care delivery.…”

Section: Variability In Care and Standardizing Care To Facilitate App...mentioning

confidence: 99%

The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission

Burisch

Zhao

Odes

et al. 2023

The Lancet Gastroenterology & Hepatology

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Section: Variability In Care and Standardizing Care To Facilitate App...mentioning

confidence: 99%

The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission

Burisch

Zhao

Odes

et al. 2023

The Lancet Gastroenterology & Hepatology

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“…The treatment decisions made by IBD care providers in daily practice are often different from those recommended by experts or supported by latest research outcomes. In addition, gastroenterologists may experience difficulty in assessing disease activity or severity as recommended by guidelines, and in applying treatment recommendations, in daily practice [69]. A survey conducted with community gastroenterologists and UC experts in the United States identified that, when it came to areas of uncertainty in UC treatment, dramatic variations in approach existed between the 2 groups [70].…”

Section: Patient-focused Unmet Needsmentioning

confidence: 99%

Unmet Medical Needs in Ulcerative Colitis: An Expert Group Consensus

Danese

Allez

Bodegraven

et al. 2019

Dig Dis

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Background: The authors aimed to conduct an extensive literature review and consensus meeting to identify unmet needs in ulcerative colitis (UC) and ways to overcome them. UC is a relapsing and remitting inflammatory bowel disease with varied, and changing, incidence rates worldwide. UC has an unpredictable disease course and is associated with a high health economic burden. During 2016 and 2017, a panel of experts was convened to identify, discuss and address areas of unmet need in UC. Methods: PubMed and Cochrane Library databases were searched for relevant articles describing studies performed in patients with UC. These findings were used to generate a set of statements relating to unmet needs in UC. Consensus on these statements was then sought from a panel of 9 expert gastroenterologists using a modified Delphi review process that consisted of anonymous surveys followed by live meetings. Results: In 2 literature reviews, over 5,000 unique records were identified and a total of 138 articles were fully reviewed. These were used to consider 26 areas of unmet need, which were explored in 2 face-to-face meetings, in which the statements were debated and amended, resulting in consensus on 30 final statements. The unmet needs identified were categorised into 7 areas: impact of UC on patients’ daily life; importance of early diagnosis and treatment; drawbacks of existing treatments; urgent need for new treatments; and disease-, practice- or patient-focused unmet needs. Conclusions: These expert group meetings found a number of areas of unmet needs in UC, which is an important first step in tackling them in the future. Future research and development should be focused in these areas for the management of patients with UC.

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“…So fanden z. B. Pittet et al [10] heraus, dass ca. 1/3 der praktizierenden Ärzte/innen in ihren Behandlungsempfehlungen von den Leitlinien, die von einem Exper tengremium derselben Disziplin erstellt wurden, abwichen.…”

Section: Diskussionunclassified

Akzeptanz von Handlungsempfehlungen des Netzwerks „Gesund ins Leben – Netzwerk Junge Familie“ zur Säuglingsernährung und Ernährung der stillenden Mutter. Befragung unterschiedlicher Berufsgruppen

Reiß¹,

Flothkötter²,

Greif

et al. 2016

Gesundheitswesen

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Recommendations have not been successfully implemented in midwives' practices. Due to overrepresentation of midwives, the observed results do not necessarily apply to other occupational groups. However, the implementation of the recommendations into training and education of health professionals, revision of ambiguous statements as well as the communication of the scientific background of the recommendations are meaningful measures to raise acceptance levels.

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Acceptance of Inflammatory Bowel Disease Treatment Recommendations Based on Appropriateness Ratings: do Practicing Gastroenterologists Agree with Experts?

Abstract: In about one-third of vignette cases, inflammatory bowel disease treatment propositions made by practicing gastroenterologists diverged from expert recommendations. Practicing gastroenterologists may experience difficulty in applying recommendations in daily practice.

Cited by 7 publications

References 25 publications

The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission

The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission

Unmet Medical Needs in Ulcerative Colitis: An Expert Group Consensus

Akzeptanz von Handlungsempfehlungen des Netzwerks „Gesund ins Leben – Netzwerk Junge Familie“ zur Säuglingsernährung und Ernährung der stillenden Mutter. Befragung unterschiedlicher Berufsgruppen

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