Poor Clinician Adherence to Inflammatory Bowel Disease Guidelines: How Do We Remedy the Situation?

Transitional care of adolescents with inflammatory bowel disease to adult services varies widely across Australia and New Zealand

“…One of the reported barriers to effective transition among clinicians in the current study was the geographic limitations for adolescents to attend transition clinics, a consideration that may not be accounted for in guidelines in other countries. In other research studying adherence to IBD guidelines in Australia, the applicability of international IBD guidelines has been reported as a limitation to adherence due to differences in, for example, prescribing practices 30,31 . Clinician adherence to nationally developed Australian or New Zealand IBD specific clinical guidelines has been reported at levels of approximately 70%, 32,33 and confidence in Australian IBD guidelines high at 92% 34 .…”

“…Such factors as relevance to country of work, brevity, cost, and ease of accessibility should be considered if novel Australasian guidelines were to be developed. 30,31 One factor reported by many respondents in the survey as barriers and facilitators to effective transition care was not having or having allied health professional support respectively, in particular IBD Nurses. Interestingly, multi-disciplinary team (MDT) support with a particular focus on IBD nurses is also shown to facilitate adherence to IBD guidelines.…”

“…Prioritization of known facilitators to IBD clinical guideline adherence and addressing barriers to adherence should be a focus of development and implementation. Such factors as relevance to country of work, brevity, cost, and ease of accessibility should be considered if novel Australasian guidelines were to be developed 30,31 …”

“…In other research studying adherence to IBD guidelines in Australia, the applicability of international IBD guidelines has been reported as a limitation to adherence due to differences in, for example, prescribing practices. 30 , 31 Clinician adherence to nationally developed Australian or New Zealand IBD specific clinical guidelines has been reported at levels of approximately 70%, 32 , 33 and confidence in Australian IBD guidelines high at 92%. 34 In combination with the finding in the current study that 88% of respondents supported the development of standardized Australasian IBD transition guidelines, undertaking this process would likely be well received.…”

Crossing barriers: the burden of inflammatory bowel disease across Western Europe

“…The aim of guidelines is to remove variation in care and improve patient outcomes by providing appropriate practice measures for healthcare providers. [120][121][122] They are designed to ensure people receive safe, consistent, high-quality, personalised care that is independent of age, socio-economic status and geographic location. Most countries within Europe have their own national guidelines for managing IBD, such as in the United Kingdom (British Society of Gastroenterology), Sweden (Swedish Society of Gastroenterology), Denmark (Danish Society for Gastroenterology and Hepatology), Germany (German Society for Gastroenterology, Digestive and Metabolic Diseases) and Italy (Italian Society of Gastroenterology).…”