PWE-020 Initial experience of a rapid access ultrasound imaging clinic in inflammatory bowel disease

Abstract

Conclusions In our cohort of 167, 62% (n=104) of patients had a TL below the recently published recommended guidelines (5 mg/ml) yet were in a clinical remission. Therefore following these guidelines would lead to a significant increase in drug spend which may not translate into improved clinical outcomes; since in this cohort only 24% with sub-therapeutic levels had active disease. Escalating only those with active disease may represent a more acceptable financial solution but too will lead to an increase in drug spend.