Modified Delphi Process for the Development of Choosing Wisely for Inflammatory Bowel Disease

Inflammatory Bowel Diseases
Geoffrey C NguyenGil Y Melmed

Abstract

The prevalence and incidence of inflammatory bowel disease (IBD) in North America is among the highest in the world and imparts substantial direct and indirect medical costs. The Choosing Wisely Campaign was launched in wide variety of medical specialties and disciplines to reduce unnecessary or harmful tests or treatment interventions. The Choosing Wisely list for IBD was developed by the Canadian IBD Network for Research and Growth in Quality Improvement (CINERGI) in collaboration with Crohn's and Colitis Canada (CCC) and the Canadian Association of Gastroenterology (CAG). Using a modified Delphi process, 5 recommendations were selected from an initial list of 30 statements at a face-to-face consensus meeting. The 5 things physicians and patients should question: (1) Don't use steroids (e.g., prednisone) for maintenance therapy in IBD; (2) Don't use opioids long-term to manage abdominal pain in inflammatory bowel disease (IBD); (3) Don't unnecessarily prolong the course of intravenous corticosteroids in patients with acute severe ulcerative colitis (UC) in the absence of clinical response; (4) Don't initiate or escalate long-term medical therapies for the treatment of IBD based only on symptoms; and (5) Don't use abdominal co...Continue Reading

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Citations

Feb 10, 2018·Intestinal research·Sameer K Berry, Gil Y Melmed
Jan 4, 2020·Clinical and Translational Gastroenterology·Melanie KienzlRudolf Schicho
May 27, 2020·Alimentary Pharmacology & Therapeutics·Thomas P ChapmanJack Satsangi
Mar 28, 2020·United European Gastroenterology Journal
Mar 27, 2021·The American Journal of Gastroenterology·Laura E TargownikSanjay K Murthy
Oct 14, 2021·Journal of Clinical Medicine·Paweł Kuźnicki, Katarzyna Neubauer
Nov 20, 2021·Digestive Diseases and Sciences·Dominic PicettiSiddharth Singh

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