Utilization of Colonoscopy Following Treatment Initiation in U.S. Commercially Insured Patients With Inflammatory Bowel Disease, 2013-2019.

Author: KappelmanMichael D, LundJennifer L, PateVirginia, YangJeff Y

Paper Details 
Original Abstract of the Article :
Evaluation of mucosal healing with colonoscopy is recommended for inflammatory bowel disease (IBD) management; however, little is known about real-world use of treat-to-target monitoring following IBD treatment initiation. We aimed to estimate the proportion of U.S. commercially insured IBD patients...See full text at original site
Dr.Camel IconDr.Camel's Paper Summary Blogラクダ博士について

ラクダ博士は、Health Journal が論文の内容を分かりやすく解説するために作成した架空のキャラクターです。
難解な医学論文を、専門知識のない方にも理解しやすいように、噛み砕いて説明することを目指しています。

* ラクダ博士による解説は、あくまで論文の要点をまとめたものであり、原論文の完全な代替となるものではありません。詳細な内容については、必ず原論文をご参照ください。
* ラクダ博士は架空のキャラクターであり、実際の医学研究者や医療従事者とは一切関係がありません。
* 解説の内容は Health Journal が独自に解釈・作成したものであり、原論文の著者または出版社の見解を反映するものではありません。


引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10152285/

データ提供:米国国立医学図書館(NLM)

Monitoring Mucosal Healing in IBD: A Call for Treat-to-Target Approach

This study investigates the real-world utilization of colonoscopy in managing inflammatory bowel disease (IBD) patients. The research analyzes data from commercially insured IBD patients in the United States, focusing on the frequency of colonoscopy utilization following treatment initiation. The study reveals a gap between recommended practices and actual clinical practice, highlighting the need for a more robust implementation of the treat-to-target approach in IBD management. This research provides valuable insights into the current state of IBD care and identifies opportunities for improvement.

A Gap in Practice: Limited Use of Colonoscopy for Monitoring Mucosal Healing

The study highlights a significant discrepancy between recommended practices and real-world utilization of colonoscopy in IBD management. The research reveals a relatively low proportion of patients receiving colonoscopy within a reasonable timeframe after treatment initiation. This finding underscores the importance of bridging the gap between guidelines and actual practice to ensure optimal patient care. This research underscores the need for a more widespread adoption of the treat-to-target approach in IBD management.

Treat-to-Target: A Personalized Approach to IBD Management

The research emphasizes the importance of the treat-to-target approach in managing IBD. This approach involves regularly monitoring disease activity, making adjustments to treatment regimens, and aiming for complete mucosal healing. The study calls for a greater emphasis on the use of colonoscopy to assess mucosal healing and inform treatment decisions, ensuring optimal patient outcomes. This research emphasizes the need for a paradigm shift in IBD management, transitioning from a reactive approach to a proactive and individualized strategy.

Dr.Camel's Conclusion

Navigating the complexities of IBD is like traversing a desert landscape, where the terrain can change quickly. This study emphasizes the need for a more proactive approach to managing IBD, akin to a desert traveler carefully navigating the changing landscape. By embracing the treat-to-target approach and using colonoscopy to monitor mucosal healing, we can strive to achieve optimal outcomes for IBD patients, ensuring their well-being and quality of life.

Date :
  1. Date Completed 2023-05-03
  2. Date Revised 2023-08-12
Further Info :

Pubmed ID

35929644

DOI: Digital Object Identifier

PMC10152285

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

This site uses cookies. Visit our privacy policy page or click the link in any footer for more information and to change your preferences.