Posts In: Clinical Care Pathways

Initiation and Tapering of Corticosteroids Objective: To minimize the risk of repeated corticosteroid use for the treatment of IBD. Patient population: Adult patients (>18 years) with known diagnosis of IBD. Highlight Box Corticosteroids should only be used for short-term induction therapy to treat acute IBD flares. Introduction Corticosteroids are an…

Initiation of Immunomodulators Objective: Appropriate initiation and use of immunomodulators (Thiopurines and Methotrexate) Patient population: Individuals with a known diagnosis of IBD Highlight Box Methotrexate should not be used in females wanting to become pregnant (discuss alternate therapy prior to family planning). Imuran and 6MP can be continued…

Iron Deficiency Objective: Monitor for and manage iron deficiency Patient population: Adult patients (>18 years) with known diagnosis of IBD Highlight Box Parenteral iron is recommended over oral iron; however, both oral and parenteral iron are effective in correcting iron deficiency anemia. The decision of the optimal form of iron…

Objective: achieve and maintain remission with advanced therapy Patient Population: patients diagnosed with inflammatory bowel disease on advanced therapy Introduction This CCP recommends a common approach to any IBD patient who is on Advanced Therapy and who is exhibiting symptoms of loss of response or partial response. While initially developed for…

Maintenance of Advanced Therapy Objective: Appropriate management of patients on advanced therapies during maintenance Patient population: Adult patient (>18 years) with known diagnosis of IBD   Highlight Box Patients maintained on advanced IBD therapy should have regular monitoring.   Introduction Monitoring may include clinical visits, laboratory tests and/or endoscopy. The…

Colonic Dysplasia/Cancer Surveillance Objective: Early detection of colon cancer/dysplasia   Patient population: Patients with a known diagnosis of IBD whose disease is in endoscopic remission. Active inflammation precludes a detailed assessment of colonic dysplasia.   Highlight Box The applicability of some suggested recommendations in these guidelines may be impacted by…

Objective: Provide direction regarding choice of therapy for patients with Crohn’s disease. Patient population: Adult patients (>18years) with known diagnosis of Crohn’s disease. Introduction Crohn’s disease (CD) is a chronic inflammatory condition that affects any portion of the gastrointestinal tract from the mouth to the anus and perianal…

Induction of Advanced Therapy Objective: Ensure safe start to advanced therapy Patient population: Adult patients (>18 years) with known diagnosis of IBD   Highlight Box Pretherapy workup should be considered for all patients.   Introduction IBD Provider: 1. Prior to starting therapy, the patient should have the following completed: a.