Resources

CCP: Colon Dysplasia/Cancer Surveillance

Cancer
Medical Trainees, Nurses, Researchers & Doctors
Clinical Care Pathways
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…
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CCP: Crohn's Therapy Decision Tree

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Crohn's Disease
Clinical Care Pathways
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…
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CCP: Health Maintenance for Patients with IBD

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Clinical Care Pathways
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CCP: IBD During Preconception or Pregnant Checklist

Pre-Conception & Pregnancy, Treatment
Medical Trainees, Nurses, Researchers & Doctors
Clinical Care Pathways
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CCP: Induction of Advanced Therapy

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Biologic, Small Molecules
Clinical Care Pathways
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.
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CCP: Initiation and Tapering of Corticosteroids

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Steroids
Betamethasone, Budenoside, Budenoside-MMX, Hydrocortisone, Methylprednisone, Prednisone
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…
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CCP: Initiation of Immunomodulator

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Clinical Care Pathways
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…
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CCP: Iron Deficiency

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Clinical Care Pathways
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…
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CCP: Loss of Response or Partial Response for Patients on Advanced Therapy

Treatment
Medical Trainees, Nurses, Researchers & Doctors
Biologic, Small Molecules
Clinical Care Pathways
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…
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