Multidisciplinary management of patients with coexisting inflammatory bowel disease and spondyloarthritis : a Delphi consensus among Italian experts
Articolo
Data di Pubblicazione:
2017
Citazione:
Multidisciplinary management of patients with coexisting inflammatory bowel disease and spondyloarthritis : a Delphi consensus among Italian experts / A. Armuzzi, C. Felice, E. Lubrano, F. Cantini, F. Castiglione, P. Gionchetti, A. Orlando, C. Salvarani, R. Scarpa, A. Marchesoni, M. Vecchi, I. Olivieri. - In: DIGESTIVE AND LIVER DISEASE. - ISSN 1590-8658. - 49:12(2017 Dec), pp. 1298-1305. [10.1016/j.dld.2017.06.004]
Abstract:
BACKGROUND:
Treatment of patients with coexisting spondyloarthritis (SpA) and inflammatory bowel disease (IBD) often requires multidisciplinary collaboration between gastroenterologists and rheumatologists.
AIM:
To describe the results of the first Delphi consensus to define shared therapeutic strategies for the best management of patients with coexisting SpA and IBD.
METHODS:
A scientific steering committee of 10 Italian experts in the field of SpA and IBD developed 27 statements on 5 possible clinical scenarios and selected 40 specialists from across Italy, both gastroenterologists and rheumatologists, to vote them using a Delphi method. Each participant expressed a level of agreement on each statement using a 5-point scale (1="absolutely disagree"; 5="absolutely agree"). Total cumulative agreement was defined as the sum of the percentage of responses to items 4 ("agree") and 5 ("absolutely agree"). Total cumulative agreement ≥70% defined consensus for each statement.
RESULTS:
After the first round, positive consensus was reached for 22 statements. Statements without consensus were discussed in a plenary session before the second vote. Positive consensus was then reached in all statements, with final total cumulative agreement ranging from 80% to 100%.
CONCLUSION:
This is the first Delphi consensus defining specific treatment algorithms for patients with coexisting SpA and IBD.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Delphi method; Inflammatory bowel disease; Integrated management; Spondyloarthritis; Therapy; Hepatology; Gastroenterology
Elenco autori:
A. Armuzzi, C. Felice, E. Lubrano, F. Cantini, F. Castiglione, P. Gionchetti, A. Orlando, C. Salvarani, R. Scarpa, A. Marchesoni, M. Vecchi, I. Olivieri
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