557 Silent Crohn's Disease: Elevated C Reactive Protein in Asymptomatic Patients and Risk of Subsequent Hospitalization

Vargas, Eric J.; Rivers, Claudia M. Ramos; Regueiro, Miguel; Baidoo, Leonard; Barrie, Arthur; Schwartz, Marc; Swoger, Jason M.; Coates, Matthew; Dunn, Michael A.; Dudekula, Anwar; Binion, David G.

doi:10.1016/s0016-5085(13)60377-7

Cited by 4 publications

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“…In asymptomatic and postoperative patients, this strategy enables appropriate maintenance therapy to be provided, monitoring for signs of relapse with pro-active management, and prevention of complications. For example, patients with asymptomatic Crohn’s disease may have elevated CRP levels, 30 and thus benefit from further evaluation and closer monitoring to prevent complications and hospitalisation. The Post-Operative Crohn’s Endoscopic Recurrence [POCER] study investigated whether early endoscopic monitoring with treatment step-up for endoscopic recurrence was superior to standard drug therapy alone in patients with Crohn’s disease who had undergone intestinal resection.…”

Section: Adopting the 5s Principles In Ibd Managementmentioning

confidence: 99%

The 5C Concept and 5S Principles in Inflammatory Bowel Disease Management

Hibi

Panaccione

Katafuchi

et al. 2017

Journal of Crohn's and Colitis

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Background and AimsThe international Inflammatory Bowel Disease [IBD] Expert Alliance initiative [2012–2015] served as a platform to define and support areas of best practice in IBD management to help improve outcomes for all patients with IBD.MethodsDuring the programme, IBD specialists from around the world established by consensus two best practice charters: the 5S Principles and the 5C Concept.ResultsThe 5S Principles were conceived to provide health care providers with key guidance for improving clinical practice based on best management approaches. They comprise the following categories: Stage the disease; Stratify patients; Set treatment goals; Select appropriate treatment; and Supervise therapy. Optimised management of patients with IBD based on the 5S Principles can be achieved most effectively within an optimised clinical care environment. Guidance on optimising the clinical care setting in IBD management is provided through the 5C Concept, which encompasses: Comprehensive IBD care; Collaboration; Communication; Clinical nurse specialists; and Care pathways. Together, the 5C Concept and 5S Principles provide structured recommendations on organising the clinical care setting and developing best-practice approaches in IBD management.ConclusionsConsideration and application of these two dimensions could help health care providers optimise their IBD centres and collaborate more effectively with their multidisciplinary team colleagues and patients, to provide improved IBD care in daily clinical practice. Ultimately, this could lead to improved outcomes for patients with IBD.

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Section: Adopting the 5s Principles In Ibd Managementmentioning

confidence: 99%