GADECCU 2022 Guideline for the treatment of Ulcerative Colitis. Adaptation and updating of the GETECCU 2020 Guideline

被引:3
作者
Fuxman, Claudia [1 ]
Sicilia, Beatriz [2 ]
Linares, Maria Eugenia [3 ]
Garcia-Lopez, Santiago [4 ]
Sueyro, Ramiro Gonzalez [5 ]
Gonzalez-Lamac, Yago [6 ]
Zabana, Yamile [7 ]
Hinojosa, Joaquin [8 ]
Acosta, Manuel Barreiro -de [9 ]
Balderramo, Domingo [10 ]
Balfour, Deborah [11 ]
Bellicoso, Maricel [12 ]
Daffra, Pamela [13 ]
Morelli, Daniela [14 ]
Orsi, Marina [15 ]
Rausch, Astrid [16 ]
Ruffinengo, Orlando [17 ]
Toro, Martin [11 ]
Sambuelli, Alicia [18 ]
Novillo, Abel [19 ]
Gomollon, Fernando [20 ]
Paula, Juan Andres De [5 ]
机构
[1] Hosp Univ Fdn Favaloro, Serv Gastroenterol, Buenos Aires, Argentina
[2] Hosp Univ Burgos, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Burgos, Spain
[3] Hosp Clin Jose San Martin, Serv Gastroenterol, Buenos Aires, Argentina
[4] Hosp Univ Miguel Servet, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Inst Invest Sanit Aragon, Zaragoza, Spain
[5] Hosp Italiano Buenos Aires, Serv Gastroenterol, Buenos Aires, Argentina
[6] Hosp Univ Puerta Hierro, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Madrid, Spain
[7] Hosp Univ Mutua Terrassa, Ctr Invest Biomed Red Enfermedades Hepat & Digest, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Barcelona, Spain
[8] Hosp Manise, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Valencia, Spain
[9] Hosp Univ Santiago de Compostela, Serv Aparato Digest, Unidad Enfermedad Inflamatoria Intestinal, Santiago De Compostela, Spain
[10] Hosp Privado Univ Cordoba, Inst Univ Ciencias Biomed, Serv Gastroenterol, Cordoba, Argentina
[11] HIGEA Clin Gastroenterol, Unidad Enfermedades Inflamatorias, Mendoza, Argentina
[12] Area Gastroenterol, Inmunol Buenos Aires, Buenos Aires, Argentina
[13] Hosp Cent Mendoza, Serv Gastroenterol, Mendoza, Argentina
[14] Inst Efect Clin & Sanit, Dept Educ, Buenos Aires, Argentina
[15] Hosp Italiano Buenos Aires, Serv Gastroenterol Pediat, Buenos Aires, Argentina
[16] Hosp Britan Buenos Aires, Serv Gastroenterol, Buenos Aires, Argentina
[17] Hosp Prov Centenario, Serv Gastroenterol, Rosario, Argentina
[18] Hosp Bonorino Udaondo, Secc Enfermedades Inflamatorias Intestinales, Buenos Aires, Argentina
[19] Serv Gastroenterol, Sanat 9 Julio, San Miguel De Tucuman, Argentina
[20] Hosp Clin Univ Lozano Blesa, Zaragoza, Spain
来源
GASTROENTEROLOGIA Y HEPATOLOGIA | 2023年 / 46卷
关键词
Ulcerative colitis treatment; Clinical practice guideline; GRADE methodology; Argentina; INFLAMMATORY-BOWEL-DISEASE; FECAL MICROBIOTA TRANSPLANTATION; PLACEBO-CONTROLLED TRIAL; ORAL BECLOMETASONE DIPROPIONATE; ANTIBIOTIC COMBINATION THERAPY; RANDOMIZED CONTROLLED-TRIAL; DOUBLE-BLIND; MAINTENANCE THERAPY; 5-AMINOSALICYLIC ACID; INTRAVENOUS CYCLOSPORINE;
D O I
10.1016/j.gastrohep.2023.01.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Introduction: Ulcerative colitis (UC) is a chronic inflammatory disease that compromises the colon, affecting the quality of life of individuals of any age. In practice, there is a wide spectrum of clinical situations. The advances made in the physio pathogenesis of UC have allowed the development of new, more effective and safer therapeutic agents.Objectives: To update and expand the evaluation of the efficacy and safety of relevant treat-ments for remission induction and maintenance after a mild, moderate or severe flare of UC.Recipients: Gastroenterologists, coloproctologists, general practitioners, family physicians and others health professionals, interested in the treatment of UC. Methodology: GADECCU authorities obtained authorization from GETECCU to adapt and update the GETECCU 2020 Guide for the treatment of UC. Prepared with GRADE methodology. A team was formed that included authors, a panel of experts, a nurse and a patient, methodological experts, and external reviewers. GRADE methodology was used with the new information.Results: A 118-page document was prepared with the 44 GADECCU 2022 recommendations, for different clinical situations and therapeutic options, according to levels of evidence. A section was added with the new molecules that are about to be available. Conclusions: This guideline has been made in order to facilitate decision-making regarding the treatment of UC, adapting and updating the guide prepared by GETECCU in the year 2020.(c) 2023 Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:S1 / S56
页数:56
相关论文
共 249 条
  • [1] Approach to the Management of Recently Diagnosed Inflammatory Bowel Disease Patients: A User's Guide for Adult and Pediatric Gastroenterologists
    Agrawal, Manasi
    Spencer, Elizabeth A.
    Colombel, Jean-Frederic
    Ungaro, Ryan C.
    [J]. GASTROENTEROLOGY, 2021, 161 (01) : 47 - 65
  • [2] Amiriani Taghi, 2020, Middle East J Dig Dis, V12, P27, DOI 10.15171/mejdd.2020.160
  • [3] Meta-analysis identifies 29 additional ulcerative colitis risk loci, increasing the number of confirmed associations to 47
    Anderson, Carl A.
    Boucher, Gabrielle
    Lees, Charlie W.
    Franke, Andre
    D'Amato, Mauro
    Taylor, Kent D.
    Lee, James C.
    Goyette, Philippe
    Imielinski, Marcin
    Latiano, Anna
    Lagace, Caroline
    Scott, Regan
    Amininejad, Leila
    Bumpstead, Suzannah
    Baidoo, Leonard
    Baldassano, Robert N.
    Barclay, Murray
    Bayless, Theodore M.
    Brand, Stephan
    Buening, Carsten
    Colombel, Jean-Frederic
    Denson, Lee A.
    De Vos, Martine
    Dubinsky, Marla
    Edwards, Cathryn
    Ellinghaus, David
    Fehrmann, Rudolf S. N.
    Floyd, James A. B.
    Florin, Timothy
    Franchimont, Denis
    Franke, Lude
    Georges, Michel
    Glas, Juergen
    Glazer, Nicole L.
    Guthery, Stephen L.
    Haritunians, Talin
    Hayward, Nicholas K.
    Hugot, Jean-Pierre
    Jobin, Gilles
    Laukens, Debby
    Lawrance, Ian
    Lemann, Marc
    Levine, Arie
    Libioulle, Cecile
    Louis, Edouard
    McGovern, Dermot P.
    Milla, Monica
    Montgomery, Grant W.
    Morley, Katherine I.
    Mowat, Craig
    [J]. NATURE GENETICS, 2011, 43 (03) : 246 - U94
  • [4] Sphingosine-1-Phosphate Signaling in Immune Cells and Inflammation: Roles and Therapeutic Potential
    Aoki, Masayo
    Aoki, Hiroaki
    Ramanathan, Rajesh
    Hait, Nitai C.
    Takabe, Kazuaki
    [J]. MEDIATORS OF INFLAMMATION, 2016, 2016
  • [5] Randomised controlled trial of azathioprine and 5-aminosalicylic acid for treatment of steroid dependent ulcerative colitis
    Ardizzone, S
    Maconi, G
    Russo, A
    Imbesi, V
    Colombo, E
    Porro, GB
    [J]. GUT, 2006, 55 (01) : 47 - 53
  • [6] Armuzzi A, 2004, Eur Rev Med Pharmacol Sci, V8, P231
  • [7] Long-term Combination Therapy with Infliximab Plus Azathioprine Predicts Sustained Steroid-free Clinical Benefit in Steroid-dependent Ulcerative Colitis
    Armuzzi, Alessandro
    Pugliese, Daniela
    Danese, Silvio
    Rizzo, Gianluca
    Felice, Carla
    Marzo, Manuela
    Andrisani, Gianluca
    Fiorino, Gionata
    Nardone, Olga Maria
    De Vitis, Italo
    Papa, Alfredo
    Rapaccini, Gian Lodovico
    Guidi, Luisa
    [J]. INFLAMMATORY BOWEL DISEASES, 2014, 20 (08) : 1368 - 1374
  • [8] Infliximab in Steroid-dependent Ulcerative Colitis: Effectiveness and Predictors of Clinical and Endoscopic Remission
    Armuzzi, Alessandro
    Pugliese, Daniela
    Danese, Silvio
    Rizzo, Gianluca
    Felice, Carla
    Marzo, Manuela
    Andrisani, Gialuca
    Fiorino, Gionata
    Sociale, Orsola
    Papa, Alfredo
    De Vitis, Italo
    Rapaccini, Gian Lodovico
    Guidi, Luisa
    [J]. INFLAMMATORY BOWEL DISEASES, 2013, 19 (05) : 1065 - 1072
  • [9] High ulcerative colitis and Crohn's disease ratio in a population-based registry from Cordoba, Argentina
    Balderramo, Domingo
    Trakal, Juan
    Najum, Pablo Herrera
    Vivas, Melina
    Gonzalez, Roxana
    Benavidez, Analia
    Villa, Daniela Lopez
    Daino, Diego
    Raiden, Karina
    German, Andres
    Corzo, Maria Alicia
    de Leon, Javier Ponce
    Ferrer, Luciana
    German, Carlos
    Balzola, Silvina
    Idoeta, Adriana
    Zarate, Fabian
    Defago, Maria Rosa
    [J]. DIGESTIVE AND LIVER DISEASE, 2021, 53 (07) : 852 - 857
  • [10] Budesonide foam vs. hydrocortisone acetate foam in the treatment of active ulcerative proctosigmoiditis
    Bar-Meir, S
    Fidder, HH
    Faszczyk, M
    Porro, GB
    Sturniolo, GC
    Mickisch, O
    Müller, R
    Greinwald, R
    Chowers, Y
    Gross, V
    [J]. DISEASES OF THE COLON & RECTUM, 2003, 46 (07) : 929 - 936