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
  • [41] Discovery and Development of Janus Kinase (JAK) Inhibitors for Inflammatory Diseases
    Clark, James D.
    Flanagan, Mark E.
    Telliez, Jean-Baptiste
    [J]. JOURNAL OF MEDICINAL CHEMISTRY, 2014, 57 (12) : 5023 - 5038
  • [42] Cohen RD, 1999, AM J GASTROENTEROL, V94, P1587
  • [43] Cohen RD, 2000, AM J GASTROENTEROL, V95, P1263
  • [44] Involvement of JAK/STAT signaling in the pathogenesis of inflammatory bowel disease
    Coskun, Mehmet
    Salem, Mohammad
    Pedersen, Jannie
    Nielsen, Ole Haagen
    [J]. PHARMACOLOGICAL RESEARCH, 2013, 76 : 1 - 8
  • [45] Systematic review with meta-analysis: faecal microbiota transplantation for the induction of remission for active ulcerative colitis
    Costello, S. P.
    Soo, W.
    Bryant, R. V.
    Jairath, V.
    Hart, A. L.
    Andrews, J. M.
    [J]. ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2017, 46 (03) : 213 - 224
  • [46] Effect of Fecal Microbiota Transplantation on 8-Week Remission in Patients With Ulcerative Colitis A Randomized Clinical Trial
    Costello, Samuel P.
    Hughes, Patrick A.
    Waters, Oliver
    Bryant, Robert, V
    Vincent, Andrew D.
    Blatchford, Paul
    Katsikeros, Rosa
    Makanyanga, Jesica
    Campaniello, Melissa A.
    Mavrangelos, Chris
    Rosewarne, Carly P.
    Bickley, Chelsea
    Peters, Cian
    Schoeman, Mark N.
    Conlon, Michael A.
    Roberts-Thomson, Ian C.
    Andrews, Jane M.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (02): : 156 - 164
  • [47] Maintenance treatment of ulcerative proctitis with mesalazine suppositories: A double-blind placebo-controlled trial
    d'Albasio, G
    Paoluzi, P
    Campieri, M
    Porro, GB
    Pera, A
    Prantera, C
    Sturniolo, GC
    Miglioli, M
    [J]. AMERICAN JOURNAL OF GASTROENTEROLOGY, 1998, 93 (05) : 799 - 803
  • [48] Intravenous cyclosporine versus intravenous corticosteroids as single therapy for severe attacks of ulcerative colitis
    D'Haens, G
    Lemmens, L
    Geboes, K
    Vandeputte, L
    Van Acker, F
    Mortelmans, L
    Peeters, M
    Vermeire, S
    Penninckx, F
    Nevens, F
    Hiele, M
    Rutgeerts, P
    [J]. GASTROENTEROLOGY, 2001, 120 (06) : 1323 - 1329
  • [49] Clinical trial: Preliminary efficacy and safety study of a new Budesonide-MMX® 9 mg extended-release tablets in patients with active left-sided ulcerative colitis
    D'Haens, G. R.
    Kovacs, A.
    Vergauwe, P.
    Nagy, F.
    Molnar, T.
    Bouhnik, Y.
    Weiss, W.
    Brunner, H.
    Lavergne-Slove, A.
    Binelli, D.
    Di Stefano, A. F. D.
    Marteau, P.
    [J]. JOURNAL OF CROHNS & COLITIS, 2010, 4 (02) : 153 - 160
  • [50] A review of activity indices and efficacy end points for clinical trials of medical therapy in adults with ulcerative colitis
    D'Haens, Geert
    Sandborn, William J.
    Feagan, Brian G.
    Geboes, Karel
    Hanauer, Stephen B.
    Irvine, E. Jan
    Lemann, Marc
    Marteau, Philippe
    Rutgeerts, Paul
    Scholmerich, Jurgen
    Sutherland, Lloyd R.
    [J]. GASTROENTEROLOGY, 2007, 132 (02) : 763 - 786