K50 K51
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients diagnosed with IBD >1year Patient attending IBD clinic visit (or clinical assessments performed by phone/web, where applicable)
Exclusion criteria
Exclusion criteria: Suspected but not yet confirmed IBD Post-colectomy UC patients with no evidence for Crohn's disease Patients <18 years old Patients receiving investigational products and enrolled in clinical studies Any of the following conditions: Solid organ transplantation (any), adrenal insufficiency/Addison’s disease/hypopituitarism, Autoimmune hepatitis, Polymyalgia rheumatica, Uveitis, Systemic lupus erythematousus, Rheumatoid arthritis, Giant cell arteritis, Vasculitis (various subtypes/pseudonyms), haemolytic anaemia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine incidence of steroid exposure and excess for patients with IBD and to identify associated variables that may influence these at both patient level (e.g. disease subtype, prescribed medications) and system level (e.g. access to IBD specialists. There will be three sources of data: 1. Web-based Steroid Assessment Tool (SAT) for collecting patient-level data on the use of corticosteroids in IBD patients from files 2. Questionnaire on the criteria for the provision of services, which collects information on the Centre; this questionnaire asks the Centre about the facilities and services to which it has access. • Academic or public centre • Population size in the centre’s catchment area • IBD Telephone Service • Structure of the IBD department, e.g. number of gastroenterologists, caregivers and trainees • Access to multidisciplinary teams and frequency of meetings • Research institutions This will take into account differences in facilities/health systems to assess steroid use globally and in individual countries. 3. Patient questionnaire with overlapping questions asked by the physician in SAT and additional questions on the patient’s attitude towards steroids Explanatory variables: • Disease subtype (e.g. Crohn’s disease, ulcerative colitis) • Severe illness • Use of thiopurines • Use of 5-ASA (5-aminosalicylic acid) • Use of targeted therapies • Recent start of targeted therapy • Type of study center (e.g. tertiary care, teaching hospital, university hospital) • Trainee-led clinics • Presence of IBD study nurse • Multidisciplinary meeting team • Presence of IBD telephone service • Specialised IBD center The data are collected in total and by subgroup, e.g. The incidence of these adverse reactions is estimated by the following factors: age, sex, and severity, using absolute frequencies and percentages. 95% confidence intervals for prevalence are calculated. A simple logistic regression is performed for primary endpoints to separate | — |
Countries
Australia, Belgium, France, Germany, Israel, Italy, Spain, Turkey
Contacts
AbbVie Deutschland GmbH & Co. KG