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Treatment of inflammatory bowel disease in Asia: The results of a multinational web-based survey in the 2nd Asian Organization of Crohn's and Colitis (AOCC) meeting in Seoulopen access

Authors
Nakase H.Keum B.Ye B.D.Park S.J.Koo H.S.Eun C.S.
Issue Date
2016
Publisher
Korean Association for the Study of Intestinal Diseases
Keywords
A web-survey; Asia; Inflammatory bowel diseases; Treatment
Citation
Intestinal Research, v.14, no.3, pp.231 - 239
Indexed
SCOPUS
KCI
Journal Title
Intestinal Research
Volume
14
Number
3
Start Page
231
End Page
239
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/7109
DOI
10.5217/ir.2016.14.3.231
ISSN
1598-9100
Abstract
Background/Aims: Inflammatory bowel disease (IBD) management guidelines have been released from Western countries, but no adequate data on the application of these guidelines in Asian countries and no surveys on the treatment of IBD in real practice exist. Since there is a growing need for a customized consensus for IBD treatment in Asian countries, Asian Organization of Crohn's and Colitis performed a multinational survey of medical doctors who treat IBD patients in Asian countries. Methods: A questionnaire was developed between August 2013 and November 2013. It was composed of 4 domains: personal information, IBD diagnosis, IBD treatment, and quality of IBD care. Upon completion of the questionnaire, a web-based survey was conducted between 17 March 2014 and 12 May 2014. Results: In total, 353 medical doctors treating IBD from ten Asian countries responded to the survey. This survey data suggested a difference in available medical treatments (budesonide, tacrolimus) among Asian countries. Therapeutic strategies regarding refractory IBD (acute severe ulcerative colitis [UC] refractory to intravenous steroids and refractory Crohn's disease [CD]) and active UC were coincident, however, induction therapies for mild to moderate inflammatory small bowel CD are different among Asian countries. Conclusions: This survey demonstrated that current therapeutic approaches and clinical management of IBD vary among Asian countries. Based on these results and discussions, we hope that optimal management guidelines for Asian IBD patients will be developed. © 2016. Korean Association for the Study of Intestinal Diseases. All rights reserved.
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