Abstract
Background
Treatment of patients with coexisting spondyloarthritis (SpA) and inflammatory bowel
disease (IBD) often requires multidisciplinary collaboration between gastroenterologists
and rheumatologists.
Aim
To describe the results of the first Delphi consensus to define shared therapeutic
strategies for the best management of patients with coexisting SpA and IBD.
Methods
A scientific steering committee of 10 Italian experts in the field of SpA and IBD
developed 27 statements on 5 possible clinical scenarios and selected 40 specialists
from across Italy, both gastroenterologists and rheumatologists, to vote them using
a Delphi method. Each participant expressed a level of agreement on each statement
using a 5-point scale (1 = “absolutely disagree”; 5 = “absolutely agree”). Total cumulative agreement was defined as the sum of the percentage
of responses to items 4 (“agree”) and 5 (“absolutely agree”). Total cumulative agreement
≥70% defined consensus for each statement.
Results
After the first round, positive consensus was reached for 22 statements. Statements
without consensus were discussed in a plenary session before the second vote. Positive
consensus was then reached in all statements, with final total cumulative agreement
ranging from 80% to 100%.
Conclusion
This is the first Delphi consensus defining specific treatment algorithms for patients
with coexisting SpA and IBD.
Keywords
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Article info
Publication history
Published online: June 22, 2017
Accepted:
June 12,
2017
Received:
March 24,
2017
Identification
Copyright
© 2017 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
