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Cited by 283

The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Outcomes and Strategies to Support a Treat-to-target Approach in Inflammatory Bowel Disease: A Systematic Review

Open access
Colombel, Jean-Frédéric, D’haens, Geert, Lee, Wan-Ju, Petersson, Joel, Panaccione, Remo·2020·Journal of Crohn's and Colitis

Abstract

Background and Aims: Management of Crohn’s disease and ulcerative colitis has typically relied upon treatment intensification driven by symptoms alone. However, a ‘treat-to-target’ management approach may help to address underlying inflammation, minimise disease activity at early stages of inflammatory bowel disease, limit progression, and improve long-term outcomes. Methods: A systematic literature review was conducted to identify data relevant to a treat-to-target approach in inflammatory bowel disease, published between January 1, 2007 and May 15, 2017. Results: Consistent with recommendations of the Selecting Therapeutic Targets in Inflammatory Bowel Disease [STRIDE] working group, studies have investigated factors influencing the achievement of both endoscopic and histological mucosal healing and patient-level outcomes in inflammatory bowel disease [IBD]. Histological healing and biomarker levels have also been shown to be modifiable outcomes. Although there is a lack of prospectively derived evidence validating mucosal healing as a treatment target, data are emerging to suggest that targeting mucosal healing or inflammation rather than symptoms may be cost-effective in some settings. The review highlighted several strategies that may support the implementation of a treat-to-target approach in IBD. The prospective randomised CALM study demonstrated how tight control [whereby treatment decisions are based on close monitoring of inflammatory biomarkers] leads to improvements in endoscopic and clinical outcomes. The review also considered the influence of coordinated care from a multidisciplinary team and patient engagement with improved adherence, as well as the role of therapeutic drug monitoring in inflammatory bowel disease management. Conclusions: A treat-to-target strategy may impact on disease progression and improve outcomes in inflammatory bowel disease. Prospective studies including long-term data are required to ensure that the most appropriate targets and strategies are identified.

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Metadata

Authors
Colombel, J.-F., D’haens, G., Lee, W.-J., Petersson, J., & Panaccione, R.
Venue
Journal of Crohn's and Colitis
Published
2019-08-12
Volume
14
Issue
2
Pages
254-266
ISSN
  • 1873-9946 (ISSN-L)
  • 1876-4479
OpenAlex
W2991207961
Cited by
283
References
64
FWCI
4.56
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Outcomes and Strategies to Support a Treat-to-target Approach in Inflammatory Bowel Disease: A Systematic Review. https://app.cochat.ai/papers/10.1093/ecco-jcc/jjz131
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Colombel, J.-F., D’haens, G., Lee, W.-J., Petersson, J., & Panaccione, R. (2020). Outcomes and Strategies to Support a Treat-to-target Approach in Inflammatory Bowel Disease: A Systematic Review. Journal of Crohn's and Colitis. https://doi.org/10.1093/ecco-jcc/jjz131

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.