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Aliment Pharmacol Ther. 2009 Oct 15;30(8):854-63. doi: 10.1111/j.1365-2036.2009.04097.x.

Tumour necrosis factor antagonists and inflammatory bowel diseases: a national practice survey.

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  • 1Inserm, U954 and Department of Hepato-Gastroenterology, University Hospital of Nancy, Vandoeuvre-lès-Nancy, France.

Abstract

BACKGROUND:

Although the use of tumour necrosis factor (TNF) antagonists is increasingly codified, several unresolved issues remain.

AIM:

To conduct a French national survey on TNF antagonists use in inflammatory bowel disease (IBD).

METHODS:

A postal questionnaire was sent to all French gastroenterologists among whom 450 prescribe TNF antagonists for IBD. Only anti-TNF prescribers were invited to respond.

RESULTS:

A total of 333 questionnaires could be analysed, which represented a rate of survey completeness of 74%. Scheduled maintenance infliximab treatment was prescribed by 92% of gastroenterologists. In Crohn's disease in remission after 1 year of TNF antagonists, 77.4% of physicians continued treatment. In luminal Crohn's disease, 97% of hospital practitioners introduced infliximab as first-line anti-TNF therapy vs. 78% of physicians with nonhospital activity (P = 0.002); only 22.5% of gastroenterologists opted for adalimumab as first-line therapy. In Crohn's disease in remission after 6 months of azathioprine in combination with infliximab, 63.8% of practitioners discontinued azathioprine. In case of pregnancy during anti-TNF treatment, 35.1% of physicians discontinued therapy at the time of conception and did not administer anti-TNF therapy during pregnancy.

CONCLUSIONS:

The attitudes of French gastroenterologists generally reflect the recommendations regarding the use of anti-TNF and concomitant immunosuppressive therapy in IBD.

PMID:
19764940
[PubMed - indexed for MEDLINE]
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