Ulcerative Colitis Clinical Trial
Official title:
Risk of Surgery Among Patients Wih Ulcerative Colitis and Croh'ns Disease After Seven Years of Follow-up in the Era of Biological Treatment.
The aim of the study is to do a 7-year follow-up of a consecutive inception cohort of 562
adults and children diagnosed and registered with inflammatory bowel disease in 2003-04 in
order to evaluate the consequences of biological therapy in the treatment of IBD. The cohort
is established after the implementation of biological agents in the treatment of IBD and the
investigators hypothesis is that a) Severe disease course in IBD can be predicted by
phenotypic presentation by serological, genetic, clinical and endoscopic characteristics to
be used as guidance in the selection of treatment strategy and b) Introduction of biological
treatment changes the course of disease in IBD and reduces the need of surgical procedures.
Methods: Medical records will be reviewed to register the use of medication, flare ups
(medical and surgical) and hospital admissions. Diagnosis, disease localization and behavior
will be evaluated. At outpatient visits patients will get a clinical examination, blood and
faeces will be collected to biobank and patients will be offered an endoscopical
examination. The Montreal classification, The Harvey & Bradshaw's activity index (CD) and
the SCAAI score (UC) will be used to describe disease localization, extent, behavior and
severity. An electronic database will be established in use of processing data.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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