Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/19681
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dc.contributor.authorJackson, Belinda D-
dc.contributor.authorDe Cruz, Peter-
dc.date2018-10-04-
dc.date.accessioned2018-10-23T22:28:42Z-
dc.date.available2018-10-23T22:28:42Z-
dc.date.issued2018-10-04-
dc.identifier.citationExpert Review of Gastroenterology & Hepatology 2018; 12(11): 1079-1100en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/19681-
dc.description.abstractNon-adherence has been a key barrier to the efficacy of medical treatments in ulcerative colitis (UC). Engaging patients in their IBD care via shared decision making (SDM) to facilitate self-management may improve adherence to therapy. Areas covered: This review aims to summarize the most recent trial evidence from 2012-2017 for mild-to-moderate UC in order to develop clinical algorithms that guide SDM to facilitate self-management. A structured literature search via multiple electronic databases was performed using the search terms 'ulcerative colitis,' 'treatment,' 'management,' 'medication,' 'maintenance,' 'remission,' '5-ASA,' and 'inflammatory bowel disease. Expert commentary: Novel formulations of existing oral and topical medications have expanded the treatment options available for the induction and maintenance therapy for mild-to-moderate UC. Daily dosing of 5-ASA therapy is equivalent to twice daily dosing. The combination therapies of oral plus topical 5-ASA therapy and 5-ASA plus corticosteroid therapy are more effective than monotherapy. Budesonide MMX now plays a role in the management of mild-to-moderate UC. This review collates the evidence on drug efficacy and safety, adherence and tolerability, and non-invasive monitoring of mild-to-moderate UC into SDM-orientated algorithms to facilitate self-management.en_US
dc.language.isoeng-
dc.subjectcorticosteroidsen_US
dc.subjectdistance managementen_US
dc.subjectinflammatory bowel diseaseen_US
dc.subjectmanagementen_US
dc.subjectulcerative colitisen_US
dc.titleAlgorithms to facilitate shared decision making for the management of mild-to-moderate ulcerative colitis.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleExpert Review of Gastroenterology & Hepatologyen_US
dc.identifier.affiliationGastroenterology and Hepatologyen_US
dc.identifier.affiliationDepartment of Medicine, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australiaen_US
dc.identifier.doi10.1080/17474124.2018.1530109en_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-3399-7236en_US
dc.identifier.pubmedid30284911-
dc.type.austinJournal Article-
local.name.researcherJackson, Belinda D
item.languageiso639-1en-
item.cerifentitytypePublications-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.grantfulltextnone-
item.openairetypeJournal Article-
item.fulltextNo Fulltext-
crisitem.author.deptGastroenterology and Hepatology-
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