Nternational IBD practice guidelines

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

Joined
Aug 14, 2010
Messages
572
Guidelines published by the international gastroenterology societies establish standards of care and seek to improve patient outcomes.

Dr Feuerstein and colleagues from Massachusetts, USA examined inflammatory bowel disease guidelines (IBD) for quality of evidence, methods of grading evidence and conflicts of interest.

All 182 guidelines published by the American College of Gastroenterology, American Gastroenterological Association, British Society of Gastroenterology, Canadian Association of Gastroenterology, Crohn's and Colitis Foundation of America and European Crohn's and Colitis Organisation as of 2012 were reviewed.

The team found 19 IBD guidelines.
he research team noted that 89% of the guidelines graded the levels of evidence using seven different systems.

Of the 1070 recommendations reviewed, 23% cited level A evidence.

The researchers found that 28% cited level B, 36% were level C, and 13% were level D.

The mean age of the guidelines was 4 years.

In addition, 61% of the guidelines failed to comment on conflicts of interest.

The team observed that all 8 articles commenting on conflicts of interest had conflicts with 81% of authors reported an average 12 conflicts of interest.

Lastly, there were variations in the recommendations between societies.

Dr Feuerstein's team concludes, "Nearly half the IBD guideline recommendations are based on expert opinion or no evidence."

"Majority of the guidelines fail to disclose any conflicts of interest, and when commenting, all have numerous conflicts of interest."

"Furthermore, the guidelines are not updated frequently and there is a lack of consensus between societal guidelines."

"This study highlights the critical need to centralize and redesign the guidelines development process."

http://www.gastrohep.com/news/news.asp?id=109579
 
It's hard to read anything from the European Crohn and Colitis organisation at all. How can you read anything they publish while there is so much conflict of interest.

Half of the doctors are not just doctors, they are speakers for companies.




An example:

a2ygs8.jpg



Now you tell me how someone should interpret this when the people writing this stuff actually work for the companies that are going to lose money from biosimilars and the organisation writing this is paid for by the companies that would lose money. You have to be blind not to see the conflict of interest.

I don't know anything about these biosimilars, but you should not be allowed to write about this stuff when you have so much baggage and conflict of interest.

Regardless if statements are true of false, you can not claim to speak for European gastroentorologists with these conflicts of interest, you just can't, it's completely irresponsible and it's not in the interest of the patients at all, it's in the interest of corporations and your own pocket.

9qbc6f.jpg



How the hell is anyone supposed to take those publications serious.
 
Last edited:
Back
Top