Journal article
A global consensus on the classification, diagnosis and multidisciplinary treatment of perianal fistulising Crohn's disease
KB Gecse, W Bemelman, MA Kamm, J Stoker, R Khanna, SC Ng, J Panés, G Van Assche, Z Liu, A Hart, BG Levesque, G D'Haens
Gut | Published : 2014
Abstract
Objective: To develop a consensus on the classification, diagnosis and multidisciplinary treatment of perianal fistulising Crohn's disease (pCD), based on best available evidence. Methods: Based on a systematic literature review, statements were formed, discussed and approved in multiple rounds by the 20 working group participants. Consensus was defined as at least 80% agreement among voters. Evidence was assessed using the modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) criteria. Results: Highest diagnostic accuracy can only be established if a combination of modalities is used. Drainage of sepsis is always first line therapy before initiating immunosuppr..
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Awarded by Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
Funding Acknowledgements
Financial support was provided by a standard grant for Working Party Report from the World Gastroenterology Organization (WGO) and Robarts Research Institute. The proposal was initially developed and supported by the International Organization for the study of Inflammatory Bowel Diseases (IOIBD) and the European Society of Coloproctology (ESCP). The pharmaceutical industry was excluded from all stages of the process.