我们可以用临床因素预测疾病过程吗？

Title:Can we Predict Disease Course with Clinical Factors?

Volume: 19 Issue: 7

关键词: 溃疡性结肠炎，克罗恩病，预测，结果，个体化治疗，炎症性肠病。

摘要: Background: The disease phenotype at diagnosis and the disease course of Crohn's disease (CD) and ulcerative colitis (UC) show remarkable heterogeneity across patients.

Objective: This review aims to summarize the currently available evidence on clinical and some environmental predictive factors, which clinicians should evaluate in the everyday practice together with other laboratory and imaging data to prevent disease progression, enable a more personalized therapy, and avoid negative disease outcomes.

Results: In recent population-based epidemiological and referral cohort studies, the evolution of disease phenotype of CD and UC varied significantly. Most CD and severe UC patients still require hospitalization or surgery/colectomy during follow-up. A change in the natural history of inflammatory bowel diseases (IBD) with improved outcomes in parallel with tailored positioning of aggressive immunomodulator and biological therapy has been suspected.

Conclusion: According to the currently available literature, it is of major importance to refer IBD cases at risk for adverse disease outcomes as early during the disease course as possible.

Cite this article as:

Can we Predict Disease Course with Clinical Factors?, Current Drug Targets 2018; 19 (7) . https://dx.doi.org/10.2174/1389450118666170329095123