Abstract:
:Several aspects of the management of Crohn's disease (CD) are shared between patients. The goal of all therapies should be to achieve clinical and endoscopic remission in a timely manner to avoid disease progression and abdominal resections. The way this goal is achieved may differ and predicting how the disease will evolve, what the most appropriate therapy with the highest chance of success will be, how long a therapy needs to be continued, and what the intensity of follow-up should be are more difficult questions and require an individualised approach. Clinical parameters have been suggested to aid in the therapeutic decision process but lack specificity. Although much promise has been put in molecular markers, these have not yet found their way to the clinic. More recently, clinicians have started to gain interest in drug level monitoring to adapt doses of immunomodulators and/or anti-tumour necrosis factor antibodies in an individualised manner. An increasing number of studies show that therapeutic drug monitoring can help physicians to improve and personalise the management of their patients. What is needed now are pharmaco-economic studies showing that personalised management of CD is cost effective.
journal_name
Postgrad Med Jjournal_title
Postgraduate medical journalauthors
Vermeire S,Ferrante M,Rutgeerts Pdoi
10.1136/postgradmedj-2012-303958repsubject
Has Abstractpub_date
2014-03-01 00:00:00pages
144-8issue
1061eissn
0032-5473issn
1469-0756pii
postgradmedj-2012-303958repjournal_volume
90pub_type
杂志文章abstract::During the course of an obscure illness in a teenage girl it was eventually realized that the diagnosis was 'epidemic neuromyasthenia'. The illness which occurred between February and September 1976 was characterized by fatigue, pallor, headache, nuchal pain, alterations in mentation, dizziness, nausea and vomiting, p...
journal_title:Postgraduate medical journal
pub_type: 杂志文章
doi:10.1136/pgmj.54.637.731
更新日期:1978-11-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
pub_type: 临床试验,杂志文章
doi:
更新日期:1979-01-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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journal_title:Postgraduate medical journal
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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更新日期:2001-09-01 00:00:00
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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journal_title:Postgraduate medical journal
pub_type: 杂志文章,评审
doi:
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journal_title:Postgraduate medical journal
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:Postgraduate medical journal
pub_type: 临床试验,杂志文章
doi:
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更新日期:2008-11-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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journal_title:Postgraduate medical journal
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pub_type: 杂志文章
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更新日期:1999-09-01 00:00:00