Año 2025 / Volumen 117 / Número 11
Original
Assessing inflammatory bowel disease monitoring procedures in Spain: insights from the IBD-PODCAST study

636-644

DOI: 10.17235/reed.2025.11190/2025

José María Huguet, Elena Gómez Delgado, Saioa Rubio, Patricia Suárez Álvarez, Isabel Vera Mendoza, José María Paredes, Alejandro Hernández Camba, Rocío Plaza Santos, Míriam Mañosa, Ramón Pajares Villarroya, Lucía Madero Velázquez, Pablo Vega, Regina Santos de Lamadrid, Naiara Michelena, Miriam García, Fernando Gomollón,

Resumen
Introduction: Crohn’s disease (CD) and ulcerative colitis (UC) are characterized by persistent gastrointestinal inflammation. Timely, effective management is crucial to improve long-term patient outcomes. Materials and methods: as part of the IBD-PODCAST study, this cross-sectional, multicenter, non-interventional study included 396 patients (196 CD, 200 UC) from 14 Spanish hospitals, aiming to assess treat-to-target implementation through monitoring practices in a real-world setting. Biochemical markers (C-reactive protein [CRP], fecal calprotectin [fCal]) measured within ± 14 days of index date and imaging tests (endoscopy, intestinal ultrasound [IUS], magnetic resonance imaging/magnetic resonance enterography/computed tomography [MRI/MRE/CT]) during the previous year were collected. Actions taken based on the results were evaluated. Results: biochemical markers were requested in more than half the patients and imaging in a third, including endoscopic procedures in 18.9 % of CD and 28 % of UC cases, and IUS in < 12 % of patients. Treatment was adjusted in 67 % of CD patients with symptoms and 67 % of UC patients with rectal bleeding. Only 39 % of CD and 26 % of UC patients with abnormal fCal had treatment modifications, with 35 % and 37 % undergoing additional monitoring, respectively. Endoscopic findings prompted adjustments in 87 % of CD and 56 % of UC patients. Conclusion: the IBD-PODCAST study examined routine IBD management in Spain, highlighting the need for improved monitoring and intervention to optimize patient care and outcomes.
Resumen coloquial
Inflammatory bowel diseases (IBD), including Crohn’s disease and ulcerative colitis, are chronic conditions that significantly impact patients’ daily lives. Effective management goes beyond controlling symptoms, requiring regular monitoring to detect underlying inflammation and guide treatment decisions. This sub-analysis of the IBD-PODCAST study focuses on the Spanish population, providing insight into how IBD is managed in Spain and highlighting areas for improvement. Our data show that, although monitoring in Spain generally follows international standards, treatment adjustments are not always made when abnormalities are detected. Many decisions are still based on symptoms rather than on monitoring tools like biomarkers, imaging, or endoscopy. This suggests a missed opportunity to use available data to make timely changes that could prevent disease complications and improve long-term outcomes. The findings underline the importance of integrating objective monitoring tools into routine care to better manage IBD. Spain has made progress with initiatives like quality certification programs for IBD units, but there is still room to enhance how monitoring data is used to guide treatment. Therefore, by adopting a more proactive approach, patients in Spain could benefit from improved disease control, reduced complications, and a better quality of life.
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Bibliografía
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Instrucciones para citar
Huguet J, Gómez Delgado E, Rubio S, Suárez Álvarez P, Vera Mendoza I, Paredes J, et all. Assessing inflammatory bowel disease monitoring procedures in Spain: insights from the IBD-PODCAST study. 11190/2025


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Recibido: 07/03/2025

Aceptado: 13/06/2025

Prepublicado: 27/06/2025

Publicado: 11/11/2025

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