title: Implementation of the French national consensus for the management of ulcerative colitis into clinical practice.
abstract: BACKGROUND
  Recently, treatment algorithms were developed in France additionally to ECCO recommendations that should be used as reference for ulcerative colitis (UC) management. Nevertheless, their implementation in clinical practice remains challenging.
  
  
  OBJECTIVE
  To evaluate the prevalence of the use of these UC management algorithms in 127 patients followed by private gastroenterologists.
  
  
  METHODS
  Charts of all UC patients seen during the year 2015 (n=127) by 10 gastroenterologists were reviewed. The gastroenterologist's management was then compared to the corresponding algorithm situation and, in case of disagreement, analysed by an expert committee.
  
  
  RESULTS
  94.5% of patients corresponded to a clinical situation described in algorithms. Gastroenterologist's management was adequate to the corresponding algorithm situation in 74.2% of cases. Among the 31 cases of disagreement, the gastroenterologist's decision differed from the algorithm position in 21 cases, and in 76.2% of cases the expert committee would have made the same decision. In the remaining 10 cases, the decision differed from the corresponding algorithm for reasons independent from the gastroenterologist (patient's choice etc.).
  
  
  CONCLUSIONS
  French national algorithms for UC management allowed coverage of 95% of clinical cases in real world. In three quarters of cases, these algorithms were strictly followed by private gastroenterologists. Dissemination of these algorithms could optimize and strengthen the practitioner's choice.
authors.affiliation: Clinique Ambroise Paré, Toulouse, France. Electronic address: hepavie@free.fr.
authors.forename: Guillaume
authors.initials: G
authors.lastname: Bonnaud
authors.affiliation: Clinique Ambroise Paré, Toulouse, France.
authors.forename: Audrey
authors.initials: A
authors.lastname: Haennig
authors.affiliation: Clinique des cèdres, Cornebarrieu, France.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Levy
authors.affiliation: Clinique des cèdres, Cornebarrieu, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Sigur
authors.affiliation: Clinique des cèdres, Cornebarrieu, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Ledit
authors.affiliation: Clinique des cèdres, Cornebarrieu, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Cabarrot
authors.affiliation: Clinique Pasteur, Toulouse, France.
authors.forename: Patrick
authors.initials: P
authors.lastname: Faure
authors.affiliation: KPL, Paris, France.
authors.forename: Catherine
authors.initials: C
authors.lastname: Auzimour
authors.affiliation: KPL, Paris, France.
authors.forename: Asmaa
authors.initials: A
authors.lastname: El Atmani
authors.affiliation: Service d'hépato-gastroentérologie, CHU, Nice, France.
authors.forename: Xavier
authors.initials: X
authors.lastname: Hebuterne
authors.affiliation: Service d'hépato-gastroentérologie, CHU, Nancy, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Peyrin-Biroulet
mesh_terms: D006801:Humans; D000465:Algorithms; D003093:Colitis, Ulcerative / Q000453:epidemiology / Q000628:therapy; D020000:Decision Support Systems, Clinical; D005602:France / Q000453:epidemiology; D005762:Gastroenterology; D010818:Practice Patterns, Physicians'; D003245:Consensus Statements as Topic
keywords: Decision support; Inflammatory bowel disease; Treatment algorithms