C A Siegel1. 1. Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA. corey.a.siegel@hitchcock.org
Abstract
BACKGROUND: Medical treatment for inflammatory bowel disease (IBD) has advanced significantly over the past decade, but it is important to communicate effectively the balance of benefits and risks of therapy to patients to facilitate informed medical decisions. AIM: To review the available data describing the risk of side effects of IBD medications and to describe effective methods for communicating risk. METHODS: To identify relevant articles for this review, a PubMed search was conducted using relevant key words and phrases. In addition, reference lists from identified manuscripts were searched and recent abstracts from National meetings were reviewed. RESULTS: The steroid-sparing medications used for the treatment of IBD all carry risks of both common and rare adverse events. Trade-offs need to be made between the risks of these medications vs. the risks of poorly treated disease and corticosteroids. There has been significant research on how best to present risk data to patients, which is summarized in this review. CONCLUSIONS: To ensure that our patients understand their choices and feel comfortable with their treatment, we need to communicate risk data to patients clearly. Patients comprehend absolute numbers better than relative risk, and when available, pictorial representations of data are preferred over solely presenting numerical outcomes.
BACKGROUND: Medical treatment for inflammatory bowel disease (IBD) has advanced significantly over the past decade, but it is important to communicate effectively the balance of benefits and risks of therapy to patients to facilitate informed medical decisions. AIM: To review the available data describing the risk of side effects of IBD medications and to describe effective methods for communicating risk. METHODS: To identify relevant articles for this review, a PubMed search was conducted using relevant key words and phrases. In addition, reference lists from identified manuscripts were searched and recent abstracts from National meetings were reviewed. RESULTS: The steroid-sparing medications used for the treatment of IBD all carry risks of both common and rare adverse events. Trade-offs need to be made between the risks of these medications vs. the risks of poorly treated disease and corticosteroids. There has been significant research on how best to present risk data to patients, which is summarized in this review. CONCLUSIONS: To ensure that our patients understand their choices and feel comfortable with their treatment, we need to communicate risk data to patients clearly. Patients comprehend absolute numbers better than relative risk, and when available, pictorial representations of data are preferred over solely presenting numerical outcomes.
Authors: John K Marshall; Anthony R Otley; Waqqas Afif; Charles N Bernstein; Lawrence Hookey; Grigorios Leontiadis; Remo Panaccione; Brian Bressler Journal: Can J Gastroenterol Hepatol Date: 2014 Jul-Aug
Authors: Christopher V Almario; Michelle S Keller; Michelle Chen; Karen Lasch; Lyann Ursos; Julia Shklovskaya; Gil Y Melmed; Brennan M R Spiegel Journal: Am J Gastroenterol Date: 2017-12-05 Impact factor: 10.864
Authors: Corey A Siegel; Jennifer H Lofland; Ahmad Naim; Jan Gollins; Danielle M Walls; Laura E Rudder; Chuck Reynolds Journal: Patient Date: 2016-02 Impact factor: 3.883
Authors: Samantha Wong; John R Walker; Rachel Carr; Lesley A Graff; Ian Clara; Stephen Promislow; Linda Rogala; Norine Miller; Patricia Rawsthorne; Charles N Bernstein Journal: Can J Gastroenterol Date: 2012-08 Impact factor: 3.522
Authors: D Camuesco; M E Rodríguez-Cabezas; N Garrido-Mesa; M Cueto-Sola; E Bailón; M Comalada; B Arribas; M Merlos; D Balsa; A Zarzuelo; G Janer; J Xaus; J Román; J Gálvez Journal: Br J Pharmacol Date: 2012-02 Impact factor: 8.739