The challenges of implementing earlier surgery for terminal ileal Crohn's disease-A qualitative study of the clinician's perspective.

ABSTRACT:

Aim

Evidence suggests that earlier bowel resection may offer more stable remission in localized luminal terminal ileal (TI) Crohn's disease compared with ongoing medical therapy. Surgery is still considered late in the treatment pathway. The aim of this study was to understand the clinician's perspective on 'early' surgery by qualitatively exploring how clinicians make treatment-related decisions.

Method

Semistructured interviews with clinicians across the UK with an interest in inflammatory bowel disease (IBD) were undertaken using videoconferencing (February-November 2022). Inductive thematic analysis of interview transcripts was performed; 10% of the data were double-coded. Data saturation was confirmed before stopping recruitment.

Results

Participants included nin

SUBMITTER: Husnoo N 

PROVIDER: S-EPMC11814344 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature