Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus
In: ISSN: 1590-8658 ; Digestive and Liver Disease ; https://hal.science/hal-03519669 ; Digestive and Liver Disease, 2022, 54 (3), pp.309-315. ⟨10.1016/j.dld.2021.11.008⟩, 2022
academicJournal
Zugriff:
International audience ; BACKGROUND AND AIMS: Patients with inflammatory bowel diseases (IBD) are exposed to drug-related nephrotoxicity and kidney-related extra-intestinal manifestations (EIMs). Patients should be monitored but guidance is lacking in current international recommendations. The objective of the Kidney Function Monitoring in Inflammatory Bowel Disease (MONITORED) initiative was to achieve an expert consensus about monitoring kidney function in IBD. METHODS: A literature review was first conducted. Then, an expert consensus meeting, involving 28 attendees representing French-speaking gastroenterologists and nephrologists, was held as part of an academic initiative on May 28, 2021. An anonymous Delphi process was used to discuss and vote on statements. Agreement was defined as at least 75% of participants voting for any one statement. RESULTS: Experts reached consensus on 11 criteria for referral to the nephrologist. Concerning kidney function monitoring, participants unanimously validated the use of serum creatinine with estimation of the glomerular filtration rate via the MDRD or CKD-EPI equations. A blood ionogram and a urine sample with measurement of a protein-to-creatinine ratio were also broadly agreed validated. Experts recommended performing this monitoring at IBD diagnosis, prior introducing a new treatment, and annually for EIMs screening and evaluation of treatment tolerance. An evaluation 3 months after starting mesalamine and then every 6 months was felt necessary, while for biologics an annually monitoring was deemed sufficient. CONCLUSION: The MONITORED consensus proposed guidelines on how to monitor kidney function in IBD. These recommendations should be considered in clinical practice to preserve kidney function and ensure the best approach to our patients.
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Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus
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| Autor/in / Beteiligte Person: | Guillo, Lucas ; Delanaye, Pierre ; Flamant, Martin ; Figueres, Lucile ; Karam, Sabine ; Lemoine, Sandrine ; Benezech, Alban ; Pelletier, Anne-Laure ; Amiot, Aurélien ; Caron, Bénédicte ; Stefanescu, Carmen ; Boschetti, Gilles ; Bouguen, Guillaume ; Rahier, Jean-Francois ; Gornet, Jean-Marc ; Hugot, Jean-Pierre ; Bonnet, Joëlle ; Vuitton, Lucine ; Nachury, Maria ; Vidon, Mathias ; Uzzan, Mathieu ; Serrero, Mélanie ; Dib, Nina ; Seksik, Philippe ; Hebuterne, Xavier ; Bertocchio, Jean-Philippe ; Mariat, Christophe ; Peyrin-Biroulet, Laurent ; Hôpital Nord CHU -, APHM ; Hôpital Universitaire Carémeau Nîmes (CHU Nîmes) ; Centre Hospitalier Universitaire de Nîmes (CHU Nîmes) ; Université de Liège ; AP-HP - Hôpital Bichat - Claude Bernard Paris ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) ; Centre de Recherche Interdisciplinaire / Center for Research and Interdisciplinarity Paris, France (CRI) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité) ; Centre Hospitalier Universitaire de Nantes (CHU Nantes) ; Saint George Hospital University Medical Center UOB, LIBAN ; University of Balamand Liban (UOB) ; Hôpital Edouard Herriot CHU -, HCL ; Hospices Civils de Lyon (HCL) ; Centre Hospitalier Henri Duffaut (Avignon) ; Early detection of Colon Cancer using Molecular Markers and Microbiota (EA 7375) (EC2M3) ; Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12) ; Groupe Henri Mondor-Albert Chenevier ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Henri Mondor-Hôpital Albert Chenevier ; Nutrition-Génétique et Exposition aux Risques Environnementaux (NGERE) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL) ; Service d'Hépato-gastro-entérologie CHRU Nancy ; Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy) ; Hôpital Beaujon AP-HP ; Centre International de Recherche en Infectiologie (CIRI) ; École normale supérieure de Lyon (ENS de Lyon)-Université Claude Bernard Lyon 1 (UCBL) ; Université de Lyon-Université de Lyon-Université Jean Monnet - Saint-Étienne (UJM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS) ; Centre Hospitalier Lyon Sud CHU - HCL (CHLS) ; Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Ponchaillou ; Nutrition, Métabolismes et Cancer (NuMeCan) ; Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE) ; CHU UCL Namur ; Hopital Saint-Louis AP-HP (AP-HP) ; AP-HP Hôpital universitaire Robert-Debré Paris ; Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon) ; Institute for Translational Research in Inflammation - U 1286 (INFINITE (Ex-Liric)) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille) ; Centre Hospitalier Régional Universitaire CHU Lille (CHRU Lille) ; Créteil, CHI ; Hémodynamique, Interaction Fibrose et Invasivité tumorales Hépatiques (HIFIH) ; Université d'Angers (UA) ; Centre de Recherche Saint-Antoine (CRSA) ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU) ; Centre Hospitalier Universitaire de Nice (CHU Nice) ; CHU Pitié-Salpêtrière AP-HP ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU) ; Centre Hospitalier Universitaire de Saint-Etienne CHU Saint-Etienne (CHU ST-E) ; funding, No |
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| Zeitschrift: | ISSN: 1590-8658 ; Digestive and Liver Disease ; https://hal.science/hal-03519669 ; Digestive and Liver Disease, 2022, 54 (3), pp.309-315. ⟨10.1016/j.dld.2021.11.008⟩, 2022 |
| Veröffentlichung: | HAL CCSD ; Elsevier, 2022 |
| Medientyp: | academicJournal |
| DOI: | 10.1016/j.dld.2021.11.008 |
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