Treatment Selection in Ulcerative Colitis: Optimizing Outcomes through Patient-Centered Decision Making
Podcast 1: Bowel Urgency in UC: Impact on Patient Quality of Life and Treatment Selection
Post-Test/Evaluation

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According to the 2016 observational study conducted by Casellas et al, among the ulcerative colitis (UC) symptoms listed below, which did patients consider to be most important when prioritizing their control with treatment:

Diarrhea

Bowel urgency

Fatigue

Rectal bleeding

Sara, a 23-year-old female with a 10-year history of moderate-to-severe UC, recently relocated for work and is referred to your office by her former gastroenterologist. She is currently taking 40 mg adalimumab every other week. During her first visit you ask how she is feeling, to which she responds, “I'm doing okay.” Her fecal calprotectin is 689 μg/mg, suggesting her symptoms are likely more significant than reported. What is the most appropriate strategy for proceeding with Sara’s new-patient health assessment?

Ask open-ended questions to elicit more open communication about her symptoms

Explore her understanding, reactions and opinions about UC

Ask her about her treatment objectives and goals

Detail the therapeutic and follow-up plan

All of the above