Opioid use and associated factors in 1676 patients with inflammatory bowel disease: a multicentre quality improvement project.

Objective: Despite its association with poorer outcomes, opioid use in inflammatory bowel disease (IBD) is not well characterised in the UK. We aimed to examine the extent of opioid use, the associated factors and the use of mitigation techniques such as pain-service review and opioid weaning plans among individuals with IBD.

Methods: Data were collected from consecutive patients attending IBD outpatient appointments at 12 UK hospitals.

Recommendations for the optimal use of mesalazine in the management of patients with mild to moderate ulcerative colitis.

The 2021 National report from IBD UK included responses from over 10 000 patients with inflammatory bowel disease, over 70% of whom reported having at least one flare in the last 12 months. As the first-line treatment for patients with mild and moderate ulcerative colitis, the action and delivery mechanisms of mesalazine are crucial for successful management of the disease. The choice of the most appropriate formulation of mesalazine and securing patient concordance and adherence to treatment remains a challenge for healthcare professionals.

Assessment of steroid use as a key performance indicator in inflammatory bowel disease-analysis of data from 2385 UK patients.

Background: Patients with IBD are at risk of excess corticosteroids.

Aims: To assess steroid excess in a large IBD cohort and test associations with quality improvement and prescribing.

Methods: Steroid exposure was recorded for outpatients attending 19 centres and associated factors analysed.

Consensus recommendations for patient-centered therapy in mild-to-moderate ulcerative colitis: the i Support Therapy-Access to Rapid Treatment (iSTART) approach.

Symptomatic ulcerative colitis (UC) can be a chronic, disabling condition. Flares in disease activity are associated with many of the negative impacts of mild-to-moderate UC. Rapid resolution of flares can provide benefits to patients and healthcare systems.

Perceptions of critical care outreach within a network.

Aim: The purpose of this study was to establish healthcare professionals' perceptions of critical care outreach.

Method: A multi-site survey approach was used to collect qualitative data.

Results: Most respondents felt that outreach assisted with patient care by enabling the admission and smooth discharge to and from the critical care units and providing useful education and training that changed practice.

The perception of ward-based nurses seconded into an Outreach Service.

A group of ward nurses were seconded into an Outreach Service for a 2-week period. Following this, the group took part in an evaluation of the placement using a focus group methodology. The aim of this project was to explore the perceptions of a ward-based nurse recruited into the Outreach Service so that they could function effectively and efficiently in that role.

Cardiopulmonary resuscitation: attitudes and perceptions of junior doctors.

Many junior doctors feel cardiac arrests are unsatisfactorily managed and experience high levels of stress during the procedure, often feeling they are inadequately trained for the task. Juniors also regard 'do not resuscitate' orders as decisions for teams, not individuals.