In 2014, upon evaluation needs for IBD patients and health care providers, IBD Unit specialists at the University of Alberta and the University of Calgary, collaboratively developed the IBD Clinical Care Pathways (IBD CCPs^©)

They are structured, standardized, evidence-based multidisciplinary management algorithms, identifying an appropriate sequence of clinical interventions and timeframes for IBD patients

These IBD CCPs^© are supported by systematic reviews of published evidence and are comprised of protocols, algorithms, and checklists that help to harmonize clinical and administrative aspects and ensure continuity of IBD care in outpatient setting

•  Suspected IBD outpatient flare – induction regime

Optimal management of IBD flare, including complains and history assessment, timelines and laboratory/diagnostic imaging investigations

• IBD patients starting Biologic – induction regime

Safe induction of Biologic therapy

• IBD patients on Biologic – maintenance regime

Appropriate management of patients biologic therapy, including optimization, maintenance and follow-up timelines

• IBD and preconception or pregnant IBD patient checklist

Informed family planning and safety during pregnancy

• IBD patients non-Biologic, non-Immunosuppressive-maintenance and adherence

Management of IBD patients on no immunosuppressants or biologic therapy, follow-up timelines

• Initiation and maintenance of Corticosteroids

Management of systemic steroid therapy, including induction, maintenance, withdrawal, and side-effects monitoring

• Initiation of Immunomodulators

Appropriate initiation and use of immunomodulators (thiopurines and methotrexate)

• Ulcerative colitis/Crohn’s disease surveillance

Highlights of indications and important timelines for surveillance

• Crohn's Disease Therapy Decision Tree 

Provide direction regarding choice of therapy for patients with Crohn’s disease

• Loss of Response

Achieve and maintain remission with biologic therapy

• Management of Perianal Crohn's Disease

Provide direction to management of patients with perianal Crohn’s disease

• Post-operative Management of Crohn's Disease

Provide direction for management of patients with Crohn’s disease after a bowel resection

• Ulcerative Colitis Therapy Decision Tree

Provide direction regarding choice of therapy for patients with ulcerative colitis

Supplemental Material

Biological therapy Summary

Comprehensive collection of biologics- and biosimilars-related documents and forms

To contact the clinical care pathway team please email: ibdpaths@ualberta.ca