Multidisciplinary spondyloarthrtis and inflammatory bowel disease unit: Report of 7 years’ experience

Reumatologia clinica Pub Date : 2026-02-01 Epub Date: 2026-02-11 DOI:10.1016/j.reumae.2026.502046

Maria Llop , Albert Villoria , Xavier Calvet , Mireia Moreno , Marta Arévalo , Ester Saus , Jordi Gratacós , Joan Calvet

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Abstract

Introduction

Spondyloarthritis (SpA) and inflammatory bowel disease (IBD) share pathophysiological mechanisms and often coexist, complicating diagnosis and management. A multidisciplinary approach can optimise care.

Methods

A descriptive, retrospective study analysed the activity of the Rheumatology-Gastroenterology multidisciplinary unit at the Hospital Universitari Parc Taulí between January 2018 and April 2025. Medical records and hospital registries were reviewed.

Results

A total of 258 patients was seen (62.8% women), with 666 visits in total. Of these, 35.7% were referred from Rheumatology and 64.3% from Gastroenterology. A total of 60 patients (23.3%) were identified with SpA-IBD association, of which 44 were de novo diagnoses (17%): 35 patients were diagnosed with SpA and 9 with IBD. Treatment was modified in 58.3% of these cases. In addition, a training programme was implemented with resident rotations and regular clinical sessions.

Conclusions

The multidisciplinary model may facilitate early diagnosis and improve the comprehensive management of patients with SpA and IBD, enhancing treatment coordination and specialised training.

查看原文本刊更多论文

多学科脊柱炎和炎症性肠病单元：7年经验报告。

简介：颈椎病（SpA）和炎症性肠病（IBD）具有共同的病理生理机制，并且经常共存，使诊断和治疗复杂化。多学科方法可以优化护理。方法：一项描述性回顾性研究分析了Universitari Parc医院Taulí在2018年1月至2025年4月期间风湿病-胃肠病学多学科单元的活动。对医疗记录和医院登记进行了审查。结果：共就诊258例，其中女性占62.8%，共就诊666次。其中35.7%来自风湿病科，64.3%来自胃肠病科。共有60例患者（23.3%）被确定为SpA-IBD关联，其中44例为新诊断（17%），其中35例诊断为SpA， 9例诊断为IBD。在这些病例中，58.3%的人改变了治疗方法。此外，还执行了一项培训方案，包括住院医师轮调和定期临床会议。结论：多学科模式有助于SpA合并IBD患者的早期诊断和综合管理，加强治疗协调和专科培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Reumatologia clinica

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