Evidence map›Paper›PMID 37650888›Full record

SynthesisInflammatory bowel diseases2024

Defining the Roles of Inflammatory Bowel Disease Clinical Pharmacists in the United States: A Systematic Review and National RAND/UCLA Consensus.

Shubha Bhat, Ruishen Lyu, Mitali Agarwal, Michelle Becker, Richard Bloomfeld, David H Bruining, Benjamin L Cohen, Marina Ivanov, Jonathan A Leighton, Alyssa P Stewart and 7 more

Open access · bronzeAbstract readConsensus StatementSystematic Review
In one paragraph

Synthesis in Inflammatory bowel diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Review
  8. Models of outpatient care delivery in inflammatory bowel disease: a scoping review.Journal of the Canadian Association of Gastroenterology · 2025
    Article
  9. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 1 country.

Shubha BhatDepartment of Pharmacy, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-7023-9506
Ruishen LyuDepartment of Quantitative Health Science, Cleveland Clinic Foundation, OH, USA.
Mitali AgarwalDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, OH, USA.
Michelle BeckerDepartment of Pharmacy, Mayo Clinic, Rochester, MN, USA.
Richard BloomfeldSection of Gastroenterology, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
David H BruiningDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Benjamin L CohenDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, OH, USA.
Marina IvanovDepartment of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ, USA.
Jonathan A LeightonDepartment of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, AZ, USA.
Alyssa P StewartDepartment of Pharmacy, Atrium Health Wake Forest Baptist, Winston-Salem, NC, USA.
Lindsay TrockeDepartment of Gastroenterology, M Health Fairview, Minneapolis, MN, USA.
Stacy S TseSusan and Leonard Feinstein IBD Clinical Center, Mount Sinai Hospital, New York, NY, USA.
Ryan C UngaroHenry D. Janowitz Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Byron P VaughnDepartment of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, MN, USA.
Miguel RegueiroDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, OH, USA.
Erick SoknDepartment of Pharmacy, Cleveland Clinic Foundation, Cleveland, OH, USA.
Florian RiederDepartment of Gastroenterology, Hepatology and Nutrition, Digestive Disease Institute, Cleveland Clinic Foundation, OH, USA.
Cleveland Clinic · USMayo Clinic in Arizona · USAtrium Health Wake Forest Baptist · USFairview Health Services · USIcahn School of Medicine at Mount Sinai · USMount Sinai Hospital · USUniversity of Minnesota · US

Funding

Septins in intestinal fibrosisR01DK132038 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI Andrei Ivanovich Ivanov, Florian Rieder · 2023 to 2026
$2.5M
Creeping fat and Crohn's disease associated stricturesR01DK123233 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI RIEDER, FLORIAN · 2020 to 2024
$1.9M
Assessing Predictors of Response to Anti-Tumor Necrosis Alpha Therapy in Early Crohns DiseaseK23DK111995 · NIDDK · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI UNGARO, RYAN · 2019 to 2023
$948k
NIDDK NIH HHS K23 DK111995NIDDK NIH HHS R01 DK123233NIDDK NIH HHS R01 DK132038NIH HHS 5K23DK111995
6 · The paper itself

Abstract

backgroundGiven the complexity of inflammatory bowel disease (IBD) care, utilization of multidisciplinary teams is recommended to optimize outcomes. There is a growing recognition that clinical pharmacists should be an integral part of this care model. We sought to define the roles of IBD clinical pharmacists in the United States.

methodsA national multidisciplinary expert panel of 12 gastroenterologists and clinical pharmacists practicing in IBD clinics was assembled. We used the RAND/University of California, Los Angeles appropriateness method, with a total of 281 statements generated based on a systematic literature review and expert opinion. Each statement was anonymously rated as appropriate, uncertain, or inappropriate in 2 rounds of voting.

resultsThe number of publications evaluating the clinical pharmacists' roles in IBD is limited, primarily focusing on thiopurine initiation and monitoring, medication adherence, and switching to biosimilars. Medication education; medication initiation and monitoring; therapeutic drug monitoring; biosimilar management; health maintenance review; and transitions of care were deemed by the panel to be appropriate roles for IBD clinical pharmacists. In considering real-world settings, IBD clinical pharmacists should practice clinically under a predefined scope and primarily focus on complex treatments (eg, immunomodulators, biologics, and small molecules). Clinical pharmacists should also be included in practice settings with IBD specialized physicians. Additionally, clinical pharmacists caring for patients with IBD should be residency trained and board certified.

conclusionsThis consensus defines IBD clinical pharmacists' roles and provides a framework for embedded clinical pharmacists in IBD care.

Indexed as

Inflammatory Bowel DiseasesPharmacistsProfessional RoleHumansPatient Care TeamUnited StatesCrohn’s diseaseinflammatory bowel diseasemultidisciplinary teamspharmacistsulcerative colitis

Identifiers

PMID37650888
PMCPMC11145011
OpenAlexW4386305340

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.