P410 Physician-initiated treatment patterns of ulcerative colitis patients in the United Kingdom: a review of chart-abstracted data

Abstract

Results: The response rate was 53% (85/160). Gastroenterology trainees, general internists and gastroenterologists scored, 15.8+2.2, 17.0+1.4, and 16.9+1.7, and had higher CCPKnow scores than general practitioners (9.8+3.7) (p < 0.001). Characteristics that significantly influenced CCPKnow included years in practice, type of practice, total number of IBD patients and pregnant IBD patients seen per year. There were significant deficits in physician knowledge and use of medications in the reproductive period, some of which could be harmful to the pregnancy. Gastroenterologists (87%) and general internists (100%) were more likely to discuss family planning. Physicians with very good CCPKnow (84%) were more likely to discuss family planning and address medication issues appropriately. Conclusions: This is the first study to demonstrate that general practitioners have limited knowledge regarding reproductive issues in IBD compared to specialists. Furthermore, despite good knowledge, gastroenterologists and general internists have widely varied practices regarding the management of pregnant IBD patients.