Summary statements | Agreement [score 7–9], n/N [%] | |
---|---|---|
1 | Ileal disease location [EL2], upper gastrointestinal [GI] involvement [EL3] and extraintestinal manifestations [EIMs] [EL3] are associated with disease progression to complicated behaviour* in CD. | 66/80 [82%] |
2 | Younger age and perianal disease at diagnosis are associated with a disabling course of CD [EL3]. | 76/83 [91%] |
3 | Smoking predicts increased need for therapy escalation [EL3], progression to complicated disease behaviour [EL3], need for surgery [EL3] and post-operative recurrence in CD [EL3]. | 80/92 [87%] |
4 | Endoscopic severity of CD may be associated with development of penetrating complications [EL4]. | 73/93 [79%] |
5 | Serological reactivity to certain microbial antigens is associated with progression to complicated disease behaviour in paediatric and adult-onset CD [EL2]; the risk of disease evolution towards complicated forms of CD increases with the number of antibodies detected in the serum [EL2]. | 72/91 [79%] |
6 | Although mutations in some genes (such as NOD2 [EL2]) may be associated with progression to complicated CD, as yet there is no evidence for use of genetic markers in clinical practice. | 92/98 [94%] |
*B2/B3 behaviour.