Holistic care in inflammatory bowel disease: is it in REACH? - Summary - MDSpire

Holistic care in inflammatory bowel disease: is it in REACH?

  • By

  • Hyder Said

  • Calum D Moulton

  • Ailsa Hart

  • Laurie Keefer

  • January 27, 2026

  • 0 min

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Objective:

To explore the burden of inflammatory bowel disease (IBD) beyond inflammation, including extra-intestinal manifestations and psychological comorbidities, and the potential of holistic care models to improve patient outcomes.

Key Findings:
  • 30%-50% of IBD patients experience extra-intestinal manifestations (EIMs) that significantly impact quality of life.
  • Chronic abdominal pain persists in 30% of UC and 60% of CD patients despite mucosal healing, contributing to increased healthcare utilization.
  • Fatigue affects 47% of IBD patients in remission and is linked to sleep disturbances and mental health issues.
  • 56% of IBD patients report sleep disturbances, which correlate with poorer quality of life.
Interpretation:

Holistic care models that incorporate multidisciplinary approaches can effectively address the complex symptomatology of IBD, improving overall patient well-being.

Limitations:
  • Management of EIMs remains poorly standardized and underrepresented in clinical trials.
  • The article does not provide detailed management strategies for EIMs, which is a significant gap in addressing patient needs.
Conclusion:

Integrating holistic, multidisciplinary care into routine IBD management is essential for improving long-term outcomes and quality of life for patients.

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