Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus

Lucas Guillo; Pierre Delanaye; Martin Flamant; Lucile Figueres; Sabine Karam; Sandrine Lemoine; Alban Benezech; Anne Laure Pelletier; Aurélien Amiot; Bénédicte Caron; Carmen Stefanescu; Gilles Boschetti; Guillaume Bouguen; Jean François Rahier; Jean Marc Gornet; Jean Pierre Hugot; Joëlle Bonnet; Lucine Vuitton; Maria Nachury; Mathias Vidon; Mathieu Uzzan; Mélanie Serrero; Nina Dib; Philippe Seksik; Xavier Hebuterne; Jean Philippe Bertocchio; Christophe Mariat; Laurent Peyrin-Biroulet

doi:10.1016/j.dld.2021.11.008

Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus

Lucas Guillo, Pierre Delanaye, Martin Flamant, Lucile Figueres, Sabine Karam, Sandrine Lemoine, Alban Benezech, Anne Laure Pelletier, Aurélien Amiot, Bénédicte Caron, Carmen Stefanescu, Gilles Boschetti, Guillaume Bouguen, Jean François Rahier, Jean Marc Gornet, Jean Pierre Hugot, Joëlle Bonnet, Lucine Vuitton, Maria Nachury, Mathias VidonMathieu Uzzan, Mélanie Serrero, Nina Dib, Philippe Seksik, Xavier Hebuterne, Jean Philippe Bertocchio, Christophe Mariat, Laurent Peyrin-Biroulet

Medicine - Renal and Hypertension Division

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Background and aims: Patients with inflammatory bowel diseases (IBD) are exposed to drug-related nephrotoxicity and kidney-related extra-intestinal manifestations (EIMs). Patients should be monitored but guidance is lacking in current international recommendations. The objective of the Kidney Function Monitoring in Inflammatory Bowel Disease (MONITORED) initiative was to achieve an expert consensus about monitoring kidney function in IBD. Methods: A literature review was first conducted. Then, an expert consensus meeting, involving 28 attendees representing French-speaking gastroenterologists and nephrologists, was held as part of an academic initiative on May 28, 2021. An anonymous Delphi process was used to discuss and vote on statements. Agreement was defined as at least 75% of participants voting for any one statement. Results: Experts reached consensus on 11 criteria for referral to the nephrologist. Concerning kidney function monitoring, participants unanimously validated the use of serum creatinine with estimation of the glomerular filtration rate via the MDRD or CKD-EPI equations. A blood ionogram and a urine sample with measurement of a protein-to-creatinine ratio were also broadly agreed validated. Experts recommended performing this monitoring at IBD diagnosis, prior introducing a new treatment, and annually for EIMs screening and evaluation of treatment tolerance. An evaluation 3 months after starting mesalamine and then every 6 months was felt necessary, while for biologics an annually monitoring was deemed sufficient. Conclusion: The MONITORED consensus proposed guidelines on how to monitor kidney function in IBD. These recommendations should be considered in clinical practice to preserve kidney function and ensure the best approach to our patients.

Original language	English (US)
Pages (from-to)	309-315
Number of pages	7
Journal	Digestive and Liver Disease
Volume	54
Issue number	3
DOIs	https://doi.org/10.1016/j.dld.2021.11.008
State	Published - Mar 2022

Bibliographical note

Funding Information:
No funding. Authors are grateful to the Pr Maryvonne Hourmant, the SFNDT (Société Francophone de Néphrologie Dialyse et Transplantation) and the GETAID (Groupe d'Étude Thérapeutique des Affections Inflammatoires du Tube Digestif) for their support in the MONITORED initiative. The data underlying this article are available in the article and in its online supplementary material. LG and LPB participated in the study concept and design, acquisition of data, analysis and interpretation of data, along with drafting of the manuscript. All authors participated in the consensus meeting on 28 May 2021, critically reviewed the manuscript for important intellectual content and approved the final version of the manuscript.

Funding Information:
L Guillo declares consulting fees for Abbvie. A Amiot declares counseling, boards, lecture, transports or fees from Abbvie, Hospira, Takeda, Gilead, Biocodex, Janssen, Ferring and MSD. B Caron has received lecture and/or consulting fees from Abbvie, Amgen, Celltrion, Janssen, Takeda. G Boschetti has served as a speaker and advisory board member for Abbvie, Janssen, Ferring, Norgine, Tillotts, Pfizer, Celltrion, Takeda, Amgen, Sandoz. G Bouguen has received lecture fees from Abbvie, Ferring, MSD, Takeda, Otsuka, Amgen, Biogen, Celtrion, Janssen, Tillots and Pfizer and consultant fees from Takeda, Janssen, Mylan, Vifor Pharma and Gilead. JM Gornet has received personal fees from Amgen, Janssen Cilag, Sanofi, Takeda, Roche and Tillots Pharma. J Bonnet has received consulting fees for Amgen. L Vuitton has received lecture fees from Abbvie, MSD, Takeda, Ferring, Janssen and Pfizer, and research grants from MSD, Takeda and Pfizer. M Nachury received board membership, consultancy, or lecture fees from Abbvie, Adacyte, Amgen, Arena, CTMA, Celltrion, Ferring, Fresenius-Kabi, Janssen, Mayoli-Spindler, MSD, Pfizer, Takeda. M Uzzan has served as a speaker for Janssen and Abbvie. M Serrero declares lecture and consulting fees for Abbvie, Celltrion, Ferring, Janssen, MSD, Takeda and Tillotts. L Peyrin-Biroulet has served as a speaker, consultant and advisory board member for Merck, Abbvie, Janssen, Genentech, Mitsubishi, Ferring, Norgine, Tillotts, Vifor, Hospira/Pfizer, Celltrion, Takeda, Biogaran, Boerhinger-Ingelheim, Lilly, HAC- Pharma, Index Pharmaceuticals, Amgen, Sandoz, For- ward Pharma GmbH, Celgene, Biogen, Lycera, Samsung Bioepis, Theravance.

Publisher Copyright:
© 2021 Editrice Gastroenterologica Italiana S.r.l.

Keywords

Consensus
Inflammatory bowel diseases
Kidney diseases
Monitoring

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.dld.2021.11.008

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Guillo, L., Delanaye, P., Flamant, M., Figueres, L., Karam, S., Lemoine, S., Benezech, A., Pelletier, A. L., Amiot, A., Caron, B., Stefanescu, C., Boschetti, G., Bouguen, G., Rahier, J. F., Gornet, J. M., Hugot, J. P., Bonnet, J., Vuitton, L., Nachury, M., ... Peyrin-Biroulet, L. (2022). Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus. Digestive and Liver Disease, 54(3), 309-315. https://doi.org/10.1016/j.dld.2021.11.008

Guillo, L, Delanaye, P, Flamant, M, Figueres, L, Karam, S, Lemoine, S, Benezech, A, Pelletier, AL, Amiot, A, Caron, B, Stefanescu, C, Boschetti, G, Bouguen, G, Rahier, JF, Gornet, JM, Hugot, JP, Bonnet, J, Vuitton, L, Nachury, M, Vidon, M, Uzzan, M, Serrero, M, Dib, N, Seksik, P, Hebuterne, X, Bertocchio, JP, Mariat, C & Peyrin-Biroulet, L 2022, 'Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus', Digestive and Liver Disease, vol. 54, no. 3, pp. 309-315. https://doi.org/10.1016/j.dld.2021.11.008

@article{cbf8724bb046437b922dddcda5da9d61,

title = "Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus",

abstract = "Background and aims: Patients with inflammatory bowel diseases (IBD) are exposed to drug-related nephrotoxicity and kidney-related extra-intestinal manifestations (EIMs). Patients should be monitored but guidance is lacking in current international recommendations. The objective of the Kidney Function Monitoring in Inflammatory Bowel Disease (MONITORED) initiative was to achieve an expert consensus about monitoring kidney function in IBD. Methods: A literature review was first conducted. Then, an expert consensus meeting, involving 28 attendees representing French-speaking gastroenterologists and nephrologists, was held as part of an academic initiative on May 28, 2021. An anonymous Delphi process was used to discuss and vote on statements. Agreement was defined as at least 75% of participants voting for any one statement. Results: Experts reached consensus on 11 criteria for referral to the nephrologist. Concerning kidney function monitoring, participants unanimously validated the use of serum creatinine with estimation of the glomerular filtration rate via the MDRD or CKD-EPI equations. A blood ionogram and a urine sample with measurement of a protein-to-creatinine ratio were also broadly agreed validated. Experts recommended performing this monitoring at IBD diagnosis, prior introducing a new treatment, and annually for EIMs screening and evaluation of treatment tolerance. An evaluation 3 months after starting mesalamine and then every 6 months was felt necessary, while for biologics an annually monitoring was deemed sufficient. Conclusion: The MONITORED consensus proposed guidelines on how to monitor kidney function in IBD. These recommendations should be considered in clinical practice to preserve kidney function and ensure the best approach to our patients.",

keywords = "Consensus, Inflammatory bowel diseases, Kidney diseases, Monitoring",

author = "Lucas Guillo and Pierre Delanaye and Martin Flamant and Lucile Figueres and Sabine Karam and Sandrine Lemoine and Alban Benezech and Pelletier, {Anne Laure} and Aur{\'e}lien Amiot and B{\'e}n{\'e}dicte Caron and Carmen Stefanescu and Gilles Boschetti and Guillaume Bouguen and Rahier, {Jean Fran{\c c}ois} and Gornet, {Jean Marc} and Hugot, {Jean Pierre} and Jo{\"e}lle Bonnet and Lucine Vuitton and Maria Nachury and Mathias Vidon and Mathieu Uzzan and M{\'e}lanie Serrero and Nina Dib and Philippe Seksik and Xavier Hebuterne and Bertocchio, {Jean Philippe} and Christophe Mariat and Laurent Peyrin-Biroulet",

note = "Funding Information: No funding. Authors are grateful to the Pr Maryvonne Hourmant, the SFNDT (Soci{\'e}t{\'e} Francophone de N{\'e}phrologie Dialyse et Transplantation) and the GETAID (Groupe d'{\'E}tude Th{\'e}rapeutique des Affections Inflammatoires du Tube Digestif) for their support in the MONITORED initiative. The data underlying this article are available in the article and in its online supplementary material. LG and LPB participated in the study concept and design, acquisition of data, analysis and interpretation of data, along with drafting of the manuscript. All authors participated in the consensus meeting on 28 May 2021, critically reviewed the manuscript for important intellectual content and approved the final version of the manuscript. Funding Information: L Guillo declares consulting fees for Abbvie. A Amiot declares counseling, boards, lecture, transports or fees from Abbvie, Hospira, Takeda, Gilead, Biocodex, Janssen, Ferring and MSD. B Caron has received lecture and/or consulting fees from Abbvie, Amgen, Celltrion, Janssen, Takeda. G Boschetti has served as a speaker and advisory board member for Abbvie, Janssen, Ferring, Norgine, Tillotts, Pfizer, Celltrion, Takeda, Amgen, Sandoz. G Bouguen has received lecture fees from Abbvie, Ferring, MSD, Takeda, Otsuka, Amgen, Biogen, Celtrion, Janssen, Tillots and Pfizer and consultant fees from Takeda, Janssen, Mylan, Vifor Pharma and Gilead. JM Gornet has received personal fees from Amgen, Janssen Cilag, Sanofi, Takeda, Roche and Tillots Pharma. J Bonnet has received consulting fees for Amgen. L Vuitton has received lecture fees from Abbvie, MSD, Takeda, Ferring, Janssen and Pfizer, and research grants from MSD, Takeda and Pfizer. M Nachury received board membership, consultancy, or lecture fees from Abbvie, Adacyte, Amgen, Arena, CTMA, Celltrion, Ferring, Fresenius-Kabi, Janssen, Mayoli-Spindler, MSD, Pfizer, Takeda. M Uzzan has served as a speaker for Janssen and Abbvie. M Serrero declares lecture and consulting fees for Abbvie, Celltrion, Ferring, Janssen, MSD, Takeda and Tillotts. L Peyrin-Biroulet has served as a speaker, consultant and advisory board member for Merck, Abbvie, Janssen, Genentech, Mitsubishi, Ferring, Norgine, Tillotts, Vifor, Hospira/Pfizer, Celltrion, Takeda, Biogaran, Boerhinger-Ingelheim, Lilly, HAC- Pharma, Index Pharmaceuticals, Amgen, Sandoz, For- ward Pharma GmbH, Celgene, Biogen, Lycera, Samsung Bioepis, Theravance. Publisher Copyright: {\textcopyright} 2021 Editrice Gastroenterologica Italiana S.r.l.",

year = "2022",

month = mar,

doi = "10.1016/j.dld.2021.11.008",

language = "English (US)",

volume = "54",

pages = "309--315",

journal = "Digestive and Liver Disease",

issn = "1590-8658",

publisher = "Elsevier",

number = "3",

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TY - JOUR

T1 - Kidney function monitoring in inflammatory bowel disease

T2 - The MONITORED consensus

AU - Guillo, Lucas

AU - Delanaye, Pierre

AU - Flamant, Martin

AU - Figueres, Lucile

AU - Karam, Sabine

AU - Lemoine, Sandrine

AU - Benezech, Alban

AU - Pelletier, Anne Laure

AU - Amiot, Aurélien

AU - Caron, Bénédicte

AU - Stefanescu, Carmen

AU - Boschetti, Gilles

AU - Bouguen, Guillaume

AU - Rahier, Jean François

AU - Gornet, Jean Marc

AU - Hugot, Jean Pierre

AU - Bonnet, Joëlle

AU - Vuitton, Lucine

AU - Nachury, Maria

AU - Vidon, Mathias

AU - Uzzan, Mathieu

AU - Serrero, Mélanie

AU - Dib, Nina

AU - Seksik, Philippe

AU - Hebuterne, Xavier

AU - Bertocchio, Jean Philippe

AU - Mariat, Christophe

AU - Peyrin-Biroulet, Laurent

N1 - Funding Information: No funding. Authors are grateful to the Pr Maryvonne Hourmant, the SFNDT (Société Francophone de Néphrologie Dialyse et Transplantation) and the GETAID (Groupe d'Étude Thérapeutique des Affections Inflammatoires du Tube Digestif) for their support in the MONITORED initiative. The data underlying this article are available in the article and in its online supplementary material. LG and LPB participated in the study concept and design, acquisition of data, analysis and interpretation of data, along with drafting of the manuscript. All authors participated in the consensus meeting on 28 May 2021, critically reviewed the manuscript for important intellectual content and approved the final version of the manuscript. Funding Information: L Guillo declares consulting fees for Abbvie. A Amiot declares counseling, boards, lecture, transports or fees from Abbvie, Hospira, Takeda, Gilead, Biocodex, Janssen, Ferring and MSD. B Caron has received lecture and/or consulting fees from Abbvie, Amgen, Celltrion, Janssen, Takeda. G Boschetti has served as a speaker and advisory board member for Abbvie, Janssen, Ferring, Norgine, Tillotts, Pfizer, Celltrion, Takeda, Amgen, Sandoz. G Bouguen has received lecture fees from Abbvie, Ferring, MSD, Takeda, Otsuka, Amgen, Biogen, Celtrion, Janssen, Tillots and Pfizer and consultant fees from Takeda, Janssen, Mylan, Vifor Pharma and Gilead. JM Gornet has received personal fees from Amgen, Janssen Cilag, Sanofi, Takeda, Roche and Tillots Pharma. J Bonnet has received consulting fees for Amgen. L Vuitton has received lecture fees from Abbvie, MSD, Takeda, Ferring, Janssen and Pfizer, and research grants from MSD, Takeda and Pfizer. M Nachury received board membership, consultancy, or lecture fees from Abbvie, Adacyte, Amgen, Arena, CTMA, Celltrion, Ferring, Fresenius-Kabi, Janssen, Mayoli-Spindler, MSD, Pfizer, Takeda. M Uzzan has served as a speaker for Janssen and Abbvie. M Serrero declares lecture and consulting fees for Abbvie, Celltrion, Ferring, Janssen, MSD, Takeda and Tillotts. L Peyrin-Biroulet has served as a speaker, consultant and advisory board member for Merck, Abbvie, Janssen, Genentech, Mitsubishi, Ferring, Norgine, Tillotts, Vifor, Hospira/Pfizer, Celltrion, Takeda, Biogaran, Boerhinger-Ingelheim, Lilly, HAC- Pharma, Index Pharmaceuticals, Amgen, Sandoz, For- ward Pharma GmbH, Celgene, Biogen, Lycera, Samsung Bioepis, Theravance. Publisher Copyright: © 2021 Editrice Gastroenterologica Italiana S.r.l.

PY - 2022/3

Y1 - 2022/3

N2 - Background and aims: Patients with inflammatory bowel diseases (IBD) are exposed to drug-related nephrotoxicity and kidney-related extra-intestinal manifestations (EIMs). Patients should be monitored but guidance is lacking in current international recommendations. The objective of the Kidney Function Monitoring in Inflammatory Bowel Disease (MONITORED) initiative was to achieve an expert consensus about monitoring kidney function in IBD. Methods: A literature review was first conducted. Then, an expert consensus meeting, involving 28 attendees representing French-speaking gastroenterologists and nephrologists, was held as part of an academic initiative on May 28, 2021. An anonymous Delphi process was used to discuss and vote on statements. Agreement was defined as at least 75% of participants voting for any one statement. Results: Experts reached consensus on 11 criteria for referral to the nephrologist. Concerning kidney function monitoring, participants unanimously validated the use of serum creatinine with estimation of the glomerular filtration rate via the MDRD or CKD-EPI equations. A blood ionogram and a urine sample with measurement of a protein-to-creatinine ratio were also broadly agreed validated. Experts recommended performing this monitoring at IBD diagnosis, prior introducing a new treatment, and annually for EIMs screening and evaluation of treatment tolerance. An evaluation 3 months after starting mesalamine and then every 6 months was felt necessary, while for biologics an annually monitoring was deemed sufficient. Conclusion: The MONITORED consensus proposed guidelines on how to monitor kidney function in IBD. These recommendations should be considered in clinical practice to preserve kidney function and ensure the best approach to our patients.

AB - Background and aims: Patients with inflammatory bowel diseases (IBD) are exposed to drug-related nephrotoxicity and kidney-related extra-intestinal manifestations (EIMs). Patients should be monitored but guidance is lacking in current international recommendations. The objective of the Kidney Function Monitoring in Inflammatory Bowel Disease (MONITORED) initiative was to achieve an expert consensus about monitoring kidney function in IBD. Methods: A literature review was first conducted. Then, an expert consensus meeting, involving 28 attendees representing French-speaking gastroenterologists and nephrologists, was held as part of an academic initiative on May 28, 2021. An anonymous Delphi process was used to discuss and vote on statements. Agreement was defined as at least 75% of participants voting for any one statement. Results: Experts reached consensus on 11 criteria for referral to the nephrologist. Concerning kidney function monitoring, participants unanimously validated the use of serum creatinine with estimation of the glomerular filtration rate via the MDRD or CKD-EPI equations. A blood ionogram and a urine sample with measurement of a protein-to-creatinine ratio were also broadly agreed validated. Experts recommended performing this monitoring at IBD diagnosis, prior introducing a new treatment, and annually for EIMs screening and evaluation of treatment tolerance. An evaluation 3 months after starting mesalamine and then every 6 months was felt necessary, while for biologics an annually monitoring was deemed sufficient. Conclusion: The MONITORED consensus proposed guidelines on how to monitor kidney function in IBD. These recommendations should be considered in clinical practice to preserve kidney function and ensure the best approach to our patients.

KW - Consensus

KW - Inflammatory bowel diseases

KW - Kidney diseases

KW - Monitoring

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JF - Digestive and Liver Disease

IS - 3

ER -

Kidney function monitoring in inflammatory bowel disease: The MONITORED consensus

Abstract

Bibliographical note

Keywords

UN SDGs

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