Recommendations

Sr.­no.

Recommendations

SoR

QoE

1

We suggest against using thiopurine monotherapy to induce remission in patients with moderately severe CD

Weak

Mod

Evidence for Recommendation 1

2

We suggest against using methotrexate to induce remission in patients with moderately severe CD

Weak

Low

Evidence for Recommendation 2

3

We recommend using anti–TNF-α drugs to induce remission in patients with moderately severe CD

Strong

Mod

Evidence for Recommendation 3

4

We recommend using anti–TNF-α monotherapy over thiopurine monotherapy to induce remission in patients who have moderately severe CD

Strong

Mod

Evidence for Recommendation 4

5

We recommend using anti–TNF-α drugs in combination with thiopurines over thiopurine monotherapy to induce remission in patients who have moderately severe CD

Strong

High

Evidence for Recommendation 5

6

We suggest using anti–TNF-α drugs in combination with thiopurines over anti–TNF-α drug monotherapy to induce remission in patients who have moderately severe CD

Weak

Mod

Evidence for Recommendation 6

7

We recommend using thiopurines over no immunomodulator therapy to maintain a corticosteroid-induced remission in patients with CD

Strong

Mod

Evidence for Recommendation 7

8

We suggest using methotrexate over no immunomodulator therapy to maintain corticosteroid-induced remission in patients with CD

Weak

Low

Evidence for Recommendation 8

9

We recommend using anti–TNF-α drugs over no anti–TNF-α drugs to maintain corticosteroid- or anti–TNF-α —induced remission in patients with CD

Strong

High

Evidence for Recommendation 9

10

We make no recommendation for or against the combination of an anti–TNF-α drug and a thiopurine versus an anti–TNF-α drug alone to maintain remission induced by a combination of these drugs in patients with CD

N/A

Low

Evidence for Recommendation 10

SoR: Strength of Recommendation
QoE: Quality of Evidence
Strong: Strong Recommendation
Weak: Weak Recommendation
N/A: Not Applicable
High: High-Quality Evidence
Mod: Moderate-Quality Evidence
Low: Low-Quality Evidence
CD: Crohn's disease
TNF: Tumor necrosis factor