Gaps Between European Crohn's Colitis Organisation Quality Standards of Care and the Real World in Special Situations in Inflammatory Bowel Disease Across Europe: Results From E‐QUALITY Survey

Journal article

Plain Language Summary: The E‐QUALITY survey conducted by the European Crohn's and Colitis Organisation (ECCO) across 245 European hospitals showed significant variations in how doctors manage key situations in inflammatory bowel disease (IBD), both among institutions and among European geographical regions.The results showed that although most hospitals (72%) use less invasive laparoscopic surgery, important steps are often missed. For example, only 40% of institutions regularly check a patient's nutrition before surgery and less than half (43%) consistently work to prevent the disease from coming back after an operation. The survey also revealed that a formal plan for managing severe flare‐ups is followed in just 30% of hospitals and only 35% have a structured program to help young patients transition from children to adult care. These findings highlight a substantial gap between what is recommended and what happens in real life, suggesting an urgent need to standardise care across Europe.

Authors: Fiorino, G; Fidalgo, C; Adamina, M; Acosta, MB; Ali, MP

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: Wiley
• Journal: JCC Plus
• Volume: 1
• Issue: 1
• Article number: e70009
• Publication date: 2026-01-24
• Acceptance date: 2026-01-07
• DOI: 10.1002/jcc5.70009
• EISSN: 3066943X
• ISSN: 3066943X
• Language: English
• Keywords: transition; inflammatory bowel disease; nutrition; diagnosis; quality of care; surgery; Crohn's disease; acute severe colitis; ulcerative colitis; paediatric