The realities of treat to target in IBD

Every person with IBD is different; every flare is different (is it even a flare if there are no symptoms? — this is increasingly common …. And yes, it is a flare … but I think we need new definitions urgently to help in clinic). Robust longitudinal data that captures key clinical parameters, patient report outcomes (not forgetting QoL, pain, fatigue, sleep, impact on work / life etc) and biological inflammation (CRP and calprotectin) is so important for every person with IBD