{"id":557066,"date":"2026-07-04T22:19:07","date_gmt":"2026-07-04T20:19:07","guid":{"rendered":"https:\/\/medizinonline.com\/enfoque-descendente-o-terapia-escalonada-clasica\/"},"modified":"2026-05-18T13:22:43","modified_gmt":"2026-05-18T11:22:43","slug":"enfoque-descendente-o-terapia-escalonada-clasica","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/es\/enfoque-descendente-o-terapia-escalonada-clasica\/","title":{"rendered":"\u00bfEnfoque &#8220;descendente&#8221; o terapia escalonada cl\u00e1sica?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>La terapia est\u00e1ndar para la enfermedad de Crohn (EA) se basa en la estrategia del &#8220;escalonamiento&#8221;. Sin embargo, los resultados del estudio PROFILE indican que el uso precoz de un inhibidor del TNF-\u03b1 en combinaci\u00f3n con un inmunomodulador es significativamente m\u00e1s eficaz que el escalonamiento en la enfermedad de Crohn reci\u00e9n diagnosticada. Los resultados recientemente publicados de varios a\u00f1os de seguimiento muestran que esto tambi\u00e9n se aplica a los resultados a m\u00e1s largo plazo. Por muy interesantes que sean los resultados de estos estudios, en t\u00e9rminos de un enfoque de &#8220;mejores pr\u00e1cticas&#8221;, la directriz aconseja que el curso respectivo del tratamiento se eval\u00fae individualmente utilizando par\u00e1metros sustitutos y se ajuste en consecuencia en funci\u00f3n de la respuesta.   <\/strong><\/p>\n\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/es\/mi-cuenta\/paquetes\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">\u00bfYa eres miembro? <a href=\"https:\/\/medizinonline.com\/es\/conectarse\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fes%2Fenfoque-descendente-o-terapia-escalonada-clasica%2F\">Accede aqu\u00ed<\/a><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>La terapia est\u00e1ndar para la enfermedad de Crohn (EA) se basa en la estrategia del &#8220;escalonamiento&#8221;. Sin embargo, los resultados del estudio PROFILE indican que el uso precoz de un&#8230;&hellip;... <\/p>\n<div class=\"pmpro\"><div class=\"pmpro_card pmpro_content_message\"><div class=\"pmpro_card_content\">Dieser Inhalt ist nur f\u00fcr Benutzer der Gruppe: Medizinische Fachperson zug\u00e4nglich <br \/><a href=\"https:\/\/medizinonline.com\/es\/mi-cuenta\/paquetes\/\">Jetzt beitreten<\/a><\/div><div class=\"pmpro_card_actions pmpro_font-medium\">\u00bfYa eres miembro? <a href=\"https:\/\/medizinonline.com\/es\/conectarse\/?redirect_to=https%3A%2F%2Fmedizinonline.com%2Fes%2Fenfoque-descendente-o-terapia-escalonada-clasica%2F\">Accede aqu\u00ed<\/a><\/div><\/div><\/div>","protected":false},"author":7,"featured_media":557067,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Enfermedad de Crohn: centrarse en los resultados a largo plazo","footnotes":"","_members_access_role":[],"_members_access_error":""},"category":[11552,11483,11475,11358,11288],"tags":[11811,93985,11636,93988,37474,62445,24302,93987,73220,93986,28681],"powerkit_post_featured":[],"class_list":["post-557066","post","type-post","status-publish","format-standard","has-post-thumbnail","category-rx-es","category-el-congreso-informa","category-estudios","category-gastroenterologia-y-hepatologia","category-medicina-interna-general","tag-ced-es","tag-de-arriba-abajo-2","tag-enfermedad-de-crohn","tag-enfoque-de-mejores-practicas","tag-escalada","tag-inhibidores-del-tnf-","tag-inmunomodulador","tag-perfil-2","tag-resultados-es","tag-resultados-a-largo-plazo","tag-terapia-paso-a-paso","pmpro-level-required","pmpro-level-1","pmpro-no-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-07-25 08:48:37","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"es_ES","wpml_translations":[],"_links":{"self":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/557066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/comments?post=557066"}],"version-history":[{"count":1,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/557066\/revisions"}],"predecessor-version":[{"id":557068,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/posts\/557066\/revisions\/557068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media\/557067"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/media?parent=557066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/category?post=557066"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/tags?post=557066"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/es\/wp-json\/wp\/v2\/powerkit_post_featured?post=557066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}