Moderate to Severe IBD Treatment Decision Support Tool Moderate to Severe IBD Treatment Decision Support Tool Questions Yes No History of frequent or serious infections? History of malignancy or high risk for malignancy? Previously treated with anti-TNF agents? Failure or intolerance to anti-TNFs? Presence of peripheral arthritis? Presence of axial spondyloarthritis? History of perianal fistulizing disease? Pregnancy or planning for pregnancy? Submit