Abstract Background Patients with inflammatory bowel disease (IBD) have a significantly increased risk of venous thromboembolism (VTE), particularly during active flares and hospitalizations. Despite international recommendations advocating for systematic thromboprophylaxis in hospitalized or high-risk patients, awareness and implementation remain suboptimal. No data are currently available in Morocco regarding this aspect of IBD management. Aim To assess the level of knowledge, attitudes, and practices (KAP) of physicians and IBD patients regarding VTE prevention, and to identify factors associated with insufficient awareness or inadequate prophylactic measures. Methods A monocentric cross-sectional study was conducted between March and October 2025 in our university hospitals. Two validated questionnaires were distributed: one to physicians (gastroenterologists, internists, digestive surgeons, and emergency physicians), and another to IBD patients (both outpatients and hospitalized). Knowledge, attitude, and practice scores were rated on a 10-point scale. Data were analyzed using Chi-square and Mann–Whitney tests, followed by multivariate logistic regression to identify predictors of adequate knowledge. Results A total of 108 physicians and 182 patients were enrolled. The mean knowledge score was 6.3 ± 1.9/10 among physicians versus 4.8 ± 2.0/10 among patients (p 0.001). Among physicians, 48% reported systematically prescribing prophylactic anticoagulation during severe flares requiring hospitalization, and 27% continued it after discharge. Only 35% were familiar with ECCO or AGA recommendations on VTE prevention in IBD. Among patients, 71% were unaware of the link between IBD and thrombosis risk, and 64% reported never having received preventive information. In multivariate analysis, higher knowledge was independently associated with recent postgraduate training (OR = 2.8, 95% CI 1.4–5.5, p = 0.004) and regular hospital-based practice (OR = 1.9, 95% CI 1.0–3.6, p = 0.041). Conclusion Knowledge and preventive practices regarding VTE risk in IBD remain insufficient among both physicians and patients.Targeted educational interventions and systematic implementation of thromboprophylaxis protocols are urgently needed to reduce preventable thromboembolic events in IBD care. Conflict of interest: Dr. Aouroud, Hala: No conflict of interest Aouroud, Meryem: No conflict of interest Nacir, Oussama: No conflict of interest lairani, fatima ezzahra: No conflict of interest ait errami, adil: No conflict of interest Oubaha, Sofia: No conflict of interest Samlani, Zouhour: No conflict of interest Krati, Khadija: No conflict of interest
Aouroud et al. (Thu,) studied this question.