Distance management of inflammatory bowel disease: Systematic review and meta-analysis

Huang, Vivian; Reich, Krista; Fedorak, Richard N.

doi:10.3748/wjg.v20.i3.829

Cited by 67 publications

(50 citation statements)

References 78 publications

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“…30 A recent meta-analysis on telemedicine and distant management of IBD found significant improvement in the quality of life and a significant decrease in clinic utilization in the intervention group. 31 A way of using a rapid home test as the CalproSmart test would be to do measurements of FC combined with patientreported disease activity. This could be performed monthly or quarterly depending on disease severity as a way of monitoring the patient with IBD in the future.…”

Section: Future Aspectsmentioning

confidence: 99%

Fecal Calprotectin Measured By Patients at Home Using Smartphones—A New Clinical Tool in Monitoring Patients with Inflammatory Bowel Disease

Vinding

Elsberg

Thorkilgaard

et al. 2016

Inflammatory Bowel Diseases

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Section: Future Aspectsmentioning

confidence: 99%

Fecal Calprotectin Measured By Patients at Home Using Smartphones—A New Clinical Tool in Monitoring Patients with Inflammatory Bowel Disease

Vinding

Elsberg

Thorkilgaard

et al. 2016

Inflammatory Bowel Diseases

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“…IBD is characterised by intermittent flares of disease activity requiring adjustments in medication, frequent outpatient clinic visits, hospitalisations and surgeries . The increasing incidence of IBD over the past decade has resulted in increased healthcare resource utilisation and longer specialist outpatient waiting lists . Moreover, non‐metropolitan patients have limited access to specialist IBD outpatient clinics.…”

Section: Introductionmentioning

confidence: 99%

Design considerations for an eHealth decision support tool in inflammatory bowel disease self‐management

Jackson

Con

Cruz

2018

Internal Medicine Journal

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“…It is evident that many services managing chronic illnesses such as diabetes, asthma and epilepsy have well-defined telemedicine resources 2. The reason for the development and advancement in this area seems to be twofold: first, to improve speed and efficiency in delivery of health advice and decision making,3 and second, to provide access to patients in rural areas 4…”

Section: Introduction/backgroundmentioning

confidence: 99%

The financial impact of a nurse-led telemedicine service for inflammatory bowel disease in a large district general hospital

Squires

Boal

Naismith

2015

Frontline Gastroenterol

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IntroductionIt has become increasingly recognised that outpatient management is more cost-effective in inflammatory bowel disease (IBD). IBD Standards (Revised 2013) recommend telephone advice for patients with regard to symptoms and medication management. This report attempts to quantify the net financial impact of this service at our hospital since it was introduced in August 2013.MethodThe Royal Alexandra Hospital in Paisley (National Health Service, Greater Glasgow and Clyde) is a district general hospital with a catchment population of 200 000 with approximately 2500 patients with IBD. Data relating to the use of the IBD telemedicine service were prospectively recorded on a daily basis for a period of 5 months. We documented reasons for calling and the likely action taken by the patient had the telephone advice line not been available. Cost savings based on alternative outcomes were made in accordance with the Department of Health figures (Department of Health reference costs 2011–2012).ResultsThe mean number of calls per month was 88 (IQR 24)—(the mean number of calls which were deemed non-IBD issues was 30 calls per month (IQR 8.0)) The mean cost of staffing the IBD advice line with an IBD clinical nurse specialist was £482.00 per month (IQR 195.5). The mean time spent on calls per month was 28.5 h (IQR 11.5). Cost savings over 5 months for avoidance of general practitioner (GP) consultation was £3408.00. Savings for avoidance of a consultant appointment made over the 5-month period was £27 454.00. Savings made from patients avoiding either an accident and emergency (A&E) or a hospital admission were £540.00 and £11 488.00, respectively, over the 5-month period. The net saving was £42 890.00.ConclusionsA nurse-led telephone advice line appears to be a cost-effective intervention. It may prevent patients from unnecessary hospital attendance. Savings can be made to both primary care and secondary care. Overall, it appears that the advice line is providing a highly valuable service not just in terms of accessible treatment decisions and guidance for patients, but cost savings when IBD clinic nurse specialist time is compared with that of GPs, consultants or hospital facilities.

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Distance management of inflammatory bowel disease: Systematic review and meta-analysis

Abstract: Distance management of IBD significantly decreases clinic visit utilization, but does not significantly affect relapse rates or hospital admission rates.

Cited by 67 publications

References 78 publications

Fecal Calprotectin Measured By Patients at Home Using Smartphones—A New Clinical Tool in Monitoring Patients with Inflammatory Bowel Disease

Fecal Calprotectin Measured By Patients at Home Using Smartphones—A New Clinical Tool in Monitoring Patients with Inflammatory Bowel Disease

Design considerations for an eHealth decision support tool in inflammatory bowel disease self‐management

The financial impact of a nurse-led telemedicine service for inflammatory bowel disease in a large district general hospital

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