Optimizing quality of outpatient care for patients with inflammatory bowel disease: the importance of specialist clinics

Mawdsley, Joel; Irving, Peter M; Makins, Richard; Rampton, David

doi:10.1097/00042737-200603000-00004

Cited by 69 publications

(38 citation statements)

References 21 publications

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“…This service utilizes the Brazilian government assistance program for patients with IBD, and consequently is able to provide free medical care, free laboratory tests and treatment with high cost drugs. These conditions have significantly improved the care delivered to IBD patients in this region, with good results as already observed by others (17,19) . The dates used in this study were based mainly on sequential register of cases of patients from a single general hospital, but limiting the results to cases coming from the investigated area.…”

Section: Resultssupporting

confidence: 68%

Incidence and prevalence rates of inflammatory bowel diseases, in midwestern of São Paulo State, Brazil

Victória

Sassak

Nunes

2009

Arq. Gastroenterol.

144

100

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-Context -The incidence and populational prevalence of inflammatory bowel diseases, hitherto unknown in Brazil, were estimated for a region in the Midwest of São Paulo State, Brazil. Methods -Using a sequential registry of 115 adult patients (>15 years old) with inflammatory bowel diseases -exclusively residing in the studied region with 533,508 inhabitants (2005) and attended at the reference hospital during a 20 year interval (1986)(1987)(1988)(1989)(1990)(1991)(1992)(1993)(1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005) -were estimated, in four consecutives periods of 5 years each, the incidences according to gender, type of the disease and the prevalence of these diseases, and its inner-relations evaluated by the Poisson regression model. Results -The inflammatory bowel diseases in the studied region predominated among young, white race and people living in urban area, and the incidence on the female population rose during this period. The incidence of ulcerative colitis were higher than Crohn's disease and non-classified colitis, and showed a progressive increase in the first three periods with a decrease in the last one (2001)(2002)(2003)(2004)(2005), where the observed rates of ulcerative colitis, Crohn's disease and non-classified colitis were 4.48, 3.50 and 1.75 cases/100,000 inhabitants, with prevalence of 22.61, 14.81, 5.65, 2.14 cases/100,000 inhabitants for total inflammatory bowel diseases. Conclusion -The inflammatory bowel diseases incidence in the studied area was as low as in other countries of Latin America and smaller than that found in countries of South Europe. The crescent prevalence justifies the policies to adequate medical cares for inflammatory bowel diseases patients in this area. HEADINGS -Inflammatory bowel disease, epidemiology. Colitis, ulcerative, epidemiology. Crohn disease, epidemiology. São Paulo (Brasil).

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Section: Resultssupporting

confidence: 68%

Incidence and prevalence rates of inflammatory bowel diseases, in midwestern of São Paulo State, Brazil

Victória

Sassak

Nunes

2009

Arq. Gastroenterol.

144

100

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“…In this context, it has been suggested that centres with specialist IBD out-patient clinics whose only interest is IBD management are the optimal model for IBD care and that as a consequence adherence may be better in patients attending them. 8,57 CONCLUSIONS Non-adherence to thiopurines in IBD patients is more common in young adults than adults. The reasons for this remain unclear: whether they relate to differences in IBD knowledge, doctor/patient discordance or attitudes towards maintenance medication between young adults and adult needs further study.…”

Section: External Validitymentioning

confidence: 99%

Factors associated with thiopurine non-adherence in patients with inflammatory bowel disease

Goodhand

Kamperidis

Sirwan

et al. 2013

Aliment Pharmacol Ther

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“…Furthermore, given this strong increase, IBD units are clearly necessary to provide IBD patients with optimum care, as they often require a personalized strategy with therapies requiring more stringent control measures than usual (3,4). Also, multidisciplinary teams are needed to provide appropriate care of the wide range of symptoms of this disease (5).…”

Section: Introductionmentioning

confidence: 99%

How is inflammatory bowel disease managed in Spanish gastroenterology departments? The results of the GESTIONA-EII survey

et al. 2016

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Optimizing quality of outpatient care for patients with inflammatory bowel disease: the importance of specialist clinics

Cited by 69 publications

References 21 publications

Incidence and prevalence rates of inflammatory bowel diseases, in midwestern of São Paulo State, Brazil

Incidence and prevalence rates of inflammatory bowel diseases, in midwestern of São Paulo State, Brazil

Factors associated with thiopurine non-adherence in patients with inflammatory bowel disease

How is inflammatory bowel disease managed in Spanish gastroenterology departments? The results of the GESTIONA-EII survey

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