Health care and patients' education in a European inflammatory bowel disease inception cohort

An ECCO-EpiCom study

J. Burisch, Z. Vegh, N. Pedersen, S. Čuković-Čavka, N. Turk, I. Kaimakliotis, D. Duricova, M. Bortlik, O. Shonová, N. Thorsgaard, S. Krabbe, V. Andersen, J. F. Dahlerup, J. Kjeldsen, R. Salupere, J. Olsen, K. R. Nielsen, P. Manninen, P. Collin, K. H. Katsanos & 30 others E. V. Tsianos, K. Ladefoged, G. Ragnarsson, E. Björnsson, Y. Bailey, C. O'Morain, D. Schwartz, S. Odes, P. Politi, A. Santini, G. Kiudelis, L. Kupcinskas, S. Turcan, F. Magro, L. Barros, D. Lazar, A. Goldis, I. Nikulina, E. Belousova, L. Sanromán, D. Martinez-Ares, S. Almer, Y. Zhulina, J. Halfvarson, N. Arebi, Y. Houston, S. Sebastian, E. Langholz, P. Lakatos, P. Munkholm

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background and Aims: The EpiCom study and inception cohort was initiated in 2010 in 31 centers from 14 Western and 8 Eastern European countries, covering a 10.1. million person background population. Our aim was to investigate whether there is a difference between Eastern and Western Europe in health care and education of patients with inflammatory bowel disease (IBD). Methods: A quality of care (QoC) questionnaire was developed in the EpiCom group consisting of 16 questions covering 5 items: time interval between the onset of symptoms and diagnosis, information, education, empathy and access to health care providers. Results: Of 1,515 patients, 947 (217 east/730 west) answered the QoC questionnaire. Only 23% of all patients had knowledge about IBD before diagnosis. In Eastern Europe, significantly more patients searched out information about IBD themselves (77% vs. 68%, p<0.05), the main source was the Internet (92% vs. 88% p= 0.23). In Western Europe, significantly more patients were educated by nurses (19% vs. 1%, p<0.05), while in Eastern Europe, gastroenterologists were easier to contact (80% vs. 68%, p<0.05). Conclusion: Health care differed significantly between Eastern and Western Europe in all items, but satisfaction rates were high in both geographic regions. Because of the low awareness and the rising incidence of IBD, general information should be the focus of patient organizations and medical societies. In Western Europe IBD nurses play a very important role in reducing the burden of patient management.

Original languageEnglish
Pages (from-to)811-818
Number of pages8
JournalJournal of Crohn's and Colitis
Volume8
Issue number8
DOIs
Publication statusPublished - Aug 1 2014

Fingerprint

Patient Education
Inflammatory Bowel Diseases
Eastern Europe
Delivery of Health Care
Quality of Health Care
Nurses
Health Services Accessibility
Medical Societies
Health Education
Health Personnel
Internet
Cohort Studies
Organizations
Education
Incidence
Population

Keywords

  • Inception cohort
  • Inflammatory bowel disease
  • Population-based
  • Quality of health care

ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

Cite this

Burisch, J., Vegh, Z., Pedersen, N., Čuković-Čavka, S., Turk, N., Kaimakliotis, I., ... Munkholm, P. (2014). Health care and patients' education in a European inflammatory bowel disease inception cohort: An ECCO-EpiCom study. Journal of Crohn's and Colitis, 8(8), 811-818. https://doi.org/10.1016/j.crohns.2013.12.023

Health care and patients' education in a European inflammatory bowel disease inception cohort : An ECCO-EpiCom study. / Burisch, J.; Vegh, Z.; Pedersen, N.; Čuković-Čavka, S.; Turk, N.; Kaimakliotis, I.; Duricova, D.; Bortlik, M.; Shonová, O.; Thorsgaard, N.; Krabbe, S.; Andersen, V.; Dahlerup, J. F.; Kjeldsen, J.; Salupere, R.; Olsen, J.; Nielsen, K. R.; Manninen, P.; Collin, P.; Katsanos, K. H.; Tsianos, E. V.; Ladefoged, K.; Ragnarsson, G.; Björnsson, E.; Bailey, Y.; O'Morain, C.; Schwartz, D.; Odes, S.; Politi, P.; Santini, A.; Kiudelis, G.; Kupcinskas, L.; Turcan, S.; Magro, F.; Barros, L.; Lazar, D.; Goldis, A.; Nikulina, I.; Belousova, E.; Sanromán, L.; Martinez-Ares, D.; Almer, S.; Zhulina, Y.; Halfvarson, J.; Arebi, N.; Houston, Y.; Sebastian, S.; Langholz, E.; Lakatos, P.; Munkholm, P.

In: Journal of Crohn's and Colitis, Vol. 8, No. 8, 01.08.2014, p. 811-818.

Research output: Contribution to journalArticle

Burisch, J, Vegh, Z, Pedersen, N, Čuković-Čavka, S, Turk, N, Kaimakliotis, I, Duricova, D, Bortlik, M, Shonová, O, Thorsgaard, N, Krabbe, S, Andersen, V, Dahlerup, JF, Kjeldsen, J, Salupere, R, Olsen, J, Nielsen, KR, Manninen, P, Collin, P, Katsanos, KH, Tsianos, EV, Ladefoged, K, Ragnarsson, G, Björnsson, E, Bailey, Y, O'Morain, C, Schwartz, D, Odes, S, Politi, P, Santini, A, Kiudelis, G, Kupcinskas, L, Turcan, S, Magro, F, Barros, L, Lazar, D, Goldis, A, Nikulina, I, Belousova, E, Sanromán, L, Martinez-Ares, D, Almer, S, Zhulina, Y, Halfvarson, J, Arebi, N, Houston, Y, Sebastian, S, Langholz, E, Lakatos, P & Munkholm, P 2014, 'Health care and patients' education in a European inflammatory bowel disease inception cohort: An ECCO-EpiCom study', Journal of Crohn's and Colitis, vol. 8, no. 8, pp. 811-818. https://doi.org/10.1016/j.crohns.2013.12.023
Burisch, J. ; Vegh, Z. ; Pedersen, N. ; Čuković-Čavka, S. ; Turk, N. ; Kaimakliotis, I. ; Duricova, D. ; Bortlik, M. ; Shonová, O. ; Thorsgaard, N. ; Krabbe, S. ; Andersen, V. ; Dahlerup, J. F. ; Kjeldsen, J. ; Salupere, R. ; Olsen, J. ; Nielsen, K. R. ; Manninen, P. ; Collin, P. ; Katsanos, K. H. ; Tsianos, E. V. ; Ladefoged, K. ; Ragnarsson, G. ; Björnsson, E. ; Bailey, Y. ; O'Morain, C. ; Schwartz, D. ; Odes, S. ; Politi, P. ; Santini, A. ; Kiudelis, G. ; Kupcinskas, L. ; Turcan, S. ; Magro, F. ; Barros, L. ; Lazar, D. ; Goldis, A. ; Nikulina, I. ; Belousova, E. ; Sanromán, L. ; Martinez-Ares, D. ; Almer, S. ; Zhulina, Y. ; Halfvarson, J. ; Arebi, N. ; Houston, Y. ; Sebastian, S. ; Langholz, E. ; Lakatos, P. ; Munkholm, P. / Health care and patients' education in a European inflammatory bowel disease inception cohort : An ECCO-EpiCom study. In: Journal of Crohn's and Colitis. 2014 ; Vol. 8, No. 8. pp. 811-818.
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abstract = "Background and Aims: The EpiCom study and inception cohort was initiated in 2010 in 31 centers from 14 Western and 8 Eastern European countries, covering a 10.1. million person background population. Our aim was to investigate whether there is a difference between Eastern and Western Europe in health care and education of patients with inflammatory bowel disease (IBD). Methods: A quality of care (QoC) questionnaire was developed in the EpiCom group consisting of 16 questions covering 5 items: time interval between the onset of symptoms and diagnosis, information, education, empathy and access to health care providers. Results: Of 1,515 patients, 947 (217 east/730 west) answered the QoC questionnaire. Only 23{\%} of all patients had knowledge about IBD before diagnosis. In Eastern Europe, significantly more patients searched out information about IBD themselves (77{\%} vs. 68{\%}, p<0.05), the main source was the Internet (92{\%} vs. 88{\%} p= 0.23). In Western Europe, significantly more patients were educated by nurses (19{\%} vs. 1{\%}, p<0.05), while in Eastern Europe, gastroenterologists were easier to contact (80{\%} vs. 68{\%}, p<0.05). Conclusion: Health care differed significantly between Eastern and Western Europe in all items, but satisfaction rates were high in both geographic regions. Because of the low awareness and the rising incidence of IBD, general information should be the focus of patient organizations and medical societies. In Western Europe IBD nurses play a very important role in reducing the burden of patient management.",
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T1 - Health care and patients' education in a European inflammatory bowel disease inception cohort

T2 - An ECCO-EpiCom study

AU - Burisch, J.

AU - Vegh, Z.

AU - Pedersen, N.

AU - Čuković-Čavka, S.

AU - Turk, N.

AU - Kaimakliotis, I.

AU - Duricova, D.

AU - Bortlik, M.

AU - Shonová, O.

AU - Thorsgaard, N.

AU - Krabbe, S.

AU - Andersen, V.

AU - Dahlerup, J. F.

AU - Kjeldsen, J.

AU - Salupere, R.

AU - Olsen, J.

AU - Nielsen, K. R.

AU - Manninen, P.

AU - Collin, P.

AU - Katsanos, K. H.

AU - Tsianos, E. V.

AU - Ladefoged, K.

AU - Ragnarsson, G.

AU - Björnsson, E.

AU - Bailey, Y.

AU - O'Morain, C.

AU - Schwartz, D.

AU - Odes, S.

AU - Politi, P.

AU - Santini, A.

AU - Kiudelis, G.

AU - Kupcinskas, L.

AU - Turcan, S.

AU - Magro, F.

AU - Barros, L.

AU - Lazar, D.

AU - Goldis, A.

AU - Nikulina, I.

AU - Belousova, E.

AU - Sanromán, L.

AU - Martinez-Ares, D.

AU - Almer, S.

AU - Zhulina, Y.

AU - Halfvarson, J.

AU - Arebi, N.

AU - Houston, Y.

AU - Sebastian, S.

AU - Langholz, E.

AU - Lakatos, P.

AU - Munkholm, P.

PY - 2014/8/1

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N2 - Background and Aims: The EpiCom study and inception cohort was initiated in 2010 in 31 centers from 14 Western and 8 Eastern European countries, covering a 10.1. million person background population. Our aim was to investigate whether there is a difference between Eastern and Western Europe in health care and education of patients with inflammatory bowel disease (IBD). Methods: A quality of care (QoC) questionnaire was developed in the EpiCom group consisting of 16 questions covering 5 items: time interval between the onset of symptoms and diagnosis, information, education, empathy and access to health care providers. Results: Of 1,515 patients, 947 (217 east/730 west) answered the QoC questionnaire. Only 23% of all patients had knowledge about IBD before diagnosis. In Eastern Europe, significantly more patients searched out information about IBD themselves (77% vs. 68%, p<0.05), the main source was the Internet (92% vs. 88% p= 0.23). In Western Europe, significantly more patients were educated by nurses (19% vs. 1%, p<0.05), while in Eastern Europe, gastroenterologists were easier to contact (80% vs. 68%, p<0.05). Conclusion: Health care differed significantly between Eastern and Western Europe in all items, but satisfaction rates were high in both geographic regions. Because of the low awareness and the rising incidence of IBD, general information should be the focus of patient organizations and medical societies. In Western Europe IBD nurses play a very important role in reducing the burden of patient management.

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KW - Inflammatory bowel disease

KW - Population-based

KW - Quality of health care

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