Quality of care indicators in inflammatory bowel disease in a tertiary referral center with open access and objective assessment policies

Lorant Gonczi, Zsuzsanna Kurti, Petra Anna Golovics, Barbara Dorottya Lovasz, Orsolya Menyhart, Anna Seres, Liza Dalma Sumegi, Alexander Gal, Akos Ilias, Papp Janos, Krisztina Barbara Gecse, Talat Bessisow, Waqqas Afif, Alain Bitton, Zsuzsanna Vegh, Peter Laszlo Lakatos

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background In the management of inflammatory bowel diseases, there is considerable variation in quality of care. Aims The aim of this study was to evaluate structural, access/process components and outcome quality indicators in our tertiary referral IBD center. Methods In the first phase, structural/process components were assessed, followed by the second phase of formal evaluation of access and management on a set of consecutive IBD patients with and without active disease (248CD/125UC patients, median age 35/39 years). Results Structural/process components of our IBD center met the international recommendations. At or around the time of diagnosis usual procedures were full colonoscopy in all patients, with ileocolonoscopy/gastroscopy/CT/MRI in 81.8/45.5/66.1/49.6% of CD patients. A total of 86.7% of CD patients had any follow-up imaging evaluation or endoscopy. The median waiting time for non-emergency endoscopy/CT/MRI was 16/14/22 days. During the observational period patients with flares (CD/UC:50.6/54.6%) were seen by specialist at the IBD clinic within a median of 1 day with same day laboratory assessment, abdominal US, CT scan/surgical consult and change in therapy if needed. Surgery and hospitalization rates were 20.1/1.4% and 17.3/3.2% of CD/UC patients. Conclusion Our results highlight that structural components and processes applied in our center are in line with international recommendations, including an open clinic concept and fast track access to specialist consultation, endoscopy and imaging.

Original languageEnglish
Pages (from-to)37-41
Number of pages5
JournalDigestive and Liver Disease
Volume50
Issue number1
DOIs
Publication statusPublished - Jan 2018

Keywords

  • Inflammatory bowel diseases
  • Outcome measures
  • Quality indicators
  • Quality of care

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Gonczi, L., Kurti, Z., Golovics, P. A., Lovasz, B. D., Menyhart, O., Seres, A., Sumegi, L. D., Gal, A., Ilias, A., Janos, P., Gecse, K. B., Bessisow, T., Afif, W., Bitton, A., Vegh, Z., & Lakatos, P. L. (2018). Quality of care indicators in inflammatory bowel disease in a tertiary referral center with open access and objective assessment policies. Digestive and Liver Disease, 50(1), 37-41. https://doi.org/10.1016/j.dld.2017.09.137