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Related Experiment Videos

Health care resource utilization in inflammatory bowel disease.

Teresa Longobardi1, Charles N Bernstein

  • 1University of Manitoba Inflammatory Bowel Disease Clinical and Research Centre and Department of Medicine, Winnipeg, Manitoba, Canada.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|April 25, 2006
PubMed
Summary

Inflammatory Bowel Disease (IBD) patients used more healthcare services than controls in 2000-2001. While healthcare utilization remained higher for IBD, the difference in costly services narrowed between Crohn's disease (CD) and Ulcerative Colitis (UC).

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Area of Science:

  • Gastroenterology
  • Health Services Research
  • Epidemiology

Background:

  • Inflammatory Bowel Disease (IBD), encompassing Crohn's disease (CD) and Ulcerative Colitis (UC), significantly impacts patient health and healthcare resource utilization.
  • Understanding temporal trends in healthcare utilization is crucial for resource allocation and patient management in IBD.

Purpose of the Study:

  • To quantify changes in healthcare utilization among a population-based cohort of patients with IBD over time.
  • To compare healthcare utilization between IBD patients and non-IBD controls.
  • To compare utilization patterns between CD and UC.

Main Methods:

  • Utilized the University of Manitoba IBD Epidemiology Database to assess outpatient and hospital service utilization.
  • Calculated relative risks (RR) for IBD cases versus matched non-IBD controls and for CD versus UC.

Related Experiment Videos

  • Analyzed prevalence cohorts from 1990-1991 and 2000-2001, and followed an incidence cohort from 1987-1988 for 15 years.

    • Main Results:

    • In 2000-2001, IBD patients had higher outpatient visit (RR 1.18) and hospital stay (RR 2.32) likelihoods compared to controls.
    • Crohn's disease (CD) cases showed higher hospitalization rates (RR 1.26) and more outpatient visits than Ulcerative Colitis (UC) cases.
    • Between 1990-1991 and 2000-2001, IBD cases saw a decrease in outpatient surgery likelihood, and CD cases were less likely than UC cases for inpatient surgery.

    Conclusions:

    • Healthcare utilization remained elevated for IBD patients compared to controls in 2000-2001.
    • While CD cases utilized more services than UC cases, the disparity in costly service utilization narrowed.
    • The majority of hospital admissions for incident IBD cases occurred within the first five years post-diagnosis.