Personalized Inflammatory Bowel Disease Care Reduced Hospitalizations
| Autor: | Jesse J. Xie, Regina McBride, Eric R. Siegel, Thomas B. Rosson, Curt H. Hagedorn, Zachary Harris, Julia J. Liu |
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| Rok vydání: | 2019 |
| Předmět: |
Medical home
Confocal laser endomicroscopy medicine.medical_specialty medicine.diagnostic_test Physiology business.industry Gastroenterology Colonoscopy Disease Hepatology medicine.disease Inflammatory bowel disease 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Internal medicine Medicine 030211 gastroenterology & hepatology Personalized medicine business Body mass index |
| Zdroj: | Digestive Diseases and Sciences. 64:1809-1814 |
| ISSN: | 1573-2568 0163-2116 |
| Popis: | IBD patients with inadequately treated disease often relapse and require hospitalizations for further management. The purpose of this practice review was to determine whether personalized IBD care improved patient outcomes as measured by IBD-related hospitalizations. A dedicated IBD clinic was created for personalized patient care in a tertiary veterans health care center in 2014. In the first year, the care program consisted of patient-centered medical home (PCMH). In the second year, personalized biologic therapy was incorporated into the program, based on the severity of mucosal barrier dysfunction measured by probe-based confocal laser endomicroscopy (pCLE) analysis of the terminal ileum during colonoscopy. IBD-related hospitalizations during these 2 years were compared to the year before the care program. The IBD-related admissions at baseline, year 1 and 2 of the program were: total number of admissions of 25, 24, 8 (P = 0.03) per year, total number of hospital days of 177, 144, 31 days per year (P |
| Databáze: | OpenAIRE |
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