Assessment of steroid use as a key performance indicator in inflammatory bowel disease-analysis of data from 2385 UK patients

Autor:	Melissa A. Smith, Becky George, Pritash Patel, John Saunders, Lynn Gray, Mark Adamson, Santosh Saluke, Fiona Donovan, Gareth Parkes, Christian P. Selinger, Ash Bassi, Tim Raine, Aileen Fraser, Jimmy K. Limdi, Ioanna Parisi, Glyn Scott, Zandile Ndlovu, Jude Tidbury, Helen Ludlow, Jenna Robinson, Richard Pollok
Rok vydání:	2019
Předmět:	Adult Male medicine.medical_specialty Quality Assurance Health Care medicine.medical_treatment Anti-Inflammatory Agents Disease Inflammatory bowel disease Steroid Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Adrenal Cortex Hormones Internal medicine medicine Humans Pharmacology (medical) 030212 general & internal medicine Young adult Practice Patterns Physicians' Aged Quality Indicators Health Care Aged 80 and over Hepatology Thiopurine methyltransferase biology business.industry Tumor Necrosis Factor-alpha Gastroenterology Middle Aged medicine.disease Inflammatory Bowel Diseases Prognosis Ulcerative colitis United Kingdom Cohort biology.protein 030211 gastroenterology & hepatology Female Steroids business Cohort study
Zdroj:	Alimentary pharmacologytherapeuticsREFERENCES. 50(9)
ISSN:	1365-2036
Popis:	BACKGROUND: Patients with IBD are at risk of excess corticosteroids. AIMS: To assess steroid excess in a large IBD cohort and test associations with quality improvement and prescribing. METHODS: Steroid exposure was recorded for outpatients attending 19 centres and associated factors analysed. Measures taken to avoid excess were assessed. RESULTS: Of 2385 patients, 28% received steroids in the preceding 12 months. 14.8% had steroid excess or dependency. Steroid use was significantly lower at 'intervention centres' which participated in a quality improvement programme (exposure: 23.8% vs 31.0%, P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6e506d552ba16ec1902fb78f7046382a https://pubmed.ncbi.nlm.nih.gov/31595533 Zobrazit plný text záznamu Plný text