Evidence map›Paper›PMID 33474649›Full record

ArticleDigestive diseases and sciences2021

Implementation of an Inpatient IBD Service Is Associated with Improvement in Quality of Care and Long-Term Outcomes.

Simon J Hong, Janice Jang, Dana Berg, Tarik Kirat, Feza Remzi, Shannon Chang, Lisa B Malter, Jordan E Axelrad, David P Hudesman

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In one paragraph

Article in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Simon J HongDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA. simon.hong@nyulangone.org.ORCID 0000-0003-3802-1053
Janice JangDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Dana BergDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Tarik KiratDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Feza RemziDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Shannon ChangDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Lisa B MalterDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
Jordan E AxelradDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
David P HudesmanDivision of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center at, New York University Langone Health, 305 East 33rd Street, New York, NY, 10016, USA.
NYU Langone Health · US

Funding

The Role of Enteric Infection in Flares of Inflammatory Bowel DiseaseK23DK124570 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI AXELRAD, JORDAN ERIC · 2021 to 2025
$998k
6 · The paper itself

Abstract

backgroundThere is wide variation in the quality of care of hospitalized patients with inflammatory bowel disease (IBD). Prior studies have demonstrated that a specialized inpatient IBD service improves short-term outcomes. In this study, we assessed the impact of a dedicated IBD service on the quality of care and long-term outcomes.

methodsThis retrospective cohort study included adult patients admitted for a complication of IBD between March 2017 and February 2019 to a tertiary referral center. In March 2018, a dedicated inpatient IBD service co-managed by IBD gastroenterologists and colorectal surgeons was implemented. Quality of care outcomes included C. difficile stool testing, confirmed VTE prophylaxis administration and opiate avoidance. Long-term outcomes were clinical remission, IBD-related surgery, ED visits, and hospital readmissions at 90 days and 12 months.

resultsIn total, 143 patients were included; 66 pre- and 77 post-implementation of the IBD service. Fifty-two percent had ulcerative colitis and 48% had Crohn's disease. After implementation, there was improvement in C.difficile testing (90% vs. 76%, P = 0.04), early VTE prophylaxis (92% vs. 77%, P = 0.01) and decreases in narcotic use (14% vs. 30%, P = 0.02), IBD-related ED visits at 90 days (7% vs 18%, P = 0.03) and 12 months (16% vs 30%, P = 0.04), and IBD readmissions at 90 days (16% vs. 30%, P = 0.04). There were no differences in rates of clinical remission or surgery.

conclusionsThe creation of a dedicated inpatient IBD service improved quality of IBD care and reduced post-discharge ED visits and readmissions and broader implementation of this strategy may help optimize care of hospitalized IBD patients.

Indexed as

InpatientsQuality of Health CareAdultCohort StudiesFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultInflammatory bowel diseaseInpatientOutcomesQuality of care

Identifiers

PMID33474649
OpenAlexW3123261051

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.