ArticleDigestive diseases and sciences2022
Urban-Rural Differences in Health Care Utilization for Inflammatory Bowel Disease in the USA, 2017.
Article in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 23 citations in OpenAlex.
- Portal hypertension mortality in the United States (1999-2023): Insights from the CDC WONDER database.Medicine · 2026Article
- Lack of disparities in postoperative care after ileocecal resection in patients with Crohn's disease at tertiary inflammatory bowel diseases centers.Therapeutic advances in gastroenterology · 2026Article
- Pre-stroke emergency department utilization in the Brain Attack Surveillance in Corpus Christi (BASIC) project.The American journal of emergency medicine · 2026Article
- When Geography Dictates Care: The Rural Gastroenterology Challenge.ACG case reports journal · 2025Article
- Disparities in Access and Treatment for Rural Patients With Inflammatory Bowel Disease: A Survey of Inflammatory Bowel Disease Patients and Providers.Inflammatory bowel diseases · 2025Article
- Trends and Demographics of Vascular Intestinal Diseases-Related Mortality Among Adults Living in United States From 1999 to 2020; A CDC Wonder Analysis.JGH open : an open access journal of gastroenterology and hepatology · 2025Review
- Persistent Poverty, Rural Location, and Racial Segregation Are Factors in Colorectal Cancer Screening in Low-Income and Uninsured Populations.Journal of the advanced practitioner in oncology · 2025Article
- Predictors of Unplanned Health Care Utilization Among Children with Inflammatory Bowel Disease in a Rural Region of the Southeastern US.Digestive diseases and sciences · 2024Article
- Inflammatory Bowel Disease in Appalachian Kentucky: An Investigation of Outcomes and Health Care Utilization.Inflammatory bowel diseases · 2024Article
- Geographic Inequities in Access to Phase 3 Clinical Trials for Inflammatory Bowel Disease in the United States.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024Article
- Urban Legend: Addressing Knowledge Gaps in Inflammatory Bowel Disease Epidemiology.Digestive diseases and sciences · 2023Article
- Racial, Ethnic, and Geographic Disparities in Immunization Rates Among Patients With Inflammatory Bowel Disease.Crohn's & colitis 360 · 2023Article
- A Comprehensive Self-Management Intervention for Inflammatory Bowel Disease (CSM-IBD): Protocol for a Pilot Randomized Controlled Trial.JMIR research protocols · 2023Article
- Far From Home: The Role of Travel Distance and Care Fragmentation in Surgical Outcomes for Inflammatory Bowel Disease.Crohn's & colitis 360 · 2023Article
- Inequities in Rural and Urban Health Care Utilization Among Individuals Diagnosed With Inflammatory Bowel Disease: A Retrospective Population-Based Cohort Study From Saskatchewan, Canada.Journal of the Canadian Association of Gastroenterology · 2023Article
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- Differences in Healthcare Services Utilization Between Urban and Rural Older Persons in Vietnam: Evidence from a National Survey.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundUrban-rural differences in IBD-specific health care utilization at the national level have not been examined in the USA.
aimsWe compared urban and rural rates of IBD-related office visits and IBD-specific (Crohn's disease (CD) or ulcerative colitis (UC)) hospitalizations and emergency department (ED) visits.
methodsFrom multiple national data sources, we compared national rates using Z test and compared estimates of patient and hospital characteristics and hospitalization outcomes between urban and rural areas using Chi-square and t tests.
resultsIn 2015 and 2016, digestive disease-related office visit rates, per 100 adults, were 3.1 times higher in urban than in rural areas (8.7 vs 2.8, P < 0.001). In 2017, age-adjusted rates per 100,000 adults were significantly higher in rural than urban areas for CD-specific hospitalizations (26.3 vs 23.6, P = 0.03) and ED visits (49.3 vs 39.5, P = 0.002). Compared with their urban counterparts, rural adults hospitalized for CD or UC in 2017 were more likely to be older and non-Hispanic white, have lower household income, Medicare coverage, and an elective admission, and were discharged from hospitals that were large, non-federal government owned, and in the Midwest or South. There were no significant urban-rural differences in length of stay and 30-day readmission rate.
conclusionsWhile IBD or digestive disease-related office visit rates were lower in rural compared to urban areas, CD-specific hospitalization and ED visit rates were higher. Strategies that improve office-based care among rural patients with IBD may help to avoid more costly forms of health care use.
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