Evidence map›Paper›PMID 39110131›Full record

ArticleJournal of Crohn's & colitis2025

The Costs of Home Monitoring by Telemedicine vs Standard Care for Inflammatory Bowel Diseases-A Danish Register-Based, 5-Year Follow-up Study.

Marwah Al-Sheikh, Dorit Vedel Ankersen, Jens Olsen, Maria Spanggaard, Charlotte T Peters-Lehm, Rahim M Naimi, Mette Bennedsen, Johan Burisch, Pia Munkholm

Abstract readComparative Study
In one paragraph

Article in Journal of Crohn's & colitis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. 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.

Marwah Al-SheikhDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.ORCID 0000-0002-8642-3076
Dorit Vedel AnkersenDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.
Jens OlsenEY, Copenhagen, Denmark.
Maria SpanggaardEY, Copenhagen, Denmark.
Charlotte T Peters-LehmDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.
Rahim M NaimiDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.
Mette BennedsenDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.
Johan BurischGastro Unit, Medical Division, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark.ORCID 0000-0002-3312-5139
Pia MunkholmDepartment of Gastroenterology, Medical Division, Copenhagen University Hospital, North Zealand, Denmark.

Funding

Colitis Crohn's Association
6 · The paper itself

Abstract

BACKGROUND AND

aimsThere are few studies on the cost-effectiveness of telemedicine for inflammatory bowel diseases. We assessed the long-term cost-effectiveness of a telemedicine solution compared to standard care (sCare), as well as its efficacy according to patient-reported outcomes (PROs).

methodsBetween 2015 and 2020, we conducted a retrospective, register-based study among patients with ulcerative colitis and Crohn's disease. Direct and indirect healthcare costs over a 5-year period were obtained from Danish registers and compared to a control group. Costs were estimated on a yearly basis from 1 year before, until 5 years after, inclusion in the trial. Patients were divided into 2 groups: those not receiving biologics (Cohort 1) and those receiving biologics (Cohort 2).

resultsWe recruited 574 patients with inflammatory bowel diseases. In Cohort 1 (61.5%), average total direct costs and total earnings per patient per year were €14 043 and €307 793, respectively, in telemedicine compared to €16 226 and €252 166, respectively, in sCare. In Cohort 2 (38.5%), average total direct costs and total earnings were €73 916 and €215 833, respectively, in telemedicine compared to €41 748 and €203 667, respectively, in sCare. PROs showed improved quality of life, which was higher in Cohort 1 than in Cohort 2. Disease activity among patients with Crohn's disease increased after Years 3 and 4 in Cohorts 1 and 2, respectively.

conclusionTelemedicine is cost-effective for patients not receiving biologics. However, treatment with biologics is more expensive for patients enrolled in telemedicine. Careful attention to PROs in telemedicine improves quality of life and could prolong the time to relapse.

Indexed as

Colitis, UlcerativeCrohn DiseaseHealth Care CostsInflammatory Bowel DiseasesTelemedicineAdultCost-Benefit AnalysisDenmarkFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Reported Outcome MeasuresQuality of LifeRegistriescost-effectivenessinflammatory bowel disease (IBD)Telemedicine

Identifiers

PMID39110131
PMCPMC11836881

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