Evidence map›Paper›PMID 41578010›Full record

ArticleJournal of Crohn's & colitis2026

Comparative analysis of inflammatory bowel disease (IBD) patient- and service-reported quality of care using 2019 and 2023 UK benchmarking data from more than 26 000 adult patient respondents and 154 IBD services.

A Barney Hawthorne, Paul Christiansen, Ian Arnott, J R Fraser Cummings, Liz Dobson, Alexandra Kent, Jimmy K Limdi, Robert J Mulligan, Gareth C Parkes, Fiona Rees and 8 more

Abstract readComparative Study
In one paragraph

Article in Journal of Crohn's & colitis, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

18 authors.

A Barney HawthorneDepartment of Gastroenterology, Cardiff & Vale University Health Board, Heath Park, Cardiff, United Kingdom.ORCID 0000-0002-8768-4550
Paul ChristiansenDepartment of Psychology, University of Liverpool, Liverpool, United Kingdom.ORCID 0000-0001-7534-0948
Ian ArnottEdinburgh IBD Unit, Western General Hospital, Edinburgh, United Kingdom.ORCID 0000-0003-3352-9253
J R Fraser CummingsDepartment of Gastroenterology, University Hospital Southampton NHS Foundation Trust, Southampton, United Kingdom.ORCID 0000-0002-9659-3247
Liz DobsonIBD Registry, London, United Kingdom.ORCID 0000-0001-8728-9035
Alexandra KentDepartment of Gastroenterology, King's College Hospital NHS Trust, London, United Kingdom.ORCID 0000-0003-0577-6177
Jimmy K LimdiDivision of Gastroenterology-Section of IBD, Northern Care Alliance NHS Foundation Trust, Manchester, United Kingdom.ORCID 0000-0002-1039-6251
Robert J MulliganTranslational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0009-0009-6751-1095
Gareth C ParkesDepartment of Gastroenterology, Royal London Hospital, Barts Health NHS Trust, London, United Kingdom.ORCID 0000-0002-5285-7714
Fiona ReesDepartment of Gastroenterology, University Hospitals of Sussex NHS Trust, Brighton, United Kingdom.ORCID 0009-0007-7494-4871
Christian P SelingerDepartment of Gastroenterology, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.ORCID 0000-0003-2022-5859
Jessica TurnerCrohn's & Colitis UK, Hatfield, United Kingdom.
Nathaniel WooCrohn's & Colitis UK, Hatfield, United Kingdom.
Lisa YoungeDepartment of Gastroenterology, St Mark's Hospital, Harrow, United Kingdom.ORCID 0000-0003-2201-9821
IBD Registry
Contributors to the IBD UK Task & Finish group,
IBD Service Survey Collaborators
Christopher A LambTranslational & Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID 0000-0002-7271-4956

Funding

British Society of Gastroenterology
6 · The paper itself

Abstract

introductionThe IBD UK Benchmarking surveys, conducted in 2019 and 2023, collected repeated data regarding the quality of inflammatory bowel disease (IBD) care across the UK using both service self-assessments and patient-reported experience measures (PREMs). We aimed to assess variation between patient and provider perspectives.

methodsAll UK hospitals offering specialist IBD services were invited to complete online surveys. Patients were invited through social media, charities, and clinical services. This study compared changes over the 4 years and examined alignment between healthcare-reported and patient-reported assessments.

resultsFrom 26 760 patient responses and 154 service assessments, patient-perceived care quality (PPCQ) declined between 2019 and 2023 (P < .001). Male sex and older age were associated with higher PPCQ. Greater disease severity was associated with lower PPCQ (P < .001). More patients reported IBD symptoms to impact activities of daily living in 2023 (P < .001). Factors associated with higher PPCQ included rapid diagnosis, being supported by an IBD team, and having knowledgeable IBD nurses. Access, information, communication, and empowerment were identified by patients as needing improvement (P < .001). Services with lowest quartile quality scores in 2019 demonstrated significant improvement over time, whilst those with highest 2019 scores demonstrated significant deterioration in PPCQ (P < .001). Services reported better performance than patients (P < .001).

conclusionsThese data underscore the importance of assessing lived experience and the care quality perception gap between patients and service providers. Regular benchmarking including PREMs should be used to drive and assess service-level, national and international quality improvement initiatives.

Indexed as

BenchmarkingInflammatory Bowel DiseasesPatient SatisfactionQuality of Health CareAdolescentAdultAgedFemaleHumansMaleMiddle AgedPatient Reported Outcome MeasuresSeverity of Illness IndexSurveys and QuestionnairesUnited KingdomYoung AdultBenchmarkingCost-effectivenessCrohn's diseaseInflammatory bowel diseaseMultidisciplinary teamQuality improvementSelf-managementService developmentUlcerative colitis

Identifiers

PMID41578010
PMCPMC13017129

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.