Su-Jung Lee, Min-Sun Park, Sung-Ok Chang
Healthcare Professionals' Perceptions of Function-Focused Care Education for Nursing Home Practitioners
International journal of environmental research and public health
timely diagnosis treatment inflammatory bowel disease ibd may improve clinical outcomes examine associations time diagnosis patterns prior healthcare use clinical outcomes ibd using clinical practice research datalink identified incident cases crohns disease cd ulcerative colitis uc diagnosed january 2003 may 2016 first primary care gastrointestinal consultation 3year period prior ibd diagnosis used multivariable cox regression examine association primary care consultation frequency n1 2 2 annual consultation intensity hospitalisations gastrointestinal symptoms time diagnosis range key clinical outcomes following diagnosis identified 2645 incident ibd cases cd 782 uc 1863 cd 2 consultations associated intestinal surgery adjusted hr ahr222 95 ci 145 339 subsequent cdrelated hospitalisation ahr180 95 ci 129 250 uc 2 consultations associated corticosteroid dependency ahr176 95 ci 128 241 immunomodulator use ahr168 95 ci 124 226 ucrelated hospitalisation ahr143 95 ci 105 195 colectomy ahr201 95 ci 122 327 cd hospitalisation prior diagnosis associated cdrelated hospitalisation ahr130 95 ci 101 168 intestinal surgery ahr171 95 ci 113 258 uc associated immunomodulator use ahr142 95 ci 111 181 ucrelated hospitalisation ahr136 95 ci 106 195 colectomy ahr154 95 ci 101 234 cd consultation intensity year diagnosis associated cdrelated hospitalisation ahr119 95 ci 112 128 intestinal surgery ahr113 95 ci 103 123 uc associated corticosteroid use ahr108 95 ci 104 113 corticosteroid dependency ahr105 95 ci 100 111 ucrelated hospitalisation ahr112 95 ci 103 121 cd time diagnosis associated risk cdrelated hospitalisation ahr103 95 ci 101 168 uc associated reduced risk ucrelated hospitalisation ahr083 95 ci 070 098 colectomy ahr059 95 ci 043 080 electronic records contain valuable information patterns healthcare use used expedite timely diagnosis identify aggressive forms ibd