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Shifting Health Care Use from Hospitalisations and Surgeries to Outpatient Visits in Children with Inflammatory Bowel Disease: A Population-based Cohort Study from Ontario, Canada
- Source :
- Journal of Crohn's & Colitis
- Publication Year :
- 2021
- Publisher :
- Oxford University Press, 2021.
-
Abstract
- Background Modern, specialised care for children with inflammatory bowel disease [IBD] may have resulted in changes in health services use. We report trends over time in health services utilisation and surgery for children with IBD and children without IBD. Methods Children aged Results IBD-specific hospitalisation rates decreased by 2.5% [95% CI 1.8–3.2%] annually, and all-cause hospitalisation rates in children without IBD decreased by 4.3% [95% CI 3.5–5.1%] annually. Intestinal resection risk in CD decreased by 6.0% [95% CI 4.6–7.3%] annually and colectomy risk in UC decreased by 3.0% [95% CI 0.7–5.2%] annually. In contrast, IBD-specific outpatient visit rates increased after 2005 by 4.0% [95% CI 3.1–4.9%] annually. Similar trends in outpatient visits were not observed in children without IBD. Conclusions Hospitalisations and surgeries decreased over time while outpatient visits increased after 2005. Decreasing hospitalisations were mirrored in children without IBD, likely resulting from a combination of changes in disease management and health system factors.
- Subjects :
- Crohn’s disease
Male
medicine.medical_treatment
Inflammatory bowel disease
Cohort Studies
Eccojc/1160
0302 clinical medicine
Health care
Eccojc/1080
Outpatients
030212 general & internal medicine
Child
Colectomy
Ontario
Crohn's disease
routinely collected health data
Gastroenterology
Health services research
Disease Management
General Medicine
Ulcerative colitis
health services research
Telemedicine
3. Good health
Child, Preschool
health administrative data
030211 gastroenterology & hepatology
Female
medicine.medical_specialty
Adolescent
paediatrics
03 medical and health sciences
Internal medicine
medicine
Humans
AcademicSubjects/MED00260
ulcerative colitis
business.industry
Infant, Newborn
Infant
Emergency department
Original Articles
Patient Acceptance of Health Care
medicine.disease
Inflammatory Bowel Diseases
Confidence interval
digestive system diseases
business
Delivery of Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 18764479 and 18739946
- Volume :
- 15
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Journal of Crohn's & Colitis
- Accession number :
- edsair.doi.dedup.....b1519fa0db5741e2fab2bb564568c824