Institution of an interdisciplinary IBD centre is associated with improved healthcare utilisation

Edoardo G Giannini; Tommaso Testa; Federica Grillo; Luca Mastracci; Serena Arrigo; Piero Cai; Sabrina Paolino; Martina Burlando; Livia Pisciotta; Elena Formisano; Giuseppe Cittadini; Francesco Copello; Sabrina Tuo; Giorgia Bodini

doi:10.1111/eci.14143

Institution of an interdisciplinary IBD centre is associated with improved healthcare utilisation

Eur J Clin Invest. 2023 Dec 2:e14143. doi: 10.1111/eci.14143. Online ahead of print.

Authors

Edoardo G Giannini^{1

2}, Tommaso Testa³, Federica Grillo^{2

4}, Luca Mastracci^{2

4}, Serena Arrigo⁵, Piero Cai⁶, Sabrina Paolino^{2

7}, Martina Burlando^{2

8}, Livia Pisciotta^{2

9}, Elena Formisano^{2

9}, Giuseppe Cittadini¹⁰, Francesco Copello¹¹, Sabrina Tuo^{1

2}, Giorgia Bodini^{1

2}

Affiliations

¹ Gastroenterology Unit, Department of Internal Medicine, University of Genoa, Genoa, Italy.
² IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
³ Surgery Unit, Department of Surgery, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
⁴ Anatomic Pathology Unit, Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.
⁵ Pediatric Gastroenterology and Endoscopy, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
⁶ Clinical Psychology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
⁷ Research Laboratory and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genoa, Genoa, Italy.
⁸ Dermatology Unit, Department of Health Sciences, University of Genoa, Genoa, Italy.
⁹ Dietetics and Clinical Nutrition Unit, Department of Internal Medicine, University of Genoa, Genoa, Italy.
¹⁰ Oncologic and Interventional Radiology Unit, Department of Radiology, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.
¹¹ Accounting and Management Control Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

PMID: 38041605
DOI: 10.1111/eci.14143

Abstract

Despite the institution of an interdisciplinary Inflammatory Bowel Disease (IBD) centre is encouraged, how it may improve patient care is still unknown. In a 5-year period following organisation of an IBD centre, hospitalisations per patient/year decreased (0.41-0.17) and patients on biologics increased (7.7%-26.7%). Total number of hospitalisations (-18.4%) and length of hospitalisation (-29.4%) improved compared with a preceding 5-year period. These findings suggest that institution of an interdisciplinary IBD centre is associated with improved healthcare utilisation.

Keywords: Inflammatory Bowel Disease; healthcare utilisation; outcome.