Freddy Caldera1, Sumona Saha1, Arnold Wald1, David M Cooley2, Ying-Qi Zhao3, Zhanhai Li3, Christie M Bartels4. 1. a Department of Medicine, Division of Gastroenterology and Hepatology , University of Wisconsin , Madison , WI , USA. 2. b Department of Medicine, Division of Internal Medicine , University of Wisconsin , Madison , WI , USA. 3. c Department of Biostatistics and Medical Informatics , University of Wisconsin , Madison , WI , USA. 4. d Department of Medicine, Rheumatology Division , University of Wisconsin , Madison , WI , USA.
Abstract
BACKGROUND: Rheumatoid arthritis (RA) and inflammatory bowel disease (IBD) patient populations face similar risks of chronic immunosuppression including corticosteroid use. We compared the receipt of preventive services between IBD and RA populations according to published quality metrics. METHODS: We defined a single-center cohort of patients with IBD or RA receiving specialty and primary care. Electronic health record abstraction assessed quality metrics, sociodemographics, comorbidity, and utilization. Comparisons used multivariate odds ratios and Student's t-tests. RESULTS: 218 RA and 190 IBD patients were included. In multivariate analysis, IBD patients were less likely to receive pneumococcal vaccination (OR=0.29, 95% CI: 0.11-0.85), while RA patients underwent glucocorticoid-induced osteoporosis screening more often (100% vs. 82.5%, p = 0.023). CONCLUSIONS: Gastroenterologists can improve care quality for IBD patients by assuming greater responsibility for preventive care in IBD patients and/or collaborating with primary care and health systems to improve preventive care delivery.
BACKGROUND:Rheumatoid arthritis (RA) and inflammatory bowel disease (IBD) patient populations face similar risks of chronic immunosuppression including corticosteroid use. We compared the receipt of preventive services between IBD and RA populations according to published quality metrics. METHODS: We defined a single-center cohort of patients with IBD or RA receiving specialty and primary care. Electronic health record abstraction assessed quality metrics, sociodemographics, comorbidity, and utilization. Comparisons used multivariate odds ratios and Student's t-tests. RESULTS: 218 RA and 190 IBDpatients were included. In multivariate analysis, IBDpatients were less likely to receive pneumococcal vaccination (OR=0.29, 95% CI: 0.11-0.85), while RApatients underwent glucocorticoid-induced osteoporosis screening more often (100% vs. 82.5%, p = 0.023). CONCLUSIONS: Gastroenterologists can improve care quality for IBDpatients by assuming greater responsibility for preventive care in IBDpatients and/or collaborating with primary care and health systems to improve preventive care delivery.
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