Table 5.
Utilization of healthcare resources during the retrospective 3-year period
|
CD |
UC |
|||||||
| Total | Moderate to severe activity | No or mild activity | P value | Total | Moderate to severe activity | No or mild activity | P value | |
| n | 264 | 118 | 146 | 143 | 36 | 107 | ||
| IBD surgeries | ||||||||
| At least one IBD surgery | 67 (25.4) | 32 (27.1) | 35 (24.0) | 0.559 1 | 4 (2.8) | 1 (2.8) | 3 (2.8) | -- |
| Surgeries, n | 108 | 45 | 63 | 7 | 2 | 5 | ||
| Surgeries/pt, median [range] | 1.0 [1-5] | 1.0 [1-4] | 2 [1-5] | 0.074 | 2.0 [1-2] | 2 | 2.0 [1-2] | -- |
| More than one IBD surgery | 28 (41.8) | 10 (31.2) | 18 (51.5) | 3 (75.0) | 1 (100.0) | 2 (66.7) | ||
| Type [frequency ≥ 5%] | ||||||||
| Partial colectomy | 13 (12.0) | 5 (11.1) | 8 (12.7) | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
| Total colectomy | 1 (0.9) | 0 (0.0) | 1 (1.6) | 2 (28.6) | 1 (50.0) | 1 (20.0) | ||
| Drainage of anorectal abscess | 6 (5.6) | 3 (6.7) | 3 (4.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
| Fistulectomy | 22 (20.4) | 9 (20.0) | 13 (20.6) | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
| Enterostomy | 13 (12.0) | 6 (13.3) | 7 (11.1) | 0 (0.0) | 0 (0.0) | 0 (0.0) | ||
| Enterostomy closure | 5 (4.6) | 5 (11.1) | 0 (0.0) | 2 (28.6) | 0 (0.0) | 2 (40.0) | ||
| IBD hospitaliza-tions | ||||||||
| At least one IBD hospitaliza-tion | 101 (38.3) | 51 (43.2) | 50 (34.2) | 0.136 1 | 28 (19.6) | 11 (30.6) | 17 (15.9) | 0.055 1 |
| Hospitaliza-tions, n | 168 | 93 | 75 | 43 | 18 | 25 | ||
| Hospitaliza-tions/pt, median [range] | 1.0 [1-5] | 2.0 [1-4] | 1.0 [1-5] | 0.031 | 1.0 [1-5] | 1.0 [1-5] | 1.0 [1-3] | 0.978 |
| More than one hospitalization | 47 (46.5) | 29 (56.8) | 18 (36.0) | 10 (35.7) | 4 (36.4) | 6 (35.3) | ||
| Duration (d), median [range] | 6 [1-98] | 5 [0-76] | 4.5 [0-97] | 4 [1-737] | 2.5 [0-20] | 5 [0-737] | ||
| IBD medical appointments | ||||||||
| At least one IBD consultation | 263 (99.6) | 117 (99.2) | 146 (100.0) | 143 (100.0) | 36 (100.0) | 107 (100.0) | ||
| Consultations, n | 3192 | 1466 | 1726 | 1541 | 423 | 1118 | ||
| Consultations /pt, median [range] | 11.0 [1-45] | 12.0 [1-45] | 11.0 [1-35] | 0.801 | 10.0 [1-39] | 9.5 [1-39] | 10.0 [2-30] | 0.896 |
| More than 20 consultations | 27 (10.3) | 15 (12.8) | 12 (8.2) | 9 (6.3) | 4 (11.1) | 5 (4.7) | ||
| Type | ||||||||
| IBD specialist | 2989 (93.6) | 1356 (92.4) | 1633 (94.6) | 1426 (92.5) | 394 (93.1) | 1032 (92.3) | ||
| Emergency | 43 (1.3) | 25 (1.7) | 18 (1.0) | 34 (2.2) | 20 (4.7) | 14 (1.3) | ||
| Other specialist | 160 (5.0) | 85 (5.8) | 75 (4.3) | 81 (5.3) | 9 (2.1) | 72 (6.4) | ||
| Consultations with registered score | ||||||||
| HBI | 11 (0.3) | 1 (0.1) | 10 (0.6) | -- | -- | -- | ||
| CDAI | 103 (3.2) | 54 (3.7) | 49 (2.8) | -- | -- | -- | ||
| Other CD scores | 30 (0.9) | 21 (1.4) | 9 (0.5) | -- | -- | -- | ||
| pMayo score | -- | -- | -- | 95 (6.2) | 12 (2.8) | 83 (7.4) | ||
| Consultations with change of IBD treatment | 522 (16.4) | 269 (18.3) | 253 (14.7) | 0.005 1 | 353 (22.9) | 86 (20.3) | 267 (23.9) | 0.139 1 |
| IBD imaging and laboratory testing | ||||||||
| At least one IBD test | 260 (98.5) | 116 (98.3) | 144 (98.6) | -- | 141 (98.6) | 36 (100.0) | 105 (98.1) | -- |
| IBD tests, n | 5674 | 2722 | 2952 | 2509 | 643 | 1866 | ||
| Tests/pt, median [range] | 19.0 [1-143] | 20.0 [1-143] | 16.0 [1-94] | 0.372 | 15.0 [1-82] | 14.5 [2-82] | 16 [1-75] | 0.767 |
| More than 20 tests | 118 (45.4) | 56 (48.3) | 62 (43.1) | 57 (40.4) | 15 (41.7) | 42 (40.0) | ||
| Type [frequency ≥ 5%] | ||||||||
| Complete blood cell count | 2317 (40.8) | 1077 (39.6) | 1240 (42.0) | 973 (38.8) | 250 (38.9) | 723 (38.7) | ||
| C-reactive protein | 1773 (31.2) | 837 (30.7) | 936 (31.7) | 748 (29.8) | 214 (33.3) | 534 (28.6) | ||
| Serum albumin | 647 (11.4) | 346 (12.7) | 301 (10.2) | 356 (14.2) | 59 (9.2) | 297 (15.9) | ||
| Colonoscopy | 346 (6.1) | 183 (6.7) | 163 (5.5) | 228 (9.1) | 57 (8.9) | 171 (9.2) | ||
All P-values from Mann-Whitney U test, except
1
Chi-square test. Data are shown as n (%), except otherwise mentioned. CD: Crohn’s disease; UC: Ulcerative colitis; IBD: Inflammatory bowel disease; pt: Patient.