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Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey

机译:Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey

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摘要

Background: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries. Methods: This trainee-initiated survey, run through SurveyMonkey?, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank). Results: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly. Conclusion: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.

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  • 来源
    《Digestive diseases》 |2023年第3期|387-395|共9页
  • 作者单位

    Department of Hepatogastroenterology, Institute for Clinical and Experimental Medicine, Prague;

    Department of Gastroenterology, Tsaritsa Yoanna University Hospital, Medical University of Sofia;

    Department of Surgery, Oncology and Gastroenterology (DISCOG), Gastroenterology Unit, University ofDepartment of Gastroenterology, Saint Antoine Hospital, AP-HP, Paris, FranceDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University ofDepartment of Gastroenterology, Hospital Parc Tauli, Sabadell, SpainGastroenterology Department, Hospital Senhora da Oliveira, Guimar?es, PortugalDepartment of Gastroenterology and Hepatology, Inflammatory Bowel Disease Center, RadboudDepartment of Gastroenterology, IBD Referral Center, Careggi University Hospital, Florence, ItalyDepartment of Gastroenterology, Tartu University Hospital, Tartu, EstoniaGastroenterology Division, Surgery Department, Hospital Beatriz ?ngelo, Loures, PortugalGastroenterology Department, Grigore T Popa University of Medicine and Pharmacy, La?i, RomaniaDepartment of Gastroenterology, Royal Victoria Hospital, Belfast, UKIBD Department, Moscow Clinical Scientific Centre Loginov, Moscow, Russian FederationDepartment of Gastroenterology, Marmara University, School of Medicine, Istanbul, TurkeyDivision of Gastroenterology, Rabin Medical Center, Sackler Faculty of Medicine, Tel-AvivDepartment of Internal Medicine I, University Medical Center Schleswig-Holstein, Campus Kiel, KielGastroenterology Unit, Copenhagen University Hospital Hvidovre, Hvidovre, DenmarkClinic of Gastroenterology, Nephrology, and Surgery, Institute of Clinical Medicine, Faculty ofOut-patient Department, Medical Center Medeor, Chelyabinsk, Russian FederationDepartment of Gastroenterology, UHC Rijeka and UH Merkur, Rijeka, CroatiaClinic for Gastroenterology and Hepatology, Clinical Center of Serbia, School of Medicine, BelgradeDepartment of Pathophysiology and Transplantation, University of Milan, Milan, ItalyDepartment of Surgery №1, Bogomolets National Medical University, Kyiv, UkraineDepartment of Internal Medicine and Hematology, Semmelweis University, Budapest, HungaryDivision of Gastroenterology, Mater Dei Hospital, Msida, MaltaDepartment of Gastroenterology, Harvey PR, Russells Hall Hospital, Dudley, UKFirst Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, AHEPADepartment of Gastroenterology, Hospital de Galdakao, Biocruces Bizkaia Health Research InstituteDepartment of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, SwitzerlandDepartment of Internal Medicine, Riga Stradins University, Riga, LatviaDepartment of Internal Medicine and Pediatrics, Ghent University, Ghent, BelgiumDepartment of General and Colorectal Surgery, Department of Biochemistry, Faculty of MedicineDepartment of Digestive Tract Diseases, Faculty of Medicine, Medical University of Lodz, LodzDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, KU Leuven, LeuvenDepartment of Gastroenterology, Hillingdon Hospital, Uxbridge, UK;

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  • 原文格式 PDF
  • 正文语种 英语
  • 中图分类 消化系及腹部疾病;
  • 关键词

    Inflammatory bowel diseases; Quality of care; Training; VIPER; European;

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