In this study, investigators from Canada quantified temporal changes in health care utilization by patients with IBD.
|Crohn's cases were more likely than ulcerative colitis cases to be hospitalized.|
|Clinical Gastroenterology and Hepatology|
The team used data from the University of Manitoba IBD Epidemiology Database.
They assessed the utilization of outpatient and hospital services, comparing IBD cases with a cohort of non-IBD controls. The team also compared utilization in patients with Crohn's disease vs ulcerative colitis.
In 2000/2001, the team found that IBD patients were more likely to have an outpatient visit (RR 1.18) and an overnight hospital stay (RR 2.32) than the controls.
In addition, they found that Crohn's disease cases were more likely than ulcerative colitis cases to be hospitalized (RR 1.26). Crohn's patients also had a greater number of outpatient visits.
However, between 1990/1991 and 2000/2001, there was a decrease in the number of IBD cases requiring an outpatient surgical visit relative to non-IBD controls.
The team found that for those cases who were hospitalized, Crohn's cases were less likely than ulcerative colitis cases to need IBD-specific inpatient surgery.
Drs Teresa Longobardi and Charles Bernstein concluded, "In 2000-2001, health care utilization continued to be higher in IBD versus controls and Crohn's disease vs ulcerative colitis".
"However, the gap in costly service utilization appeared to narrow between the latter pair".