Cargando…

Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease

BACKGROUND: The COVID-19 pandemic led to the urgent implementation of telehealth visits in inflammatory bowel disease (IBD) care; however, data assessing feasibility remain limited. OBJECTIVES: We looked to determine the completion rate of telehealth appointments for adults with IBD, as well as to e...

Descripción completa

Detalles Bibliográficos
Autores principales: Stone, Katherine L., Kulekofsky, Emma, Hudesman, David, Kozloff, Samuel, Remzi, Feza, Axelrad, Jordan E., Katz, Seymour, Hong, Simon J., Holmer, Ariela, McAdams-DeMarco, Mara A., Segev, Dorry L., Dodson, John, Shaukat, Aasma, Faye, Adam S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134163/
https://www.ncbi.nlm.nih.gov/pubmed/37124374
http://dx.doi.org/10.1177/17562848231158231
_version_ 1785031700018888704
author Stone, Katherine L.
Kulekofsky, Emma
Hudesman, David
Kozloff, Samuel
Remzi, Feza
Axelrad, Jordan E.
Katz, Seymour
Hong, Simon J.
Holmer, Ariela
McAdams-DeMarco, Mara A.
Segev, Dorry L.
Dodson, John
Shaukat, Aasma
Faye, Adam S.
author_facet Stone, Katherine L.
Kulekofsky, Emma
Hudesman, David
Kozloff, Samuel
Remzi, Feza
Axelrad, Jordan E.
Katz, Seymour
Hong, Simon J.
Holmer, Ariela
McAdams-DeMarco, Mara A.
Segev, Dorry L.
Dodson, John
Shaukat, Aasma
Faye, Adam S.
author_sort Stone, Katherine L.
collection PubMed
description BACKGROUND: The COVID-19 pandemic led to the urgent implementation of telehealth visits in inflammatory bowel disease (IBD) care; however, data assessing feasibility remain limited. OBJECTIVES: We looked to determine the completion rate of telehealth appointments for adults with IBD, as well as to evaluate demographic, clinical, and social predictors of incomplete appointments. DESIGN: We conducted a retrospective analysis of all patients with IBD who had at least one scheduled telehealth visit at the NYU IBD Center between 1 March 2020 and 31 August 2021, with only the first scheduled telehealth appointment considered. METHODS: Medical records were parsed for relevant covariables, and multivariable logistic regression was used to estimate the adjusted association between demographic factors and an incomplete telehealth appointment. RESULTS: From 1 March 2020 to 31 August 2021, there were 2508 patients with IBD who had at least one telehealth appointment, with 1088 (43%) having Crohn’s disease (CD), 1037 (41%) having ulcerative colitis (UC), and 383 (15%) having indeterminate colitis. Of the initial telehealth visits, 519 (21%) were not completed, including 435 (20%) among patients <60 years as compared to 84 (23%) among patients ⩾60 years (p = 0.22). After adjustment, patients with CD had higher odds of an incomplete appointment as compared to patients with UC [adjusted odds ratio (adjOR): 1.37, 95% confidence interval (CI): 1.10–1.69], as did females (adjOR: 1.26, 95% CI: 1.04–1.54), and patients who had a non-first-degree relative listed as an emergency contact (adjOR: 1.69, 95% CI: 1.16–2.44). While age ⩾60 years was not associated with appointment completion status, we did find that age >80 years was an independent predictor of missed telehealth appointments (adjOR: 2.92, 95% CI: 1.12–7.63) when compared to individuals aged 60–70 years. CONCLUSION: Patients with CD, females, and those with less social support were at higher risk for missed telehealth appointments, as were adults >80 years. Engaging older adults via telehealth, particularly those aged 60–80 years, may therefore provide an additional venue to complement in-person care.
format Online
Article
Text
id pubmed-10134163
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-101341632023-04-28 Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease Stone, Katherine L. Kulekofsky, Emma Hudesman, David Kozloff, Samuel Remzi, Feza Axelrad, Jordan E. Katz, Seymour Hong, Simon J. Holmer, Ariela McAdams-DeMarco, Mara A. Segev, Dorry L. Dodson, John Shaukat, Aasma Faye, Adam S. Therap Adv Gastroenterol The Impact of COVID-19 in Gastrointestinal Diseases BACKGROUND: The COVID-19 pandemic led to the urgent implementation of telehealth visits in inflammatory bowel disease (IBD) care; however, data assessing feasibility remain limited. OBJECTIVES: We looked to determine the completion rate of telehealth appointments for adults with IBD, as well as to evaluate demographic, clinical, and social predictors of incomplete appointments. DESIGN: We conducted a retrospective analysis of all patients with IBD who had at least one scheduled telehealth visit at the NYU IBD Center between 1 March 2020 and 31 August 2021, with only the first scheduled telehealth appointment considered. METHODS: Medical records were parsed for relevant covariables, and multivariable logistic regression was used to estimate the adjusted association between demographic factors and an incomplete telehealth appointment. RESULTS: From 1 March 2020 to 31 August 2021, there were 2508 patients with IBD who had at least one telehealth appointment, with 1088 (43%) having Crohn’s disease (CD), 1037 (41%) having ulcerative colitis (UC), and 383 (15%) having indeterminate colitis. Of the initial telehealth visits, 519 (21%) were not completed, including 435 (20%) among patients <60 years as compared to 84 (23%) among patients ⩾60 years (p = 0.22). After adjustment, patients with CD had higher odds of an incomplete appointment as compared to patients with UC [adjusted odds ratio (adjOR): 1.37, 95% confidence interval (CI): 1.10–1.69], as did females (adjOR: 1.26, 95% CI: 1.04–1.54), and patients who had a non-first-degree relative listed as an emergency contact (adjOR: 1.69, 95% CI: 1.16–2.44). While age ⩾60 years was not associated with appointment completion status, we did find that age >80 years was an independent predictor of missed telehealth appointments (adjOR: 2.92, 95% CI: 1.12–7.63) when compared to individuals aged 60–70 years. CONCLUSION: Patients with CD, females, and those with less social support were at higher risk for missed telehealth appointments, as were adults >80 years. Engaging older adults via telehealth, particularly those aged 60–80 years, may therefore provide an additional venue to complement in-person care. SAGE Publications 2023-04-25 /pmc/articles/PMC10134163/ /pubmed/37124374 http://dx.doi.org/10.1177/17562848231158231 Text en © The Author(s), 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle The Impact of COVID-19 in Gastrointestinal Diseases
Stone, Katherine L.
Kulekofsky, Emma
Hudesman, David
Kozloff, Samuel
Remzi, Feza
Axelrad, Jordan E.
Katz, Seymour
Hong, Simon J.
Holmer, Ariela
McAdams-DeMarco, Mara A.
Segev, Dorry L.
Dodson, John
Shaukat, Aasma
Faye, Adam S.
Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title_full Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title_fullStr Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title_full_unstemmed Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title_short Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
title_sort risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease
topic The Impact of COVID-19 in Gastrointestinal Diseases
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134163/
https://www.ncbi.nlm.nih.gov/pubmed/37124374
http://dx.doi.org/10.1177/17562848231158231
work_keys_str_mv AT stonekatherinel riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT kulekofskyemma riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT hudesmandavid riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT kozloffsamuel riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT remzifeza riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT axelradjordane riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT katzseymour riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT hongsimonj riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT holmerariela riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT mcadamsdemarcomaraa riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT segevdorryl riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT dodsonjohn riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT shaukataasma riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease
AT fayeadams riskfactorsforincompletetelehealthappointmentsamongpatientswithinflammatoryboweldisease