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Complications While Waiting for IBD Surgery—Short Report
BACKGROUND AND AIMS: While striving to meet the quality standards for oncological care, hospitals frequently prioritize oncological procedures, resulting in longer waiting times to surgery for benign diseases like inflammatory bowel disease [IBD]. The aim of this Short Report is to highlight the pot...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Oxford University Press
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142398/ https://www.ncbi.nlm.nih.gov/pubmed/31402385 http://dx.doi.org/10.1093/ecco-jcc/jjz143 |
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author | Wasmann, Karin A |
author_facet | Wasmann, Karin A |
author_sort | Wasmann, Karin A |
collection | PubMed |
description | BACKGROUND AND AIMS: While striving to meet the quality standards for oncological care, hospitals frequently prioritize oncological procedures, resulting in longer waiting times to surgery for benign diseases like inflammatory bowel disease [IBD]. The aim of this Short Report is to highlight the potential consequences of a longer interval to surgery for IBD patients. METHODS: The mean waiting times to elective surgery for IBD patients with active and inactive disease [e.g. pouch surgery after subtotal colectomy] at the Amsterdam UMC, location AMC, between 2013 and 2015 were compared with those for colorectal cancer surgery. Correlations between IBD waiting times and disease complications [e.g. >5% weight loss, abscess formation] and additional health-care consumption [e.g. telephone/outpatient clinic appointment, hospital admission] during these waiting times were assessed. RESULTS: The mean waiting was 10 weeks [SD 8] for patients with active disease [n = 173] and 15 weeks [SD 16] for those with inactive disease [n = 97], remarkably higher than that for colorectal cancer patients [5 weeks]. While awaiting surgery, 1 out of 8 patients had to undergo surgery in an acute or semi-acute setting. Additionally, 19% of patients with active disease had disease complications, and 44% needed additional health care. The rates were comparable for patients with inactive disease. CONCLUSIONS: The current waiting time to surgery is not medically justified and creates a burden for health-care resources. This issue should be brought to the attention of policy makers, as it requires a structural solution. It is time to also set a maximally acceptable waiting time to surgery for IBD patients. |
format | Online Article Text |
id | pubmed-7142398 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-71423982020-04-13 Complications While Waiting for IBD Surgery—Short Report Wasmann, Karin A J Crohns Colitis Short Reports BACKGROUND AND AIMS: While striving to meet the quality standards for oncological care, hospitals frequently prioritize oncological procedures, resulting in longer waiting times to surgery for benign diseases like inflammatory bowel disease [IBD]. The aim of this Short Report is to highlight the potential consequences of a longer interval to surgery for IBD patients. METHODS: The mean waiting times to elective surgery for IBD patients with active and inactive disease [e.g. pouch surgery after subtotal colectomy] at the Amsterdam UMC, location AMC, between 2013 and 2015 were compared with those for colorectal cancer surgery. Correlations between IBD waiting times and disease complications [e.g. >5% weight loss, abscess formation] and additional health-care consumption [e.g. telephone/outpatient clinic appointment, hospital admission] during these waiting times were assessed. RESULTS: The mean waiting was 10 weeks [SD 8] for patients with active disease [n = 173] and 15 weeks [SD 16] for those with inactive disease [n = 97], remarkably higher than that for colorectal cancer patients [5 weeks]. While awaiting surgery, 1 out of 8 patients had to undergo surgery in an acute or semi-acute setting. Additionally, 19% of patients with active disease had disease complications, and 44% needed additional health care. The rates were comparable for patients with inactive disease. CONCLUSIONS: The current waiting time to surgery is not medically justified and creates a burden for health-care resources. This issue should be brought to the attention of policy makers, as it requires a structural solution. It is time to also set a maximally acceptable waiting time to surgery for IBD patients. Oxford University Press 2020-02 2019-08-12 /pmc/articles/PMC7142398/ /pubmed/31402385 http://dx.doi.org/10.1093/ecco-jcc/jjz143 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of European Crohn’s and Colitis Organisation. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Short Reports Wasmann, Karin A Complications While Waiting for IBD Surgery—Short Report |
title | Complications While Waiting for IBD Surgery—Short Report |
title_full | Complications While Waiting for IBD Surgery—Short Report |
title_fullStr | Complications While Waiting for IBD Surgery—Short Report |
title_full_unstemmed | Complications While Waiting for IBD Surgery—Short Report |
title_short | Complications While Waiting for IBD Surgery—Short Report |
title_sort | complications while waiting for ibd surgery—short report |
topic | Short Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7142398/ https://www.ncbi.nlm.nih.gov/pubmed/31402385 http://dx.doi.org/10.1093/ecco-jcc/jjz143 |
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