Postoperative health-care utilization in Crohn's disease: The impact of specialist care

Geoffrey C. Nguyen, Fred Saibil, A. Hillary Steinhart, Qi Li, Jill M. Tinmouth

Research output: Contribution to journalArticle

Abstract

Objectives: Crohn's disease (CD) patients frequently require surgery. We sought to characterize postoperative health-care utilization and its impact on outcomes. Methods: We assembled a population-based cohort of CD patients who underwent first surgery in Ontario, Canada, between 1996 and 2009. We compared intra-individual preoperative and postoperative health-care utilization and characterized utilization of early postoperative gastrointestinal care (EPGIC) and its impact on health outcomes. Results: For the 2,943 CD patients who underwent surgery, the 5-year risk of recurrent surgery was 26%. In the 5th postoperative year, the average annual number of inflammatory bowel disease (IBD)-related clinic visits, emergency department visits, endoscopy procedures, radiological procedures, and hospitalizations decreased by 62, 62, 82, 78, and 89% compared with prior to surgery. Regional utilization of EPGIC varied between 18 and 62% and correlated with the number of gastroenterologists within a regional local health integration network (ρ0.71; P

Original languageEnglish (US)
Pages (from-to)1522-1529
Number of pages8
JournalAmerican Journal of Gastroenterology
Volume107
Issue number10
DOIs
StatePublished - Oct 2012

Fingerprint

Patient Acceptance of Health Care
Postoperative Care
Crohn Disease
Health
Ontario
Ambulatory Care
Inflammatory Bowel Diseases
Endoscopy
Canada
Hospital Emergency Service
Hospitalization
Population

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Nguyen, G. C., Saibil, F., Hillary Steinhart, A., Li, Q., & Tinmouth, J. M. (2012). Postoperative health-care utilization in Crohn's disease: The impact of specialist care. American Journal of Gastroenterology, 107(10), 1522-1529. https://doi.org/10.1038/ajg.2012.235

Postoperative health-care utilization in Crohn's disease : The impact of specialist care. / Nguyen, Geoffrey C.; Saibil, Fred; Hillary Steinhart, A.; Li, Qi; Tinmouth, Jill M.

In: American Journal of Gastroenterology, Vol. 107, No. 10, 10.2012, p. 1522-1529.

Research output: Contribution to journalArticle

Nguyen, GC, Saibil, F, Hillary Steinhart, A, Li, Q & Tinmouth, JM 2012, 'Postoperative health-care utilization in Crohn's disease: The impact of specialist care', American Journal of Gastroenterology, vol. 107, no. 10, pp. 1522-1529. https://doi.org/10.1038/ajg.2012.235
Nguyen, Geoffrey C. ; Saibil, Fred ; Hillary Steinhart, A. ; Li, Qi ; Tinmouth, Jill M. / Postoperative health-care utilization in Crohn's disease : The impact of specialist care. In: American Journal of Gastroenterology. 2012 ; Vol. 107, No. 10. pp. 1522-1529.
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