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- W2978412993 abstract "Introduction: Patients with chronic, immune-mediated conditions such as inflammatory bowel disease (IBD) are often treated with long-term immunosuppressive therapies. Patients with IBD are at increased risk for infection due to the underlying disease as well as the immunosuppressive therapy. These patients require vigorous compliance in healthcare maintenance related to their age, sex, disease, and medication. Despite published consensus guidelines with specific health maintenance recommendations, these services are frequently underutilized. Methods: To improve compliance in health maintenance guidelines, two interventions were implemented in our institution. First was provider education, which included a monthly review of the general screening and health maintenance guidelines for IBD patients. Secondly, a checklist was attached to the patients chart during each clinic visit for colorectal cancer screening, their hepatitis B immune status, cervical cancer screening for female patients, status of pneumococcal and influenza vaccines. We conducted a retrospective chart review at a New York City hospital of 60 patients with diagnosis of IBD who had at least two visits at the Gastroenterology Clinic over a year. Variables reviewed include demographic data, immunization histories, colon cancer screening, and cervical cancer screening. We compared our pre and post intervention results. Results: Mean age of patients in pre and post intervention group was 49.3 and 48 years respectively. Post intervention, 26 out of 60 (47%) patients received the influenza vaccine, 23 (41%) patients received the pneumococcal vaccine, and 13 out of the 25 (52%) female patients had cervical cancer screening compared to 36 %, 15% and 48% respectively in the pre intervention group. All the patients were up-to-date with their colorectal cancer screening. Majority of the patients in the post intervention group, 46 (83%) were immunized to Hepatitis B compared to 56.6% pre intervention with Odds ratio 2.4. Conclusion: IBD patients are at an increased risk of complications from preventable diseases. By using a simple two step intervention of provider education and a check list, we were able to show an increase in compliance with vaccinations for hepatitis B, pneumococcal pneumonia and influenza in our IBD patient population. Given the new pay for performance measures that the affordable care act mandates we believe our simple intervention can easily be implemented to improve quality care for IBD patients." @default.
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- W2978412993 date "2015-10-01" @default.
- W2978412993 modified "2023-09-27" @default.
- W2978412993 title "Improving Quality of Health Maintenance Provision for Inflammatory Bowel Disease Patients" @default.
- W2978412993 doi "https://doi.org/10.14309/00000434-201510001-01937" @default.
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