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Assessing national trends and disparities in ambulatory, emergency department, and inpatient visits for inflammatory bowel disease in the United States (2005–2016)

Clinical Gastroenterology and Hepatology Feb 02, 2020

Ma C, Smith M, Guizzetti L, et al. - In order to measure the total number of annual inflammatory bowel diseases (IBD)-related visits from 2005 through 2016, researchers used data from the National Ambulatory Medical Care Survey, Nationwide Emergency Department Sample, and National Inpatient Sample. Logistic regression analyses were performed to test temporal linear trends. From 2005 through 2016, nearly 2.2 million IBD-related ambulatory visits occurred annually on average, rising by 70.3% from the time period of 2005–2007 through the time period of 2008–2010, and reducing by 19.8% from the time period of 2011–2013 through the time period of 2014–2016. An average of 115,934 IBD-related emergency department (ED) visits and 89,111 hospital discharges associated with IBD occurred annually. Hospital-based vs ambulatory services were used by a larger proportion of young patients, Crohn disease patients, non-white patients and Medicare or Medicaid patients. In an analysis of data from three large databases, the authors discovered that while IBD-related ambulatory visits stabilized-to-decreased from 2005 through 2016, rates of ED use and hospital admission have continued to rise with shifts in patient demographics, over time and among care settings.
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