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The clinical usefulness of a web-based messaging system between patients with Crohn disease and their physicians

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Author(s)
Da Eun JeongKyeong Ok KimByung Ik JangEun Young KimJin Tae JungSeong Woo JeonHyun Seok LeeEun Soo KimKyung Sik ParkKwang Bum Cho
Keimyung Author(s)
Cho, Kwang BumPark, Kyung Sik
Journal Title
Medicine
Issued Date
2016
Volume
95
Issue
26
Keyword
Crohn diseaseMessagesWeb-based system
Abstract
To avoid missing events associated with clinical activity, the authors previously developed a novel, web-based, self-reporting Crohn
disease (CD) symptom diary. However, although this diary provided a means of self-checking based on responses to set questions
based on Harvey–Bradshaw index scores, it was limited in terms of describing other specific symptoms. Thus, the authors added a
space to the questionnaire, which allows patients to send clinicians questions or a description of unpredictable events. The aim of the
present study was to assess the clinical usefulness of this messaging system by analyzing patients’ messages.
The messaging system between patients and their doctors was included in a webpage created for recording patients’ symptom
diaries (www.cdsd.or.kr). Using this system, patients can send messages easily at any time and doctors can read and respond to
these messages immediately using a smart phone or computer. In the present study, the authors retrospectively reviewed 686
messages sent by 152 patients from July 2012 to July 2014 and patient medical records.
Mean patient age was 29.0±11.6 years and the male-to-female ratio was 99:53. Most messages regarded symptoms (381
messages, 55.5%), which was followed by self-reports about general condition (195 messages, 28.4%) and questions about
treatment (71 messages, 10.3%). With respect to symptoms, abdominal pain was most common (145 cases, 21.1%) followed by
hematochezia (36 cases, 5.2%). Problems about medication were the most frequently associated with treatment (65, 91.5%).
Patients above 40 years showed a greater tendency to focus on symptoms and treatment (P=0.025). The doctor answer rate was
56.3% (n=386), and based on these responses, an early visit was needed in 28 cases (7.3%).
Using this web-based messaging system, patients were able to obtain proper advice from their physicians without visiting clinics or
searching the Internet, and in addition, 7.3% of messages prompted an early visit. Although longer follow-up is required, this study
shows that the devised messaging system provides a clinically relevant communication tool for patients and physicians.
Keimyung Author(s)(Kor)
박경식
조광범
Publisher
School of Medicine
Citation
Da Eun Jeong et al. (2016). The clinical usefulness of a web-based messaging system between patients with Crohn disease and their physicians. Medicine, 95(26), e4028–e4028. doi: 10.1097/MD.0000000000004028
Type
Article
ISSN
0025-7974
DOI
10.1097/MD.0000000000004028
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33306
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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