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Disparity in Crohn’s disease activity between home and clinics is associated with unscheduled hospital visits due to disease flares

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Author(s)
Eun Soo KimYoo Jin LeeByung Ik JangKyeong Ok KimEun Young KimHyun Seok LeeSeong Woo JeonSang Gyu Kwak
Keimyung Author(s)
Lee, Yoo Jin
Department
Dept. of Internal Medicine (내과학)
Journal Title
Korean J Intern Med.
Issued Date
2018
Volume
33
Issue
5
Keyword
Crohn diseaseDisease activityMobile technologyPatients reporting outcome
Abstract
Background/Aims: E-health technologies have been implemented for the management of Crohn’s disease (CD). We aimed to identify differences between patient activities at home and at routine clinic visits using a web-based self-reporting CD symptom diary (CDSD) and to determine the impact of this disparity on clinical outcomes.

Methods: Patients with CD from three tertiary hospitals were invited to assess their symptoms at least once a week using CDSD. We identified patients who showed disparities in disease activity (high activity at home but normal at the next hospital visit) and evaluated clinical outcomes of these patients such as unscheduled visits due to flares using Kaplan-Meier analyses.

Results: One hundred and forty-three patients recorded their symptoms weekly for at least 3 consecutive months and were included. Forty-eight patients (33.6%) showed disparate disease activities between at home and at the next outpatient clinic visit. The cumulative risk of unscheduled visits was significantly higher in this disparity group than in the concordant group (p = 0.001). Disparity in activity (p = 0.003), and anti-tumor necrosis factor use (p = 0.002) were independent risk factors of unscheduled visits due to disease flares.

Conclusions: Disparity in disease activity is considerable in CD patients and is related to the risk of unscheduled hospital visit.
Keimyung Author(s)(Kor)
이유진
Publisher
School of Medicine (의과대학)
Citation
Eun Soo Kim et al. (2018). Disparity in Crohn’s disease activity between home and clinics is associated with unscheduled hospital visits due to disease flares. Korean J Intern Med., 33(5), 902–910. doi: 10.3904/kjim.2016.387
Type
Article
ISSN
2005-6648
Source
http://kjim.org/journal/view.php?doi=10.3904/kjim.2016.387
DOI
10.3904/kjim.2016.387
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41691
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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