Abstract

JULIAO BANOS, Fabián; AGUDELO ZAPATA, Yineth  and  YEPES DELGADO, Carlos. Survey results regarding variations in care of patients with inflammatory bowel disease. Rev Col Gastroenterol [online]. 2014, vol.29, n.1, pp.11-18. ISSN 0120-9957.

Objectives: The quality of care of our patients with inflammatory bowel disease (IBD) is the principal mechanism through which we can offer an appropriate level of health care for our population. Therefore, it is important to determine variations in care provided for patients by specialists with expertise in the management of IBD in Colombia. Methods: This is a descriptive statistical analysis of responses to a survey with 13 questions related to quality of care provided to patients with IBD. The survey was conducted in 2011 among specialists who are interested in the management of patients with IBD. Results: Fifty seven gastroenterologists and coloproctologists answered all 13 questionnaire questions. Among the most interesting results is the fact that 44 % of the respondents use topical 5-ASA drugs as monotherapy for treatment of mild ulcerative proctitis. 30% use correct doses of azathioprine (2.0 to 2.5 mg /kg). Only 47 % of these specialists prefer to start with top down biological therapy in patients with fistulizing Crohn’s disease (CD). Fifty four percent vaccinate their patients with IBD prior to the start of immunosuppressive therapy. Sixty seven percent think that patients with CD should suspend smoking, but 21% do not give patients any recommendation about smoking. Only 54 % of respondents screen for osteoporosis in individuals with IBD and chronic steroid use. Finally, 67% screen for colorectal cancer in patients with CD which is similar to the recommendations for ulcerative colitis (UC). Conclusion: Treatment and preventive care for patients with IBD varies greatly within our environment, this represents a great opportunity for continuous improvement in our daily practice. Greater adherence to guidelines and recommendations for proper management of our patients with IBD is required.

Keywords : Inflammatory bowel disease; Crohn’s disease; ulcerative colitis; quality of care.

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