Gaps between European Crohn's Colitis Organisation quality standards of care and the real world on structure of IBD units across Europe: results from E-QUALITY survey.

IF 8.7
Gionata Fiorino, Alissa Walsh, Michel Adamina, Manuel Barreiro-de Acosta, Mariam P Ali, Martin Bortlik, Johan Burisch, Axel Dignass, David Drobne, Omar Faiz, Marc Ferrante, Liselotte Fierens, Lihi Godny, Anna Gojdicova, Marietta Iacucci, Susanna Jӓghult, Konstantinos Karmiris, Julien Kirchgesner, Sophie Restellini, Francesca Rosini, Dror Shouval, Welmoed Van Deen, Henit Yanai, Edyta Zagórowicz, Catarina Fidalgo
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Abstract

Background and aims: Inflammatory bowel diseases (IBD), including Crohn's disease and ulcerative colitis, require an interdisciplinary approach for diagnosis, monitoring, and management. The European Crohn's and Colitis Organisation (ECCO) has developed evidence-based recommendations and quality care standards for IBD management, but gaps between these standards and real-world practice persist. The E-QUALITY task force aimed to evaluate the structure, processes, and outcomes of IBD units across Europe and identify barriers to achieving ECCO quality standards.

Methods: A web-based survey was conducted from September 2022 to October 2024 among 245 institutions in 35 European countries. The survey assessed unit structure, interdisciplinary care, services, facilities, and barriers to achieving quality care standards. Subgroup analyses were performed based on institution type, patient volume, and geographical distribution.

Results: Formal IBD units were present in 68% of institutions, with interdisciplinary teams available in 94%. Institutions with >500 active patients were more likely to meet ECCO standards for interdisciplinary care, quality indicators, and patient support but faced challenges such as lack of time and referral pathways. Geographical disparities significantly influenced the availability of resources and services. Key barriers to quality care included lack of time (71%), personnel (69%), and funding (45%).

Conclusions: Significant gaps in quality care standards remain across European IBD units. Enhanced support from ECCO, by education and position papers/guidelines may help bridge these gaps.

欧洲克罗恩结肠炎组织的护理质量标准与欧洲IBD单位结构的现实世界之间的差距:来自E-QUALITY调查的结果。
背景和目的:炎症性肠病(IBD),包括克罗恩病和溃疡性结肠炎,需要跨学科的诊断、监测和治疗方法。欧洲克罗恩病和结肠炎组织(ECCO)已经制定了IBD管理的循证建议和质量护理标准,但这些标准与现实实践之间的差距仍然存在。E-QUALITY工作组旨在评估整个欧洲IBD单元的结构、流程和结果,并确定实现ECCO质量标准的障碍。方法:从2022年9月到2024年10月,在欧洲35个国家的245所机构中进行了一项基于网络的调查。调查评估了单位结构、跨学科护理、服务、设施和达到高质量护理标准的障碍。根据机构类型、患者数量和地理分布进行亚组分析。结果:68%的机构有正式的IBD单位,94%的机构有跨学科团队。拥有500名活跃患者的机构更有可能在跨学科护理、质量指标和患者支持方面达到ECCO标准,但面临缺乏时间和转诊途径等挑战。地理差异严重影响了资源和服务的可得性。高质量护理的主要障碍包括缺乏时间(71%)、人员(69%)和资金(45%)。结论:欧洲IBD单位在质量护理标准方面仍存在显著差距。ECCO通过教育和立场文件/指导方针加强支持可能有助于弥合这些差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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