Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists
Background/Aim: Although international guidelines in inflammatory bowel disease (IBD) management are currently available, variations in IBD care still exist. The aim of this study was to determine the extent of the variation in IBD care among Saudi pediatric gastroenterologists.Materials and Methods...
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doaj-25caa1d0d4674e07ac8413e681d024af2020-11-25T00:50:21ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492017-01-01231455110.4103/1319-3767.199115Variation in inflammatory bowel disease care among saudi pediatric gastroenterologistsAhmed A Al-SarkhyBackground/Aim: Although international guidelines in inflammatory bowel disease (IBD) management are currently available, variations in IBD care still exist. The aim of this study was to determine the extent of the variation in IBD care among Saudi pediatric gastroenterologists.Materials and Methods: A cross-sectional survey was conducted among all pediatric gastroenterologists who were members of the Saudi Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SASPGHAN) from August 2015 to December 2015. The questionnaire included items on demographic characteristics and utilization of different diagnostic and therapeutic interventions in IBD care. Results: Of the 45 registered pediatric gastroenterologists surveyed, 37 (82%) returned the survey from 20 centers across the country; 75.7% were practicing in tertiary care centers. There was a considerable variation in the use of different diagnostic tests during the initial evaluation of the disease. Utilization of calprotectin assays, magnetic resonance imaging enterography, and bone densitometry seemed to vary the most between physicians practicing at tertiary and secondary care centers. There were statistically significant differences in the prescription of biological therapy between the two groups. Conclusions: We found a considerable variation in the use of different diagnostic and therapeutic interventions in the management of pediatric IBD patients. Such variations could lead to unintended differences in patient outcomes. Implementation of the available evidence-based guidelines may limit such variations and ultimately could improve the quality of IBD care provided.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=1;spage=45;epage=51;aulast=Al-SarkhyChildreninflammatory bowel diseaseSaudivariation of care |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmed A Al-Sarkhy |
spellingShingle |
Ahmed A Al-Sarkhy Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists The Saudi Journal of Gastroenterology Children inflammatory bowel disease Saudi variation of care |
author_facet |
Ahmed A Al-Sarkhy |
author_sort |
Ahmed A Al-Sarkhy |
title |
Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
title_short |
Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
title_full |
Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
title_fullStr |
Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
title_full_unstemmed |
Variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
title_sort |
variation in inflammatory bowel disease care among saudi pediatric gastroenterologists |
publisher |
Wolters Kluwer Medknow Publications |
series |
The Saudi Journal of Gastroenterology |
issn |
1319-3767 1998-4049 |
publishDate |
2017-01-01 |
description |
Background/Aim: Although international guidelines in inflammatory bowel disease (IBD) management are currently available, variations in IBD care still exist. The aim of this study was to determine the extent of the variation in IBD care among Saudi pediatric gastroenterologists.Materials and Methods: A cross-sectional survey was conducted among all pediatric gastroenterologists who were members of the Saudi Society of Pediatric Gastroenterology, Hepatology, and Nutrition (SASPGHAN) from August 2015 to December 2015. The questionnaire included items on demographic characteristics and utilization of different diagnostic and therapeutic interventions in IBD care. Results: Of the 45 registered pediatric gastroenterologists surveyed, 37 (82%) returned the survey from 20 centers across the country; 75.7% were practicing in tertiary care centers. There was a considerable variation in the use of different diagnostic tests during the initial evaluation of the disease. Utilization of calprotectin assays, magnetic resonance imaging enterography, and bone densitometry seemed to vary the most between physicians practicing at tertiary and secondary care centers. There were statistically significant differences in the prescription of biological therapy between the two groups. Conclusions: We found a considerable variation in the use of different diagnostic and therapeutic interventions in the management of pediatric IBD patients. Such variations could lead to unintended differences in patient outcomes. Implementation of the available evidence-based guidelines may limit such variations and ultimately could improve the quality of IBD care provided. |
topic |
Children inflammatory bowel disease Saudi variation of care |
url |
http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2017;volume=23;issue=1;spage=45;epage=51;aulast=Al-Sarkhy |
work_keys_str_mv |
AT ahmedaalsarkhy variationininflammatoryboweldiseasecareamongsaudipediatricgastroenterologists |
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