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The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission
J. Burisch, M. Zhao, S. Odes, P. De Cruz, S. Vermeire, CN. Bernstein, GG. Kaplan, D. Duricova, D. Greenberg, HO. Melberg, M. Watanabe, HS. Ahn, L. Targownik, VEH. Pittet, V. Annese, KT. Park, KH. Katsanos, ML. Høivik, Z. Krznaric, M. Chaparro,...
Jazyk angličtina Země Nizozemsko
Typ dokumentu časopisecké články, přehledy, práce podpořená grantem
- MeSH
- Crohnova nemoc * epidemiologie MeSH
- gastroenterologie * MeSH
- idiopatické střevní záněty * epidemiologie terapie MeSH
- lidé MeSH
- náklady na zdravotní péči MeSH
- ulcerózní kolitida * epidemiologie terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
The cost of caring for patients with inflammatory bowel disease (IBD) continues to increase worldwide. The cause is not only a steady increase in the prevalence of Crohn's disease and ulcerative colitis in both developed and newly industrialised countries, but also the chronic nature of the diseases, the need for long-term, often expensive treatments, the use of more intensive disease monitoring strategies, and the effect of the diseases on economic productivity. This Commission draws together a wide range of expertise to discuss the current costs of IBD care, the drivers of increasing costs, and how to deliver affordable care for IBD in the future. The key conclusions are that (1) increases in health-care costs must be evaluated against improved disease management and reductions in indirect costs, and (2) that overarching systems for data interoperability, registries, and big data approaches must be established for continuous assessment of effectiveness, costs, and the cost-effectiveness of care. International collaborations should be sought out to evaluate novel models of care (eg, value-based health care, including integrated health care, and participatory health-care models), as well as to improve the education and training of clinicians, patients, and policy makers.
Advanced Research Institute Tokyo Medical and Dental University Tokyo Japan
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas Madrid Spain
Department of Community Medicine University of Tromsø The Arctic University of Norway Tromsø Norway
Department of Gastroenterology and Hepatology University Hospital Leuven Leuven Belgium
Department of Gastroenterology Austin Health Melbourne VIC Australia
Department of Gastroenterology Copenhagen University Hospital North Zealand Hillerød Denmark
Department of Gastroenterology Hepatology and Nutrition University Hospital Zagreb Zagreb Croatia
Department of Gastroenterology Oslo University Hospital Oslo Norway
Department of Internal Medicine and Oncology Semmelweis University Budapest Hungary
Department of Medicine and Community Health Sciences University of Calgary Calgary AB Canada
Department of Medicine Austin Academic Centre The University of Melbourne Melbourne VIC Australia
Department of Medicine University of Otago Christchurch New Zealand
Department of Pharmacology Faculty of Medicine Charles University Prague Czech Republic
Department of Preventive Medicine College of Medicine Korea University Seoul South Korea
Department of Surgery Amsterdam University Medical Centers Amsterdam Netherlands
Department of Surgical Oncological and Gastroenterological Sciences University of Padua Padua Italy
Division of Gastroenterology McGill University Montreal QC Canada
Faculty of Health Sciences Ben Gurion University of the Negev Beer Sheva Israel
Faculty of Health Sciences University of Adelaide Adelaide SA Australia
Faculty of Medicine KU Leuven University Leuven Belgium
Gastro Unit Medical Division Copenhagen University Hospital Amager and Hvidovre Hvidovre Denmark
Genentech South San Francisco CA USA
IBD Clinical and Research Centre for IBD ISCARE Prague Czech Republic
IBD Clinical and Research Centre University of Manitoba Winnipeg MB Canada
IBD Unit St Mark's Hospital Middlesex UK
Institute of Clinical Medicine University of Oslo Oslo Norway
Citace poskytuje Crossref.org
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- $a Burisch, Johan $u Gastro Unit, Medical Division, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark; Copenhagen Center for Inflammatory Bowel Disease in Children, Adolescents and Adults, Copenhagen University Hospital-Amager and Hvidovre, Hvidovre, Denmark. Electronic address: johan.burisch@regionh.dk
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- $a The cost of inflammatory bowel disease in high-income settings: a Lancet Gastroenterology & Hepatology Commission / $c J. Burisch, M. Zhao, S. Odes, P. De Cruz, S. Vermeire, CN. Bernstein, GG. Kaplan, D. Duricova, D. Greenberg, HO. Melberg, M. Watanabe, HS. Ahn, L. Targownik, VEH. Pittet, V. Annese, KT. Park, KH. Katsanos, ML. Høivik, Z. Krznaric, M. Chaparro, EV. Loftus, PL. Lakatos, JP. Gisbert, W. Bemelman, B. Moum, RB. Gearry, MD. Kappelman, A. Hart, MJ. Pierik, JM. Andrews, SC. Ng, R. D'Inca, P. Munkholm
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- $a The cost of caring for patients with inflammatory bowel disease (IBD) continues to increase worldwide. The cause is not only a steady increase in the prevalence of Crohn's disease and ulcerative colitis in both developed and newly industrialised countries, but also the chronic nature of the diseases, the need for long-term, often expensive treatments, the use of more intensive disease monitoring strategies, and the effect of the diseases on economic productivity. This Commission draws together a wide range of expertise to discuss the current costs of IBD care, the drivers of increasing costs, and how to deliver affordable care for IBD in the future. The key conclusions are that (1) increases in health-care costs must be evaluated against improved disease management and reductions in indirect costs, and (2) that overarching systems for data interoperability, registries, and big data approaches must be established for continuous assessment of effectiveness, costs, and the cost-effectiveness of care. International collaborations should be sought out to evaluate novel models of care (eg, value-based health care, including integrated health care, and participatory health-care models), as well as to improve the education and training of clinicians, patients, and policy makers.
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