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Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey
J. Kral, R. Nakov, V. Lanska, B. Barberio, N. Benech, A. Blesl, E. Brunet, T. Capela, L. Derikx, G. Dragoni, A. Eek, C. Frias-Gomes, GE. Gîlcă-Blanariu, L. Gilroy, P. Harvey, A. Kagramanova, HT. Kani, T. Konikoff, M. Lessing, G. Madsen, V....
Language English Country Switzerland
Document type Journal Article
PubMed
36412565
DOI
10.1159/000528070
Knihovny.cz E-resources
- MeSH
- Biological Products * MeSH
- COVID-19 * MeSH
- Inflammatory Bowel Diseases * epidemiology therapy MeSH
- Humans MeSH
- Surveys and Questionnaires MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Europe MeSH
BACKGROUND: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries. METHODS: This trainee-initiated survey, run through SurveyMonkey®, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank). RESULTS: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly. CONCLUSION: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.
Department of Chronic Diseases and Metabolism TARGID IBD KU Leuven Leuven Belgium
Department of Digestive Tract Diseases Faculty of Medicine Medical University of Lodz Lodz Poland
Department of Gastroenterology and Hepatology University Hospital Zurich Zurich Switzerland
Department of Gastroenterology and Hepatology University Hospitals Leuven KU Leuven Leuven Belgium
Department of Gastroenterology Harvey PR Russells Hall Hospital Dudley UK
Department of Gastroenterology Hillingdon Hospital Uxbridge UK
Department of Gastroenterology Hospital Parc Tauli Sabadell Spain
Department of Gastroenterology IBD Referral Center Careggi University Hospital Florence Italy
Department of Gastroenterology Marmara University School of Medicine Istanbul Turkey
Department of Gastroenterology Royal Victoria Hospital Belfast UK
Department of Gastroenterology Saint Antoine Hospital AP HP Paris France
Department of Gastroenterology Tartu University Hospital Tartu Estonia
Department of Gastroenterology UHC Rijeka and UH Merkur Rijeka Croatia
Department of Hepatogastroenterology Institute for Clinical and Experimental Medicine Prague Czechia
Department of Internal Medicine and Hematology Semmelweis University Budapest Hungary
Department of Internal Medicine and Pediatrics Ghent University Ghent Belgium
Department of Internal Medicine Riga Stradins University Riga Latvia
Department of Pathophysiology and Transplantation University of Milan Milan Italy
Department of Surgery No1 Bogomolets National Medical University Kyiv Ukraine
Division of Gastroenterology Mater Dei Hospital Msida Malta
Gastroenterology Department Grigore T Popa University of Medicine and Pharmacy Lași Romania
Gastroenterology Department Hospital Senhora da Oliveira Guimarães Portugal
Gastroenterology Division Surgery Department Hospital Beatriz Ângelo Loures Portugal
Gastroenterology Unit Copenhagen University Hospital Hvidovre Hvidovre Denmark
IBD Department Moscow Clinical Scientific Centre Loginov Moscow Russian Federation
Out patient Department Medical Center Medeor Chelyabinsk Russian Federation
References provided by Crossref.org
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