engleski

IBD patients need in health quality of care: ECCO consensus

Bottom-line conclusion: Evidence-based medicine in QoHC is limited. It is concluded that optimizing QoHC by ?information? ; ?education?, ?benchmarking? and ?psychological analysis? helps the patient to understand the disease and comply with its therapy, increasing QoL, reducing depression and anxiety. Future aspects regarding more evidence-based science and optimization of QoHC in IBD throughout Europe have been proposed. Method: To define IBD patient needs in Quality of Health Care (QoHC) in Europe based on up- to date available evidence. The working group consisted of doctors, nurses and patient organizations from 12 European countries and Israel. Pub Med searching was performed as defined in the Delta Method. Each recommendation was graded (RG) in accordance with level of evidence (EL) based on Evidence Based Medicine, Oxford Centre. During UEGW 2007 the group reconvened to agree on the final version for each chapter of guideline statement. Results: PubMed search led to 6 RCT, 7 reviews, 63 original articles, but no meta-analysis regarding ?Information? ; ?Education? ; ?Primary Care?, ?Quality of life?, ?Psychological help? and ?Benchmarking of Health Care systems? in IBD. Seven ECCO statements have been worked out.

ulcerative; colitis; Crohn's disease

nije evidentirano