Risk factors for incomplete telehealth appointments among patients with inflammatory bowel disease.

geriatrics inflammatory bowel disease telehealth

Journal

Therapeutic advances in gastroenterology
ISSN: 1756-283X
Titre abrégé: Therap Adv Gastroenterol
Pays: England
ID NLM: 101478893

Informations de publication

Date de publication:
2023
Historique:
received: 29 08 2022
accepted: 01 02 2023
medline: 1 5 2023
pubmed: 1 5 2023
entrez: 1 5 2023
Statut: epublish

Résumé

The COVID-19 pandemic led to the urgent implementation of telehealth visits in inflammatory bowel disease (IBD) care; however, data assessing feasibility remain limited. We looked to determine the completion rate of telehealth appointments for adults with IBD, as well as to evaluate demographic, clinical, and social predictors of incomplete appointments. We conducted a retrospective analysis of all patients with IBD who had at least one scheduled telehealth visit at the NYU IBD Center between 1 March 2020 and 31 August 2021, with only the first scheduled telehealth appointment considered. Medical records were parsed for relevant covariables, and multivariable logistic regression was used to estimate the adjusted association between demographic factors and an incomplete telehealth appointment. From 1 March 2020 to 31 August 2021, there were 2508 patients with IBD who had at least one telehealth appointment, with 1088 (43%) having Crohn's disease (CD), 1037 (41%) having ulcerative colitis (UC), and 383 (15%) having indeterminate colitis. Of the initial telehealth visits, 519 (21%) were not completed, including 435 (20%) among patients <60 years as compared to 84 (23%) among patients ⩾60 years ( Patients with CD, females, and those with less social support were at higher risk for missed telehealth appointments, as were adults >80 years. Engaging older adults

Sections du résumé

Background UNASSIGNED
The COVID-19 pandemic led to the urgent implementation of telehealth visits in inflammatory bowel disease (IBD) care; however, data assessing feasibility remain limited.
Objectives UNASSIGNED
We looked to determine the completion rate of telehealth appointments for adults with IBD, as well as to evaluate demographic, clinical, and social predictors of incomplete appointments.
Design UNASSIGNED
We conducted a retrospective analysis of all patients with IBD who had at least one scheduled telehealth visit at the NYU IBD Center between 1 March 2020 and 31 August 2021, with only the first scheduled telehealth appointment considered.
Methods UNASSIGNED
Medical records were parsed for relevant covariables, and multivariable logistic regression was used to estimate the adjusted association between demographic factors and an incomplete telehealth appointment.
Results UNASSIGNED
From 1 March 2020 to 31 August 2021, there were 2508 patients with IBD who had at least one telehealth appointment, with 1088 (43%) having Crohn's disease (CD), 1037 (41%) having ulcerative colitis (UC), and 383 (15%) having indeterminate colitis. Of the initial telehealth visits, 519 (21%) were not completed, including 435 (20%) among patients <60 years as compared to 84 (23%) among patients ⩾60 years (
Conclusion UNASSIGNED
Patients with CD, females, and those with less social support were at higher risk for missed telehealth appointments, as were adults >80 years. Engaging older adults

Identifiants

pubmed: 37124374
doi: 10.1177/17562848231158231
pii: 10.1177_17562848231158231
pmc: PMC10134163
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17562848231158231

Informations de copyright

© The Author(s), 2023.

Déclaration de conflit d'intérêts

The authors declare that there is no conflict of interest.

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Auteurs

Katherine L Stone (KL)

New York University Langone Medical Center, New York, NY, USA.

Emma Kulekofsky (E)

New York University Langone Medical Center, New York, NY, USA.

David Hudesman (D)

New York University Langone Medical Center, New York, NY, USA.

Samuel Kozloff (S)

New York University Langone Medical Center, New York, NY, USA.

Feza Remzi (F)

New York University Langone Medical Center, New York, NY, USA.

Jordan E Axelrad (JE)

New York University Langone Medical Center, New York, NY, USA.

Seymour Katz (S)

New York University Langone Medical Center, New York, NY, USA.

Simon J Hong (SJ)

New York University Langone Medical Center, New York, NY, USA.

Ariela Holmer (A)

New York University Langone Medical Center, New York, NY, USA.

Mara A McAdams-DeMarco (MA)

New York University Langone Medical Center, New York, NY, USA.

Dorry L Segev (DL)

New York University Langone Medical Center, New York, NY, USA.

John Dodson (J)

New York University Langone Medical Center, New York, NY, USA.

Aasma Shaukat (A)

New York University Langone Medical Center, New York, NY, USA.

Adam S Faye (AS)

NYU Grossman School of Medicine, New York University Langone Medical Center, New York University, 305 East 33rd Street, New York, NY 10016, USA.

Classifications MeSH