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Self-monitoring with home based fecal calprotectin is associated with increased medical treatment : A randomized controlled trial on patients with inflammatory bowel disease
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- Östlund, Isak (author)
- Umeå universitet,Avdelningen för medicin
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- Werner, Mårten (author)
- Umeå universitet,Avdelningen för medicin
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- Karling, Pontus (author)
- Umeå universitet,Avdelningen för medicin
- (creator_code:org_t)
- 2020-12-07
- 2021
- English.
- In: Scandinavian Journal of Gastroenterology. - : Taylor & Francis. - 0036-5521 .- 1502-7708. ; 56:1, s. 38-45
- Journal article (peer-reviewed)
Abstract
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- Objectives: Self-monitoring of inflammatory bowel disease (IBD) with the assistant of telemedicine and home-based fecal calprotectin (FC) tests is evolving in the management of IBD. We performed a randomized controlled trial to investigate the compliance and effects of the model IBD-Home in patients with IBD.Materials and methods: Patients were randomized to IBD-Home + standard care (n = 84) or standard care alone (n = 74). Intervention with IBD-Home included IBDoc FC test kits and a digital application used for answering symptom questionnaires (Abbvie/Telia). They were instructed to use these on demand during a 12-month period. Data was collected retrospectively from medical records. Patients who completed the intervention were phoned and asked to answer a survey about the experience of IBD-Home.Results: The compliance to IBD-Home was low (29%). Women were more compliant compared with men (43% vs 17%, p < .001). A significantly higher proportion of patients in the IBD-Home group increased their medical treatment during the study period in comparison to control subjects (33% vs 15% p = .007) and there was an association between an increase in treatment and compliance to IBD home (multivariate odds ratio 3.22; 95(th) confidence interval 1.04 - 9.95). Overall patients reported a positive experience with slight technical difficulties.Conclusion: Self-monitoring with home based fecal calprotectin and a digital application was found feasible and appreciated by compliers. Compliance to the IBD-Home model was more common in women and associated with an increased treatment for IBD.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Calprotectin
- Crohn's disease
- E-health
- Inflammatory bowel disease
- Self-monitoring
- Telemedicine
- Ulcerative colitis
Publication and Content Type
- ref (subject category)
- art (subject category)
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