Patient satisfaction with brand changes of Mesalazine medications in four hospitals in the North West of England
Author(s): Campbell R.; Nelson E.; Hocking J.; Hickey T.; Hodgins J.; Geraghty V.
Source: Journal of Crohn's and Colitis; Feb 2018; vol. 12
Publication Date: Feb 2018
Publication Type(s): Conference Abstract
Abstract:Background: In the current financial climate the NHS is under pressure to change medications in order to improve the cost-effectiveness of prescribing. Despite this practice being widespread, there is a paucity of information on how patients feel about these changes. A key strategy for preventing relapses in patients with inflammatory bowel disease (IBD) is treatment with Mesalazine. Anecdotal reports have suggested that IBD patients find changes in their IBD medication worrying and that this may destabilise symptom control.
Author(s): Abdulla, Omar; White, Emily
Source: British Journal of Hospital Medicine (17508460); Nov 2017; vol. 78 (no. 11); p. 654-654
Publication Date: Nov 2017
Publication Type(s): Academic Journal
Available at British Journal of Hospital Medicine (17508460) - from MAG Online Library
Abstract:The article describes the case of a 70-year-old woman who presented with severe abdominal pain and computed tomography of the abdomen and pelvis revealed a long, smooth distal sigmoid stricture with a proximal bowel dilatation and perforation probably caused by radiotherapy.
Accuracy of routinely collected comorbidity data in patients undergoing colectomy: a retrospective study
Author(s): Hajibandeh S.; Deering R.; McEleney D.; Guirguis J.; Dix S.; Sreh A.; Kausar A.
Source: International Journal of Colorectal Disease; Sep 2017; vol. 32 (no. 9); p. 1341-1344
Publication Date: Sep 2017
Publication Type(s): Article
Abstract:Objectives: This paper aimed to determine the baseline accuracy, sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of routinely collected comorbidity data in patients undergoing any types of colectomy. Methods: All patients aged >18 who underwent right hemicolectomy, left hemicolectomy, sigmoid colectomy, subtotal colectomy, or total colectomy between 1 January 2015 and 1 November 2016 were identified. The following comorbidities were considered: hypertension, ischemic heart disease (IHD), diabetes, asthma, chronic obstructive pulmonary disease (COPD), cerebrovascular disease (CVD), chronic kidney disease (CKD), and hypercholesterolemia. The comorbidity data from clinical notes were compared with corresponding data in hospital episode statistics (HES) database in order to calculate accuracy, sensitivity, specificity, PPV, and NPV of HES codes for comorbidities. In order to assess the agreement between clinical notes and HES data, we also calculated Cohen's kappa index value as a more robust measure of agreement. Results: Overall, 267 patients comprising 2136 comorbidity codes were included. Overall, HES codes for comorbidities in patients undergoing colectomy had substandard accuracy 94% (kappa 0.542), sensitivity (39%), and NPV (89%). The HES codes were 100% specific with PPV of 100%. The results were consistent when individual comorbidities were analyzed separately. Conclusions: Our results demonstrated that HES comorbidity codes in patients undergoing colectomy are specific with good positive predictive value; however, they have substandard accuracy, sensitivity, and negative predictive value. Better documentation of comorbidities in admission clerking proforma may help to improve the quality of source documents for coders, which in turn may improve the accuracy of coding.Copyright © 2017, Springer-Verlag Berlin Heidelberg.
Author(s): Campbell, R; Gaskell, S; Nelson, E; Bloor, R; Hocking, J; Hickey, T; Geraghty, V; Hodgins, J
Source: Journal of Crohn's & colitis; Feb 2017; vol. 11 ; p. S494
Publication Date: Feb 2017
Publication Type(s): Journal Article
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