A new system of specialized gastroenterological care to patients with inflammatory bowel diseases in Saint Petersburg

作者：Baranovsky A Yu^*; Kondrashina E A; Segal A M

来源：Terapevticheskii Arkhiv, 2013, 85(2): 17-20.

• ulcerative colitis
• Crohn's disease
• organization of care in Saint Petersburg

Aim. To substantiate the effectiveness of the set-up center in the early detection of patients with inflammatory bowel diseases (IBD) and in its organization and implementation of current therapeutic programs.
Materials and methods. The therapeutic activity of the specialized medical care system set up in Saint Petersburg for patients with IBD (ulcerative colitis (UC) and Crohn's disease (CD)), which is based on a multifunctional inflammatory bowel disease center at City Clinical Hospital Thirty-One, was analyzed.
Results. The effective work of the center could reduce time for verification of the diagnosis of UC from 6.4+/-1.4 to 3.6+/-0.8 months and CD from 28.6+/-6.7 to 15.3+/-4.2 months, respectively; decline the annual number of patients with moderate and severe UC from 73.4 to 53.6 and CD from 66.7 to 47%, and also set up a centralized system for all required types of current therapeutic and diagnostic care for these patients.
Conclusion. The establishment of the Saint Petersburg Center for the diagnosis and treatment of inflammatory bowel diseases could develop and realize in practice a new closed-loop urban system for the early detection and notification of IBD patients, the organization and rendering of individual effective therapeutic-and-prophylactic care.

• 出版日期2013