Health Maintenance of Patients With Inflammatory Bowel Disease: Reported Practice
| Health Maintenance Task | Gastroenterologists n=50 | Primary Care Providers n=87 | Difference (95% confidence interval) | P Value |
|---|---|---|---|---|
| Assess for IBD-related health maintenance issues | 40 (80) | 38 (44) | 36 (19 to 49) | <0.0001 |
| Assess for surveillance colonoscopy | 47 (94) | 70 (80) | 14 (2 to 24) | 0.03 |
| Screen for tobacco use/counsel to quit | 44 (88) | 77 (89) | 1 (−9 to 14) | 0.9 |
| Screen for depression/anxiety | 12 (24) | 47 (54) | 30 (13 to 44) | 0.0007 |
| Screen for melanoma | 28 (56) | 6 (7) | 49 (33 to 62) | <0.0001 |
| Screen for nonmelanoma skin cancers if on immune modulators | 31 (62) | 12 (14) | 48 (32 to 61) | <0.0001 |
| Screen conventional risk patients for osteoporosis | 36 (72) | 44 (51) | 21 (4 to 36) | 0.02 |
| Screen for tuberculosis if on anti–tumor necrosis factor alpha | 47 (94) | 38 (44) | 50 (35 to 61) | <0.0001 |
| Enroll in a skin protection/surveillance program | 32 (64) | 4 (5) | 59 (44 to 71) | <0.0001 |
| Prescribe calcium/vitamin D if on corticosteroids | 37 (74) | 46 (53) | 21 (4 to 36) | 0.02 |
| Perform routine nutritional assessment | 39 (78) | 29 (33) | 45 (28 to 58) | <0.0001 |
| Check routine laboratory investigations if on immune modulators | 49 (98) | 57 (66) | 32 (20 to 43) | <0.0001 |
Notes: Data are reported as number (%) of respondents who answered “always” or “most of the time.” The Difference column reports the difference in percentage points. P values are 2-sided.