Department of Gastroenterology, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina.
Endoscopy Unit, Hospital Alemán of Buenos Aires, Buenos Aires, Argentina.
Dig Dis Sci. 2023 Dec;68(12):4360-4367. doi: 10.1007/s10620-023-08120-y. Epub 2023 Oct 5.
Inadequate endoscopic assessment of disease activity might lead to suboptimal treatment of patients with inflammatory bowel disease (IBD).
We aimed to determine if the implementation of an educational mobile app could help improving the quality of colonoscopy reports in patients with IBD.
We retrospectively analyzed a consecutive series of colonoscopy reports in patients with IBD during the period 2016-2023. The sample was divided into two groups: before and after the implementation of an educational mobile app (JEDII app ™). The main outcome was the inclusion of validated activity assessment scoring systems and previously stablished reporting required elements.
A total of 883 IBD colonoscopy reports were included for analysis; 621 (70.3%) procedures were performed before the implementation of the app and 262 (29.7%) after. An IBD scoring system was included in 201 (32.4%) and 148 (56.5%) colonoscopy reports before and after the adoption of the mobile app, respectively (p < 0.001). The mean number of recommended elements for quality IBD colonoscopy reporting was significantly increased after the app implementation (4.3 vs. 1.9, p < 0.001). Diagnosis of ulcerative colitis, gastroenterologist as endoscopist, endoscopist with IBD clinical interest, and the implementation of the educational mobile app were independently associated with the inclusion of an IBD score in the colonoscopy report.
The inclusion of scoring systems and recommended elements for quality IBD colonoscopy report significantly increased after the implementation of an educational mobile app. E-health technologies should be further explored to improve quality of care in patients with IBD.
对疾病活动的内镜评估不足可能导致炎症性肠病（IBD）患者的治疗效果不理想。
我们旨在确定实施教育移动应用程序是否有助于提高 IBD 患者结肠镜报告的质量。
我们回顾性分析了 2016 年至 2023 年期间连续系列的 IBD 患者结肠镜报告。样本分为两组：应用教育移动应用程序（JEDII app ™）前后。主要结果是纳入验证的活动评估评分系统和先前建立的报告所需的元素。
共纳入 883 例 IBD 结肠镜报告进行分析；621 例（70.3%）在应用程序实施前进行，262 例（29.7%）在应用程序实施后进行。在应用程序实施前后，分别有 201 例（32.4%）和 148 例（56.5%）结肠镜报告中纳入了 IBD 评分系统（p<0.001）。应用移动应用程序后，推荐用于高质量 IBD 结肠镜报告的建议元素的平均数量显著增加（4.3 与 1.9，p<0.001）。溃疡性结肠炎的诊断、胃肠病学家作为内镜医师、对 IBD 有临床兴趣的内镜医师和教育移动应用程序的实施均与结肠镜报告中纳入 IBD 评分独立相关。
实施教育移动应用程序后，评分系统和推荐用于高质量 IBD 结肠镜报告的元素的纳入显著增加。应进一步探索电子健康技术，以提高 IBD 患者的护理质量。
