S1089 Telemedicine Is Here to Stay: The Impact of Telehealth on Adherence to Treatment Plan Among Patients with Inflammatory Bowel Disease

• Published in: The American journal of gastroenterology Vol. 118; no. 10S; p. S829
• Main Authors: Schubach, Abigail, Agyingi, Smith, Bittner, Krystle, Kothari, Shivangi, Abdalla, Maisa
• Format: Journal Article
• Language: English
• Published: New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01.10.2023
• Subjects: Inflammatory bowel disease; Patient compliance; Patients; Telemedicine
• ISSN: 0002-9270; 1572-0241
• DOI: 10.14309/01.ajg.0000953996.51921.6f

THM can engage patients facing barriers to in-person clinic visits; however, it can also have a negative impact on routine care due to the lack of physical assessment and the increase in potential miscommunication. Methods: This study was an IRB-approved retrospective chart review of all adult patients with a confirmed diagnosis of IBD seen in the outpatient clinic at the University of Rochester Medical Center from April 2020 and December 2021. Clinic visit recommendations and adherence In-person visits (n = 37) THM Visits (n = 55) P-value Therapy change (%)12 12 (33.3) 10 (18.1) P= 0.134 Blood tests ordered, n (%)134 27 (79.4) 48 (88.8) P = 0.236 Stool tests ordered, n (%)145 8 (22.8) 12 (22.2) p = 1.000 Imaging tests ordered, n (%)1 26 12 (33.3) 3 (5.7) P = 0.001** GI procedures ordered, n (%)1 57 18 (51.4) 28 (52.8) p = 1.000 Completion of all ordered tests n (%)137 27 (79.4) 41 (77.3) p =1.000 Clinic follow up as recommended, n (%)1 58 26 (74.2) 42 (76.3) p = 1.000 Hospitalization since prior visit and/or referral, n (%)1 45 7 (20.0) 2 (3.7) P = 0.026** 1 :