P600. A comparison of health related quality of life in IBD patients between nurse-led outpatients clinic and conventional follow-up
L. Alvestad1, P.C. Valle1, A.R. Broderstad1, 1University hospital of North Norway, Med. dep. Harstad, Harstad, Norway
Inflammatory bowel disease (IBD), Crohn's disease (CD) and Ulcerative Colitis (UC) respectively, are chronic disorders, often with a considerable negative impact on patients' Health Related Quality of Life (HRQoL). The traditional way to organize the patient follow-up is in ordinary outpatients clinics by specialists in gastroenterology or young doctors in trainee positions. During the recent years an alternative way of doing this is by so called micro teams with a specialized nurse performing the consultations in close collaboration with gastroenterology specialists. However, the quality of this model has to be evaluated. The aim of this study was to compare a nurse-led outpatients follow-up (NF) with a conventional follow-up (CF) by HRQoL mean score.
The study is a retrospective cross-sectional study comparing IBD patients from two different equal hospitals practicing NF- and CF model, respectively. The two patient groups were evaluated by using a licensed Norwegian version of the Inflammatory Bowel Disease Questionnaire (N-IBDQ) and a CRF recording demographic data and patient's satisfaction.
One hundred and thirty-nine patients with IBD were eligible for analysis, 70 in the NF-group and 69 in the CF group. We found no statistically significant difference between the populations in N-IBDQ total score or within each domain. However, the patients in the NF-group reported significant higher satisfaction with the follow-up on a 0–10 VAS scale, mean 8.57 (95% CI 8.15–8.99) vs 7.82 (95% CI 7.37–8.28) (p = 0.017). We also found a higher share of the UC patients in the NF-group consuming 5 Aminosalicylates (5-ASA) medication compared to the UC patients in the CF-group (74% vs 59%). This difference was not significant.
The study shows that the quality in a nurse-led outpatient clinic is equal with a conventional model where physicians perform the consultations in respect of patients self-reported IBDQ. However, the patients in the NF-group were significant more satisfied with the follow-up.