A122 CHARACTERIZING A LOST-TO-FOLLOW-UP COHORT AMONGST PATIENTS DIAGNOSED WITH PEDIATRIC ONSET INFLAMMATORY BOWEL DISEASE IN THE PEDIATRIC TO ADULT TRANSFER OF CARE.
Notice bibliographique
Résumé
Pediatric onset inflammatory bowel disease (IBD) is a high-risk phenotype that requires transfer to an adult gastroenterologist at age 18. Under-developed emotional and cognitive skills in the transition-aged population can affect adherence rates, especially during periods of remission. A recent study evaluating patients with pediatric onset IBD requiring transfer of care to an adult gastroenterologist identified a relatively large lost to adult gastroenterology (GI) follow-up (LTF) group. The purpose of this study was to characterize those patients with pediatric onset IBD who are LTF in the first five years of adult care and identify risk factors for their non-compliance. This was a population-based retrospective cohort study using health care administrative data from Ontario, Canada. A cohort of patients with pediatric onset IBD was identified and health resource utilization during a 5-year post-transfer period was analyzed. Patients LTF were compared to those patients actively followed by a gastroenterologist in terms of health resource utilization. The primary outcome of this study comprised Emergency Department (ED) utilization. Secondary outcomes included hospitalizations, surgeries, ambulatory visits, endoscopic and radiological investigations. 2043 patients with pediatric onset IBD were identified. 1696 were followed by an adult GI in the post-transfer period. 306 patients were never seen by an adult GI. 41 patients were never seen by any adult health care provider in the post-transfer period. Patients in the loss to follow-up group were significantly younger, more likely to be male, have ulcerative colitis (UC) and reside in an urban environment. Overall, there were no significant differences found in ED use, total ambulatory care visits (aside from the expected drop amongst GI follow-up), hospitalizations, endoscopic procedures or radiological procedures between exposure groups. Multivariable negative binomial logistic regression revealed that the LTF group was less likely to be seen in the ED and admitted to hospital. A relatively large LTF group with pediatric onset IBD was characterized in this study. 5-year follow-up reveals no evidence of increased health resource utilization. More work is needed to further define this population, identify barriers to follow-up and whether outcomes such as quality of life, productivity etc. are affected by their non-compliance. CCC
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,002 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».