Impact of direct-access IBD physician delivered endoscopy on clinical outcomes: a pre-implementation and post-implementation study.

Matthew Stammers Sohail RahmanyLouise DowneyFlorina BorcaClare HarrisRichard HarrisMartin McDonnellStephanie SartainNicolas ColemanBernard StaceyTrevor R Smith J R Fraser CummingsRichard FelwickMarkus Gwiggner

Published in: Frontline gastroenterology (2022)

Our novel pathway resulted in an 86% reduction in RTT with associated increased diagnostic yield while saving 100% of initial IBD consultant outpatient appointments. Replication in other trusts may improve patient experience and accelerate time to diagnosis/treatment while optimising the use of healthcare resources.

Keyphrases

healthcare
primary care
quality improvement
emergency department
ulcerative colitis