Role of hospitalization for inflammatory bowel disease in the post-biologic era

Table 1 Components of high-value inflammatory bowel disease care

Component of IBD care	Outcome	Ref.
Availability of subspecialty surgeon	In-hospital mortality for patients undergoing colectomy is lower (2.4%) when performed by subspecialized surgeons when compared to those without subspecialty training (4.8%) after adjusting for hospital and surgeon volume as well as patient characteristics	Callahan et al[88]
Patient proximity to specialized IBD center	Need for surgery, immunomodulators and biologic therapy all significantly increased in patients who live furthest from a specialty IBD center	Borren et al[103]
Establishment of a specialized IBD unit	Patients treated in IBD specialty units found to have greater remission rates at 90 days, equal surgery rates (yet higher non-resection surgery rates at 30 d) and earlier initiation of high-dose biologic therapy when compared to non-specialized group	Law et al[91]
Fragmentation of care	Patients receiving fragmented care (i.e., readmission to non-index hospital) found to have larger in-hospital mortality	Cohen-Mekelburg et al[100]

IBD: Inflammatory bowel disease.