Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey

Jan Kral; Radislav Nakov; Vera Lanska; Brigida Barberio; Nicolas Benech; Andreas Blesl; Eduard Brunet; Tiago Capela; Lauranne Derikx; Gabriele Dragoni; Aileen Eek; Catarina Frias-Gomes; Georgiana Emmanuela Gîlcǎ-Blanariu; Leah Gilroy; Philip Harvey; Anna Kagramanova; Haluk Tarik Kani; Tom Konikoff; Matthias Lessing; Gorm Madsen; Vaidota Maksimaityte; Maria Miasnikova; Ivana Mikolasevic; Vladimir Milivojevic; Daniele Noviello; Dmytro Oliinyk; Arpad Patai; Anthea Pisani; Adonis Protopapas; Iago Rodríguez-Lago; Philipp Schreiner; Vita Skuja; Florian Tran; Marie Truyens; Marcin Włodarczyk; Hubert Zatorski; Bram Verstockt; Jonathan Philip Segal

doi:10.1159/000528070

Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey

Jan Kral, Radislav Nakov, Vera Lanska, Brigida Barberio, Nicolas Benech, Andreas Blesl, Eduard Brunet, Tiago Capela, Lauranne Derikx, Gabriele Dragoni, Aileen Eek, Catarina Frias-Gomes, Georgiana Emmanuela Gîlcǎ-Blanariu, Leah Gilroy, Philip Harvey, Anna Kagramanova, Haluk Tarik Kani, Tom Konikoff, Matthias Lessing, Gorm MadsenVaidota Maksimaityte, Maria Miasnikova, Ivana Mikolasevic, Vladimir Milivojevic, Daniele Noviello, Dmytro Oliinyk, Arpad Patai, Anthea Pisani, Adonis Protopapas, Iago Rodríguez-Lago, Philipp Schreiner, Vita Skuja, Florian Tran, Marie Truyens, Marcin Włodarczyk, Hubert Zatorski, Bram Verstockt^*, Jonathan Philip Segal

^*Corresponding author af dette arbejde

Gastromedicinsk Afdeling AHH

6 Citationer (Scopus)

Abstract

BACKGROUND: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries.

METHODS: This trainee-initiated survey, run through SurveyMonkey®, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank).

RESULTS: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly.

CONCLUSION: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.

Originalsprog	Engelsk
Tidsskrift	Digestive Diseases
Vol/bind	41
Udgave nummer	3
Sider (fra-til)	387-395
Antal sider	9
ISSN	0257-2753
DOI	https://doi.org/10.1159/000528070
Status	Udgivet - 1 maj 2023

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Kral, J., Nakov, R., Lanska, V., Barberio, B., Benech, N., Blesl, A., Brunet, E., Capela, T., Derikx, L., Dragoni, G., Eek, A., Frias-Gomes, C., Gîlcǎ-Blanariu, G. E., Gilroy, L., Harvey, P., Kagramanova, A., Kani, H. T., Konikoff, T., Lessing, M., ... Segal, J. P. (2023). Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey. Digestive Diseases, 41(3), 387-395. https://doi.org/10.1159/000528070

Kral, J, Nakov, R, Lanska, V, Barberio, B, Benech, N, Blesl, A, Brunet, E, Capela, T, Derikx, L, Dragoni, G, Eek, A, Frias-Gomes, C, Gîlcǎ-Blanariu, GE, Gilroy, L, Harvey, P, Kagramanova, A, Kani, HT, Konikoff, T, Lessing, M, Madsen, G, Maksimaityte, V, Miasnikova, M, Mikolasevic, I, Milivojevic, V, Noviello, D, Oliinyk, D, Patai, A, Pisani, A, Protopapas, A, Rodríguez-Lago, I, Schreiner, P, Skuja, V, Tran, F, Truyens, M, Włodarczyk, M, Zatorski, H, Verstockt, B & Segal, JP 2023, 'Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey', Digestive Diseases, bind 41, nr. 3, s. 387-395. https://doi.org/10.1159/000528070

@article{7ad9f033ea3445e593d47064f97ce154,

title = "Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey",

abstract = "BACKGROUND: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries.METHODS: This trainee-initiated survey, run through SurveyMonkey{\textregistered}, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank).RESULTS: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly.CONCLUSION: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.",

author = "Jan Kral and Radislav Nakov and Vera Lanska and Brigida Barberio and Nicolas Benech and Andreas Blesl and Eduard Brunet and Tiago Capela and Lauranne Derikx and Gabriele Dragoni and Aileen Eek and Catarina Frias-Gomes and G{\^i}lcǎ-Blanariu, {Georgiana Emmanuela} and Leah Gilroy and Philip Harvey and Anna Kagramanova and Kani, {Haluk Tarik} and Tom Konikoff and Matthias Lessing and Gorm Madsen and Vaidota Maksimaityte and Maria Miasnikova and Ivana Mikolasevic and Vladimir Milivojevic and Daniele Noviello and Dmytro Oliinyk and Arpad Patai and Anthea Pisani and Adonis Protopapas and Iago Rodr{\'i}guez-Lago and Philipp Schreiner and Vita Skuja and Florian Tran and Marie Truyens and Marcin W{\l}odarczyk and Hubert Zatorski and Bram Verstockt and Segal, {Jonathan Philip}",

note = "Publisher Copyright: {\textcopyright} 2022 S. Karger AG, Basel.",

year = "2023",

month = may,

day = "1",

doi = "10.1159/000528070",

language = "English",

volume = "41",

pages = "387--395",

journal = "Digestive Diseases",

issn = "0257-2753",

publisher = "S. Karger AG",

number = "3",

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TY - JOUR

T1 - Significant Differences in IBD Care and Education across Europe

T2 - Results of the Pan-European VIPER Survey

AU - Kral, Jan

AU - Nakov, Radislav

AU - Lanska, Vera

AU - Barberio, Brigida

AU - Benech, Nicolas

AU - Blesl, Andreas

AU - Brunet, Eduard

AU - Capela, Tiago

AU - Derikx, Lauranne

AU - Dragoni, Gabriele

AU - Eek, Aileen

AU - Frias-Gomes, Catarina

AU - Gîlcǎ-Blanariu, Georgiana Emmanuela

AU - Gilroy, Leah

AU - Harvey, Philip

AU - Kagramanova, Anna

AU - Kani, Haluk Tarik

AU - Konikoff, Tom

AU - Lessing, Matthias

AU - Madsen, Gorm

AU - Maksimaityte, Vaidota

AU - Miasnikova, Maria

AU - Mikolasevic, Ivana

AU - Milivojevic, Vladimir

AU - Noviello, Daniele

AU - Oliinyk, Dmytro

AU - Patai, Arpad

AU - Pisani, Anthea

AU - Protopapas, Adonis

AU - Rodríguez-Lago, Iago

AU - Schreiner, Philipp

AU - Skuja, Vita

AU - Tran, Florian

AU - Truyens, Marie

AU - Włodarczyk, Marcin

AU - Zatorski, Hubert

AU - Verstockt, Bram

AU - Segal, Jonathan Philip

PY - 2023/5/1

Y1 - 2023/5/1

N2 - BACKGROUND: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries.METHODS: This trainee-initiated survey, run through SurveyMonkey®, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank).RESULTS: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly.CONCLUSION: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.

AB - BACKGROUND: Inflammatory bowel disease (IBD) care and education might differ around Europe. Therefore, we conducted this European Variation In IBD PracticE suRvey (VIPER) to investigate potential differences between countries.METHODS: This trainee-initiated survey, run through SurveyMonkey®, consisted of 47 questions inquiring basic demographics, IBD training, and clinical care. Results were compared according to gross domestic product (GDP) per capita, for which countries were divided into 2 groups (low/high income, according to the World Bank).RESULTS: The online survey was completed by 1,285 participants from 40 European countries, with a majority of specialists (65.3%) working in academic institutions (50.4%). Significant differences in IBD-specific training (55.9% vs. 38.4%), as well as availability of IBD units (58.4% vs. 39.7%) and multidisciplinary meetings (73.2% vs. 40.1%), were observed between respondees from high and low GDP countries (p < 0.0001). In high GDP countries, IBD nurses are more common (85.9% vs. 36.0%), also mirrored by more nurse-led IBD clinics (40.6% vs. 13.7%; p < 0.0001). IBD dieticians (33.4% vs. 16.5%) and psychologists (16.8% vs. 7.5%) are mainly present in high GDP countries (p < 0.0001). In the current COVID era, telemedicine is available in 73.2% versus 54.1% of the high/low GDP countries, respectively (p < 0.0001). Treat-to-target approaches are implemented everywhere (85.0%), though access to biologicals and small molecules differs significantly.CONCLUSION: Much variability in IBD practice exists across Europe, with marked differences between high and low GDP countries. Further work is required to help address some of these inequalities, aiming to improve and standardize IBD care and training across Europe.

UR - http://www.scopus.com/inward/record.url?scp=85152674936&partnerID=8YFLogxK

U2 - 10.1159/000528070

DO - 10.1159/000528070

M3 - Journal article

C2 - 36412565

AN - SCOPUS:85152674936

SN - 0257-2753

VL - 41

SP - 387

EP - 395

JO - Digestive Diseases

JF - Digestive Diseases

IS - 3

ER -

Significant Differences in IBD Care and Education across Europe: Results of the Pan-European VIPER Survey

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