Bowel disorder deaths halved in three years by NHS care
By Helen Harjak, 23 February 2012
Mortality among patients with inflammatory bowel conditions has halved in three years due to improvements in NHS care, according to a UK audit.
The third UK Inflammatory Bowel Disease (IBD) Audit carried out in 2010 uncovered substantial improvements in care for ulcerative colitis and Crohn’s disease since 2006. But it said testing and treatment could still improve.
The report found that deaths among patients with ulcerative colitis fell from 1.7% to 0.8% between 2006 and 2010.
NHS care has also lowered readmission rates for both diseases. The percentage of those seen by a specialist IBD nurse during hospital admission has doubled since the first round of the audit in 2006.
The report said testing for infections such as C. difficile could improve, and all patients should be given heparin where appropriate to prevent blood clots.
It advised that patients should always have a consultation with a specialist nurse if anti-inflammatory treatment is prescribed. All Crohn’s disease patients ought to see a dietician to prevent malnutrition and, if necessary, receive support to stop smoking.
Dr Kevin Stewart, clinical director of the clinical effectiveness and evaluation unit at the Royal College of Physicians, said: ‘This is really good news for patients with IBD: their care has improved right across the country. Of course we know that there are still problems, but I'm confident that we will address these in future rounds of the audit.’
The report was commissioned by watchdog the Healthcare Quality Improvement Partnership (HQIP).
The number of IBD cases is increasing and it now affects one in 200 people in the UK. The estimated cost of IBD treatment to the NHS was £720m in 2006.
- Related Drug Categories
- IBS, GI spasm, diverticulitis
- Related MIMS Guidelines and Summaries
- H.pylori: Eradication Regimens (NICE)
- Prucalopride for the Treatment of Chronic Constipation in Women (TA211)
- Crohn's Disease: Infliximab (NICE)
Latest Articles from GP
- Exclusive: GP access pilots secure top-up funding worth millions of pounds
- GPs urged to offer greater choice of contraception
- GPs fear diagnostics meltdown as industrial action looms
- #WeekInReview - 17 April: Practices threatened with closure, get your arse to the doctors and #bowelcancer
- Vitamin D deficiency doubles risk of chronic musculoskeletal pain
Latest jobs Jobs web feed
- Salaried GP Gloucester House Medical Centre Competitive Salary , Urmston, Trafford
- Full or part-time Salaried GP Opportunity, Hampshire Coast Merco Excellent salary + GMC paid, Hampshire, South East region
- GP Jobs Calgary and Edmonton, Alberta, Canada EU Health Staff Ltd Between $280,000 and $325,000 or more , North America
- CAMBRIDGE - Salaried GP - Excellent Salary - Full Bens Package Dream Medical Ltd c£80,000 (neg) + OUTSTANDING BENEFITS PACKAGE + BONUS SCHEME, Cambridgeshire
- LEAD GP - PICTURESQUE KENT - EXCELLENT SALARY & BENEFITS Dream Medical Ltd c£90000 (fulltime) + Full benefits package, Kent
- GP - with or without MRCGP - Coastal Queensland - Australia Head Medical 60% billing, Queensland / North Queensland