2026-04-17T03:30:37Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/86172025-10-24T10:31:54Zcom_2072_378070com_2072_378040col_2072_378092

2025-10-24T10:31:54Z urn:hdl:11351/8617 Multicriteria Decision Analysis for Updating of Quality Indicators for Inflammatory Bowel Disease Comprehensive Care Units in Spain Panes, Julian Gallardo Escudero, Javier de la Cuadra-Grande, Alberto Bartolomé, Elena Marín, Laura Navarro Correal, Ester Calvet, Xavier Intestins - Inflamació Decisió, Presa de Assistència sanitària - Control de qualitat HEALTH CARE::Health Services Administration::Quality of Health Care::Quality Indicators, Health Care DISEASES::Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Inflammatory Bowel Diseases ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Decision Support Techniques ATENCIÓN DE SALUD::administración de los servicios de salud::calidad de la atención sanitaria::indicadores de calidad en la asistencia sanitaria ENFERMEDADES::enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::enfermedad inflamatoria intestinal TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::técnicas de apoyo en la toma de decisiones Comprehensive care unit; Patient reported outcome; Quality indicators Unidad de atención integral; Resultado informado por el paciente; Indicadores de calidad Unitat d'atenció integral; Resultat informat pel pacient; Indicadors de qualitat Background and Aims Management of inflammatory bowel disease [IBD] is complex and IBD Comprehensive Care Units [ICCUs] facilitate the delivery of quality care to IBD patients. The objective of this study was to update the existing set of quality indicators [QIs] for ICCUs, based on a nationwide quality certification programme carried out in Spain, from a multi-stakeholder perspective and using multicriteria decision analysis [MCDA] methodology. Methods An MCDA comprising three different phases was conducted. In phase 1, a systematic literature review was performed, and after validation by a scientific committee comprising 11 experts, a preliminary set of QIs was developed. In phase 2, a larger group of 49 experts determined the relevance and relative importance of each QI by prioritising and weighing the preliminary set. Finally in phase 3, the scientific committee reviewed the results and made a final selection via a deliberative process. Results The final set comprised 67 QIs, classified as Structure [23 QIs], Process [35 QIs] and Outcome [9 QIs], which were ranked according to their relative importance. Multidisciplinary management was the most important requirement in ICCUs, followed by continuity of care, standardisation of clinical care and, especially, the incorporation of patients’ reported outcomes. Conclusions This updated set of QIs comprises a weighted and prioritised set of items that represent the essential minimum of criteria for ensuring appropriate quality of care in the management of IBD patients. AbbVie sponsored the CUE programme. AbbVie had no role in the study design, data collection and analysis, decision to publish, or preparation of this manuscript. 2025-10-24T10:31:54Z 2025-10-24T10:31:54Z 2022-12-09T09:07:09Z 2022-12-09T09:07:09Z 2022-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/8617 Journal of Crohn's and Colitis;16(11) https://doi.org/10.1093/ecco-jcc/jjac068 Attribution-NonCommercial 4.0 International http://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess Oxford University Press Scientia