Title: Healthcare service use in paediatric inflammatory bowel disease: a questionnaire on
patient and parent care experiences in Germany
Version: 1 Date: 25 Sep 2023
Reviewer's report:
Thank you for giving me the opportunity to review this article.
Aletta et al presented an assessment of healthcare service utilization within the realm of pediatric
inflammatory bowel disease (PIBD), a condition on the rise globally.
Prior to this investigation, no research had been conducted that specifically delved into
healthcare utilization patterns in the pediatric IBD field. The findings presented by Aletta et al.
hold significant value in enhancing the overall landscape of healthcare provision for PIBD.
Major points.
1. P7.160 -161
The authors have documented utilization rates concerning "nutritional counseling" and
"psychological counseling." Nonetheless, these specific terms were not expounded upon
within the methods section. It is imperative that these terms be elucidated within the method
section. Furthermore, a comprehensive exposition of the particulars pertaining to "nutritional
counseling" and "psychological counseling" would be greatly appreciated.
For example, dietitians involve “nutritional counselling” ?
2. Result:
P7.167-169
Patients diagnosed 3-4 years ago (OR 2.53 95% CI 1.08-5.97) and those diagnosed 5-6 years
ago (OR 2.66; 95% CI 1.02-6.91) were more likely to use nutritional counselling than those in
their first year after diagnosis.
P11,274-275
This idea was confirmed by the increased likelihood of not using services in the first year since
diagnosis.
In the context of patient diagnosis, it is generally imperative to furnish both patients and their
parents with disease education.
Is it a prevalent practice among pediatric gastroenterologists in Germany to omit the provision
of nutritional counseling to patients and their parents?
In various other countries, a collaborative approach is adopted, wherein dietitians collaborate
with pediatric gastroenterologists. The significance of nutritional counseling in the effective
management of patients with Crohn's disease (CD) cannot be overstated.
Please discuss regarding the necessary measures required to enhance the utilization of this crucial
service.
3. P9.213-214
The authors conducted a comparative analysis between individuals diagnosed within a 3-4-year
timeframe and those diagnosed over six years ago in the context of psychological services. The
rationale behind the selection of these specific time intervals by the authors warrants elucidation.
Additionally, it would be pertinent to explore the distinctions between individuals diagnosed
within the first year and those diagnosed after the initial year, in terms of their utilization of
psychological services.
Minor points.
1. P2. 35: Please correct “For PPIBD”.
2. P6. 153: “The average of ” # “mean” or “median” should be better.
3. P9.237: Please correct “18-year olds”.
Title: Healthcare service use in paediatric inflammatory bowel disease: a questionnaire on
patient and parent care experiences in Germany
Version: 1 Date: 25 Sep 2023
Reviewer's report:
Thank you for giving me the opportunity to review this article.
Aletta et al presented an assessment of healthcare service utilization within the realm of pediatric
inflammatory bowel disease (PIBD), a condition on the rise globally.
Prior to this investigation, no research had been conducted that specifically delved into
healthcare utilization patterns in the pediatric IBD field. The findings presented by Aletta et al.
hold significant value in enhancing the overall landscape of healthcare provision for PIBD.
Major points.
1. P7.160 -161
The authors have documented utilization rates concerning "nutritional counseling" and
"psychological counseling." Nonetheless, these specific terms were not expounded upon
within the methods section. It is imperative that these terms be elucidated within the method
section. Furthermore, a comprehensive exposition of the particulars pertaining to "nutritional
counseling" and "psychological counseling" would be greatly appreciated.
For example, dietitians involve “nutritional counselling” ?
2. Result:
P7.167-169
Patients diagnosed 3-4 years ago (OR 2.53 95% CI 1.08-5.97) and those diagnosed 5-6 years
ago (OR 2.66; 95% CI 1.02-6.91) were more likely to use nutritional counselling than those in
their first year after diagnosis.
P11,274-275
This idea was confirmed by the increased likelihood of not using services in the first year since
diagnosis.
In the context of patient diagnosis, it is generally imperative to furnish both patients and their
parents with disease education.
Is it a prevalent practice among pediatric gastroenterologists in Germany to omit the provision
of nutritional counseling to patients and their parents?
In various other countries, a collaborative approach is adopted, wherein dietitians collaborate
with pediatric gastroenterologists. The significance of nutritional counseling in the effective
management of patients with Crohn's disease (CD) cannot be overstated.
Please discuss regarding the necessary measures required to enhance the utilization of this crucial
service.
3. P9.213-214
The authors conducted a comparative analysis between individuals diagnosed within a 3-4-year
timeframe and those diagnosed over six years ago in the context of psychological services. The
rationale behind the selection of these specific time intervals by the authors warrants elucidation.
Additionally, it would be pertinent to explore the distinctions between individuals diagnosed
within the first year and those diagnosed after the initial year, in terms of their utilization of
psychological services.
Minor points.
1. P2. 35: Please correct “For PPIBD”.
2. P6. 153: “The average of ” # “mean” or “median” should be better.
3. P9.237: Please correct “18-year olds”.
Please review this paper.
user
Title: Healthcare service use in paediatric inflammatory bowel disease: a questionnaire on
patient and parent care experiences in Germany
Version: 1 Date: 25 Sep 2023
Reviewer's report:
Thank you for giving me the opportunity to review this article.
Aletta et al presented an assessment of healthcare service utilization within the realm of pediatric
inflammatory bowel disease (PIBD), a condition on the rise globally.
Prior to this investigation, no research had been conducted that specifically delved into
healthcare utilization patterns in the pediatric IBD field. The findings presented by Aletta et al.
hold significant value in enhancing the overall landscape of healthcare provision for PIBD.
Major points.
1. P7.160 -161
The authors have documented utilization rates concerning "nutritional counseling" and
"psychological counseling." Nonetheless, these specific terms were not expounded upon
within the methods section. It is imperative that these terms be elucidated within the method
section. Furthermore, a comprehensive exposition of the particulars pertaining to "nutritional
counseling" and "psychological counseling" would be greatly appreciated.
For example, dietitians involve “nutritional counselling” ?
2. Result:
P7.167-169
Patients diagnosed 3-4 years ago (OR 2.53 95% CI 1.08-5.97) and those diagnosed 5-6 years
ago (OR 2.66; 95% CI 1.02-6.91) were more likely to use nutritional counselling than those in
their first year after diagnosis.
P11,274-275
This idea was confirmed by the increased likelihood of not using services in the first year since
diagnosis.
In the context of patient diagnosis, it is generally imperative to furnish both patients and their
parents with disease education.
Is it a prevalent practice among pediatric gastroenterologists in Germany to omit the provision
of nutritional counseling to patients and their parents?
In various other countries, a collaborative approach is adopted, wherein dietitians collaborate
with pediatric gastroenterologists. The significance of nutritional counseling in the effective
management of patients with Crohn's disease (CD) cannot be overstated.
Please discuss regarding the necessary measures required to enhance the utilization of this crucial
service.
3. P9.213-214
The authors conducted a comparative analysis between individuals diagnosed within a 3-4-year
timeframe and those diagnosed over six years ago in the context of psychological services. The
rationale behind the selection of these specific time intervals by the authors warrants elucidation.
Additionally, it would be pertinent to explore the distinctions between individuals diagnosed
within the first year and those diagnosed after the initial year, in terms of their utilization of
psychological services.
Minor points.
1. P2. 35: Please correct “For PPIBD”.
2. P6. 153: “The average of ” # “mean” or “median” should be better.
3. P9.237: Please correct “18-year olds”.
assistant