BACKGROUND AND AIMS While striving to meet the quality standards for oncological care, hospitals frequently prioritize oncological procedures, resulting in longer waiting times to surgery for benign diseases like inflammatory bowel disease [IBD]. The aim of this Short Report is to highlight the potential consequences of a longer interval to surgery for IBD patients. METHODS The mean waiting times to elective surgery for IBD patients with active and inactive disease [e.g. pouch surgery after subtotal colectomy] at the Amsterdam UMC, location AMC, between 2013 and 2015 were compared with those for colorectal cancer surgery. Correlations between IBD waiting times and disease complications [e.g. >5% weight loss, abscess formation] and additional health-care consumption [e.g. telephone/outpatient clinic appointment, hospital admission] during these waiting times were assessed. RESULTS The mean waiting was 10 weeks [SD 8] for patients with active disease [n = 173] and 15 weeks [SD 16] for those with inactive disease [n = 97], remarkably higher than that for colorectal cancer patients [5 weeks]. While awaiting surgery, 1 out of 8 patients had to undergo surgery in an acute or semi-acute setting. Additionally, 19% of patients with active disease had disease complications, and 44% needed additional health care. The rates were comparable for patients with inactive disease. CONCLUSIONS The current waiting time to surgery is not medically justified and creates a burden for health-care resources. This issue should be brought to the attention of policy makers, as it requires a structural solution. It is time to also set a maximally acceptable waiting time to surgery for IBD patients.

中文翻译：

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等待IBD手术简短报告时的并发症。

背景和目的医院在努力达到肿瘤护理质量标准的同时，经常优先考虑肿瘤治疗程序，导致诸如炎性肠病[IBD]等良性疾病的手术等待时间更长。本简短报告的目的是强调更长间隔的手术对IBD患者的潜在后果。方法将2013年至2015年间在阿姆斯特丹UMC（位于AMC所在地）发生活动和非活动性疾病的IBD患者（例如，大肠切除术后的囊袋手术）的平均等待手术时间与结直肠癌手术的平均等待时间进行了比较。IBD等待时间与疾病并发症（例如体重减轻> 5％，脓肿形成）和额外的医疗保健消耗（例如电话/门诊预约，在这些等待时间内对医院的住院时间进行了评估。结果活动性疾病患者[n = 173]的平均等待时间为10周[SD 8]，非活动性疾病[n = 97]的患者平均等待时间为15周[SD 16]，显着高于结直肠癌患者[5周] ]。在等待手术的过程中，八分之一的患者必须在急性或半急性情况下进行手术。此外，患有活动性疾病的患者中有19％患有疾病并发症，有44％的患者需要额外的医疗保健。该比率与非活动性疾病患者相当。结论当前的手术等待时间在医学上是不合理的，这给卫生保健资源造成了负担。这个问题应引起政策制定者的注意，因为它需要结构性的解决方案。