{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T22:49:54Z","timestamp":1792018194724,"version":"4.4.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Therapy and management of inflammatory bowel disease (IBD) require commitment from both the provider and patient to ensure optimal disease management. Prior studies show vulnerable patient populations with chronic medical conditions and compromised access to health care, such as incarcerated patients, suffer as a result. After an extensive literature review, there are no studies outlining the unique challenges associated with managing prisoners with IBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A detailed retrospective chart review of 3 incarcerated patients cared for at a tertiary referral center with an integrated patient-centered IBD medical home (PCMH) and a review of literature was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All 3 patients were African American males in their 30s with severe disease phenotypes requiring biologic therapy. All patients had challenges with medication adherence and missed appointments related to inconsistent access to clinic. Two of the 3 cases depicted better patient-reported outcomes through frequent engagement with the PCMH.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>It is evident there are care gaps and opportunities to optimize care delivery for this vulnerable population. It is important to further study optimal care delivery techniques such as medication selection, though interstate variation in correctional services poses challenges. Efforts can be made to focus on regular and reliable access to medical care, especially for those who are chronically ill.<\/jats:p><\/jats:sec>","DOI":"10.1093\/crocol\/otad002","type":"journal-article","created":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T01:01:31Z","timestamp":1675299691000},"source":"Crossref","is-referenced-by-count":3,"title":["Challenges in the Management of and Biologic Use in Incarcerated Patients With Inflammatory Bowel Disease"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2378-3514","authenticated-orcid":false,"given":"Sarah","family":"Barbina","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Medical University of South Carolina , Charleston, SC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Romano","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of South Carolina , Charleston, SC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Forster","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical University of South Carolina , Charleston, SC , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"issue":"1","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S2468-1253(19)30333-4","article-title":"The global, regional, and national burden of inflammatory bowel disease in 195 countries and territories, 1990\u20132017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"5","author":"GIBD Collaborators","year":"2020","journal-title":"Lancet Gastroenterol Hepatol"},{"issue":"7","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1002\/jcph.1084","article-title":"Therapeutic drug monitoring of biologics for inflammatory bowel disease: an answer to optimized treatment?","volume":"58","author":"Hoseyni","year":"2018","journal-title":"J Clin Pharmacol."},{"issue":"4","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"666","DOI":"10.2105\/AJPH.2008.144279","article-title":"The health and health care of US prisoners: results of a nationwide survey","volume":"99","author":"Wilper","year":"2009","journal-title":"Am J Public Health."},{"issue":"3","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1111\/j.1365-2648.2007.04221.x","article-title":"Users\u2019 views of prison health services: a qualitative study.","volume":"58","author":"Condon","year":"2007","journal-title":"J Adv Nurse."},{"issue":"9","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.2105\/AJPH.2004.056119","article-title":"Diabetes care in the San Francisco County Jail","volume":"96","author":"Clark","year":"2006","journal-title":"Am J Public Health."},{"issue":"9","key":"2023030816553248200_","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1002\/ibd.20944","article-title":"General health maintenance in IBD","volume":"15","author":"Moscandrew","year":"2009","journal-title":"Inflamm Bowel Dis."}],"container-title":["Crohn's &amp; Colitis 360"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/advance-article-pdf\/doi\/10.1093\/crocol\/otad002\/49043379\/otad002.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article-pdf\/5\/2\/otad002\/49456766\/otad002.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article-pdf\/5\/2\/otad002\/49456766\/otad002.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T18:28:56Z","timestamp":1679596136000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/crohnscolitis360\/article\/doi\/10.1093\/crocol\/otad002\/7023607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,2]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/crocol\/otad002","relation":{},"ISSN":["2631-827X"],"issn-type":[{"value":"2631-827X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,4,1]]},"published":{"date-parts":[[2023,2,2]]},"article-number":"otad002"}}