{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T14:07:10Z","timestamp":1784297230063,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health, Disability and Ageing","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Inflammatory bowel disease is a chronic, lifelong gastrointestinal disorder, with 8%\u201310% of patients diagnosed &lt;\u200918\u2009years old. Over the last decade, there has been a global increase in paediatric IBD (pIBD) incidence and changes in therapeutic approaches. Our study aimed to assess the changes in hospital care for young people with IBD from 2014 to 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Complete national pIBD data on admissions was collected through the Australian Institute of Health and Welfare (AIHW). Hospitals nationally were invited to participate in a clinical audit of inpatient overnight admissions for 2021. Data was compared to a previous study from 2014.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 813 overnight pIBD admissions in 2021, compared to 590 in 2014. Eight public hospitals participated, with 186 admissions, capturing 23% of all 2021 pIBD admissions. UC admission rates doubled; however, surgical admissions reduced (16% in 2014 to 5% in 2021,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). CD and surgical admissions remained stable. There was reduced corticosteroid use, and 56 patients had off\u2010label medication use. Sixty\u2010five percent of patients had active disease at the last clinic review. There was a trend towards shorter admissions, and re\u2010admission rates were similar to previous global data. Despite psychological co\u2010morbidity in 28% of cases, psychologists were not part of the team at any site.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study showed a significant increase in UC admissions in Australia over the last decade. Medication changes were in line with global trends, and multi\u2010disciplinary care remained inadequate despite national standards. This data provides evidence for planning and resourcing pIBD care nationally and worldwide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpc.70424","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T13:05:53Z","timestamp":1780319153000},"page":"1235-1243","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changes in Hospital Care for Children With\n                    <scp>IBD<\/scp>\n                    Across Australia From 2014 to 2022"],"prefix":"10.1111","volume":"62","author":[{"given":"Laura","family":"Rishanghan","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Monash Children's Hospital, Monash Health  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Skvarc","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Health Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6710-3854","authenticated-orcid":false,"given":"Stefan","family":"Moller","sequence":"additional","affiliation":[{"name":"Independent Researcher  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramesh","family":"Nataraja","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Surgery School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University  Melbourne Australia"},{"name":"Department of Paediatric Surgery Monash Children's Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Nightingale","sequence":"additional","affiliation":[{"name":"John Hunter Children's Hospital, Paediatric Gastroenterology  Newcastle Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Burgess","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital Department of Gastroenterology, Hepatology and Liver Transplant  Brisbane Australia"},{"name":"The University of Queensland, Faculty of Medicine  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoma","family":"Dutt","sequence":"additional","affiliation":[{"name":"Children's Hospital Westmead Department of Gastroenterology  Sydney Australia"},{"name":"Children's Hospital Westmead Clinical School University of Sydney  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Alex","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Clinical Nutrition The Royal Children's Hospital  Melbourne Australia"},{"name":"Department of Paediatrics The University of Melbourne  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Jurgens","sequence":"additional","affiliation":[{"name":"Women's &amp; 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