{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T15:16:25Z","timestamp":1786547785344,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Am J Gastroenterol"],"abstract":"<jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Chronic gastrointestinal (GI) conditions, including irritable bowel syndrome and other disorders of gut-brain interaction, are prevalent and costly, and fragmented care contributes to suboptimal outcomes. Virtual and multidisciplinary care models may improve outcomes. Objectives: We aimed to (i) characterize patients receiving virtual GI care, (ii) report patient engagement with and patient-reported outcomes after virtual multidisciplinary care, and (iii) report healthcare utilization and costs from a payer perspective among patients vs propensity score-matched controls identified from claims data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>We collected descriptive data on patient demographics, clinic provider visits, symptoms, and patient-reported outcomes from 3\/2021 to 9\/2022. To evaluate healthcare utilization and costs, we conducted difference-in-difference analyses using claims data compared with a propensity score-matched control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Among 234 patients (71% women, mean age 45.4 \u00b1 13.2 years), 51% received a new GI diagnosis, predominately disorders of gut-brain interaction (63%). Engagement criteria were met by 80% (n = 187), who completed a mean of 10 visits and median time-to-first appointment of 6 days. Dietitians (93%), psychologists (76%), and health coaches (64%) were frequently used. Engaged patients exhibited significant improvements from preclinic to postclinic in irritable bowel syndrome severity (226.7\u2013145.6), symptom control (20.2%\u201386.6%), quality-of-life dysphoria (27.5\u201332.8), missed workdays (1.0\u20130.7), and satisfaction (37.4%\u201396.3%) (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Compared with matched controls, a significantly smaller percent of patients had imaging (15% vs 44%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001) and GI-related emergency department visits (4% vs 10%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0028), which contributed to reductions in GI-related costs ($443 per member per month;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.047) and all-cause costs ($676 per member per month;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.043), equating to annualized savings of $5,316 and $8,112, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>Virtual multidisciplinary GI care was associated with high engagement, improved clinical outcomes, and reduced healthcare utilization and costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.14309\/ajg.0000000000004002","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:03:34Z","timestamp":1774008214000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Virtual Multidisciplinary Gastrointestinal Care Clinic Improves Patient Engagement, Satisfaction, and Outcomes at Reduced Costs and Healthcare Utilization: A Prospective Cohort Study"],"prefix":"10.14309","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1124-6634","authenticated-orcid":false,"given":"Sameer K.","family":"Berry","sequence":"first","affiliation":[{"name":"New York University Grossman School of Medicine, New York, New York, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5179-7388","authenticated-orcid":false,"given":"Sanskriti","family":"Varma","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6103-769X","authenticated-orcid":false,"given":"Chamara","family":"Basnayake","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, University of Melbourne, Melbourne, Victoria, Australia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6994-2870","authenticated-orcid":false,"given":"Joseph C.","family":"Ahn","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7631-9665","authenticated-orcid":false,"given":"Jeffrey","family":"Berinstein","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Gastroenterology, University of Michigan School of Medicine, Ann Arbor, Michigan, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Cook","sequence":"additional","affiliation":[{"name":"Optum Labs, United Health Group, Minnetonka, Minnesota, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1709-8230","authenticated-orcid":false,"given":"Walter","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Gastroenterology, University of Michigan School of Medicine, Ann Arbor, Michigan, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Chey","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Gastroenterology, University of Michigan School of Medicine, Ann Arbor, Michigan, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"issue":"2","key":"R1-20260430","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1053\/j.gastro.2021.10.017","article-title":"Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: Update 2021","volume":"162","author":"Peery","year":"2022","journal-title":"Gastroenterology"},{"issue":"5","key":"R2-20260430","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1053\/j.gastro.2012.08.002","article-title":"Burden of gastrointestinal disease in the United States: 2012 update","volume":"143","author":"Peery","year":"2012","journal-title":"Gastroenterology"},{"issue":"5","key":"R3-20260430","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.1053\/j.gastro.2024.12.029","article-title":"Burden and cost of gastrointestinal, liver, and pancreatic diseases in the United States: Update 2024","volume":"168","author":"Peery","year":"2025","journal-title":"Gastroenterology"},{"issue":"1 Suppl","key":"R5-20260430","first-page":"S7","article-title":"Total costs of IBS: Employer and managed care perspective","volume":"11","author":"Cash","year":"2005","journal-title":"Am J Manag Care"},{"issue":"7","key":"R6-20260430","doi-asserted-by":"crossref","first-page":"1417","DOI":"10.1016\/j.cgh.2019.12.007","article-title":"Improving patient-provider relationships to improve health care","volume":"18","author":"Drossman","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"1","key":"R8-20260430","doi-asserted-by":"crossref","first-page":"17","DOI":"10.14309\/ajg.0000000000001036","article-title":"ACG clinical guideline: Management of irritable bowel syndrome: Management of irritable bowel syndrome","volume":"116","author":"Lacy","year":"2021","journal-title":"Am J Gastroenterol"},{"issue":"Supplement_1","key":"R9-20260430","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1093\/ibd\/izy393.035","article-title":"P030 delayed diagnosis of Crohn's disease is common and associated with an increased risk of disease complications","volume":"25","author":"Gallinger","year":"2019","journal-title":"Inflamm Bowel Dis"},{"issue":"1","key":"R10-20260430","doi-asserted-by":"crossref","first-page":"3","DOI":"10.3390\/jcm7010003","article-title":"Irritable bowel syndrome: Patient-provider interaction and patient education","volume":"7","author":"Halpert","year":"2018","journal-title":"J Clin Med"},{"issue":"9","key":"R11-20260430","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1001\/jama.2015.0954","article-title":"Irritable bowel syndrome: A clinical review","volume":"313","author":"Chey","year":"2015","journal-title":"JAMA"},{"issue":"3","key":"R12-20260430","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.mayocp.2022.11.001","article-title":"Approach to disorders of gut-brain interaction","volume":"98","author":"Tome","year":"2023","journal-title":"Mayo Clin Proc"},{"issue":"10","key":"R13-20260430","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/S2468-1253(20)30215-6","article-title":"Standard gastroenterologist versus multidisciplinary treatment for functional gastrointestinal disorders (MANTRA): An open-label, single-centre, randomised controlled trial","volume":"5","author":"Basnayake","year":"2020","journal-title":"Lancet Gastroenterol Hepatol"},{"issue":"9","key":"R14-20260430","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1016\/j.cgh.2021.12.005","article-title":"Long-term outcome of multidisciplinary versus standard gastroenterologist care for functional gastrointestinal disorders: A randomized trial","volume":"20","author":"Basnayake","year":"2022","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"12","key":"R15-20260430","doi-asserted-by":"crossref","first-page":"5593","DOI":"10.1007\/s10620-022-07464-1","article-title":"Evaluation of a multidisciplinary integrated treatment approach versus standard model of care for functional gastrointestinal disorders (FGIDS): A matched cohort study","volume":"67","author":"Bray","year":"2022","journal-title":"Dig Dis Sci"},{"issue":"5","key":"R16-20260430","first-page":"CD014821","article-title":"Remote care through telehealth for people with inflammatory bowel disease","volume":"5","author":"Gordon","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"issue":"7","key":"R17-20260430","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1111\/imj.15168","article-title":"Telehealth model of care for outpatient inflammatory bowel disease care in the setting of the COVID-19 pandemic","volume":"51","author":"Shah","year":"2021","journal-title":"Intern Med J"},{"issue":"3","key":"R18-20260430","doi-asserted-by":"crossref","first-page":"361","DOI":"10.2105\/AJPH.94.3.361","article-title":"Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement","volume":"94","author":"Des Jarlais","year":"2004","journal-title":"Am J Public Health"},{"issue":"8","key":"R19-20260430","doi-asserted-by":"crossref","first-page":"573","DOI":"10.7326\/0003-4819-147-8-200710160-00010","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"147","author":"von Elm","year":"2007","journal-title":"Ann Intern Med"},{"issue":"1","key":"R20-20260430","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1053\/j.gastro.2020.06.099","article-title":"Behavioral and diet therapies in integrated care for patients with irritable bowel syndrome","volume":"160","author":"Chey","year":"2021","journal-title":"Gastroenterology"},{"issue":"3","key":"R21-20260430","doi-asserted-by":"crossref","first-page":"437","DOI":"10.5056\/jnm17116","article-title":"Use of dietary management in irritable bowel syndrome: Results of a survey of over 1500 United States gastroenterologists","volume":"24","author":"Lenhart","year":"2018","journal-title":"J Neurogastroenterol Motil"},{"issue":"1","key":"R22-20260430","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.cgh.2023.09.032","article-title":"Redesigning a gastroenterology behavioral health program to improve patient access","volume":"22","author":"Salwen-Deremer","year":"2024","journal-title":"Clin Gastroenterol Hepatol"},{"issue":"2","key":"R23-20260430","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1046\/j.1365-2036.1997.142318000.x","article-title":"The irritable bowel severity scoring system: A simple method of monitoring irritable bowel syndrome and its progress","volume":"11","author":"Francis","year":"1997","journal-title":"Aliment Pharmacol Ther"},{"issue":"1","key":"R24-20260430","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.37765\/ajmc.2021.88579","article-title":"Cost savings associated with electronic specialty consultations","volume":"27","author":"Whittington","year":"2021","journal-title":"Am J Manag Care"},{"issue":"9","key":"R25-20260430","doi-asserted-by":"crossref","first-page":"e15505","DOI":"10.2196\/15505","article-title":"Telemonitoring of Crohn's Disease and Ulcerative Colitis (TECCU): Cost-effectiveness analysis","volume":"21","author":"Del Hoyo","year":"2019","journal-title":"J Med Internet Res"}],"container-title":["American Journal of Gastroenterology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.14309\/ajg.0000000000004002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T14:17:33Z","timestamp":1786544253000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.14309\/ajg.0000000000004002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":23,"URL":"https:\/\/doi.org\/10.14309\/ajg.0000000000004002","relation":{},"ISSN":["0002-9270","1572-0241"],"issn-type":[{"value":"0002-9270","type":"print"},{"value":"1572-0241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"assertion":[{"value":"2025-08-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-02","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}