title: [Put to Test: Medical Inpatient Rehabilitation of Inflammatory Bowel Diseases].
abstract: BACKGROUND
  Many CED-patients struggle with complex problem profiles and may be offered and profit from multidisciplinary multimodal rehabilitation. It is still unclear by whom and with what effects this option is used.
  
  
  METHODS
  We compared the results of an observational cohort study of 199 CED-inpatients of a single rehab clinic with those of 310 gastroenterological outpatients using propensity score matching.
  
  
  RESULTS
  Rehabilitands show more complex problem profiles than CED-outpatients. After 6 months of follow up direct and indirect change measures show generally small positive changes - however comparable in quality and size with that of matched outpatients.
  
  
  CONCLUSIONS
  Complex rehab is mainly used by CED-patients with several bio-psycho-social problems. Our preliminary data do not suggest a marked additional benefit of inpatient rehab compared to specialised outpatient care. Stricter controlled trials are urgently needed.
authors.affiliation: Institut für Sozialmedizin und Epidemiologie der Universität Lübeck.
authors.forename: A
authors.initials: A
authors.lastname: Hüppe
authors.affiliation: Rehazentrum Mölln, Klinik Föhrenkamp.
authors.forename: G
authors.initials: G
authors.lastname: Steimann
authors.affiliation: Institut für Sozialmedizin und Epidemiologie der Universität Lübeck.
authors.forename: M
authors.initials: M
authors.lastname: Janotta
authors.affiliation: Institut für Sozialmedizin und Epidemiologie der Universität Lübeck.
authors.forename: J
authors.initials: J
authors.lastname: Langbrandtner
authors.affiliation: Institut für Sozialmedizin und Epidemiologie der Universität Lübeck.
authors.forename: N
authors.initials: N
authors.lastname: Eisemann
authors.affiliation: Gastroenterologische Gemeinschaftspraxis Minden.
authors.forename: B
authors.initials: B
authors.lastname: Bokemeyer
authors.affiliation: Zentrum für Bevölkerungsmedizin und Versorgungsforschung an der Universität Lübeck.
authors.forename: H
authors.initials: H
authors.lastname: Raspe
mesh_terms: D000328:Adult; D017677:Age Distribution; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D057216:Propensity Score; D012046:Rehabilitation / Q000379:methods / Q000706:statistics & numerical data*; D017678:Sex Distribution; D016896:Treatment Outcome