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Chronic Pain and Mood Disorders Are Not Barriers to Symptom Improvement Under Collaborative Co-managed Care (C3)

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Abstract

Objectives

Patients with comorbid chronic pain and mood disorders have more severe gastrointestinal disease and higher healthcare expenses than their peers. We sought to determine whether management under our innovative Collaborative Co-Managed Care (C3) general gastroenterology care model improved outcomes.

Methods

Patient questionnaires completed by outpatients at our GI Motility Center were analyzed alongside demographic information to determine predictors of response to treatment based on adequate relief of gastrointestinal symptoms and improvement in quality of life.

Results

These comorbidities did not significantly impair response and may be associated with improved response under our model.

Conclusions

The C3 general gastroenterology care model anchors on setting expectations and team-based communication and improves outcomes of, and access to, care.

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Funding

Dr. Shah was supported by the AGA Research Foundation’s 2019 American Gastroenterological Association-Shire Research Scholar Award in Functional GI and Motility Disorders. Dr. Shah is supported by K23 DK134752.

Author information

Authors and Affiliations

  1. Geisel School of Medicine, Hanover, NH, USA

    Emily V. Wechsler, Michael A. Curley & Eric D. Shah

  2. Section of Gastroenterology and Hepatology, Dartmouth Health, Lebanon, NH, USA

    Emily V. Wechsler, Michael A. Curley & Eric D. Shah

  3. University of Michigan, 1500 E Medical Center Drive, 3912 Taubman Center SPC 5362, Ann Arbor, MI, 48109, USA

    Eric D. Shah

  4. Biomedical Data Science, Dartmouth Health, Lebanon, NH, USA

    Pablo Martinez-Camblor

Authors
  1. Emily V. Wechsler
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  2. Pablo Martinez-Camblor
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  3. Michael A. Curley
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  4. Eric D. Shah
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Contributions

EVW, MAC and EDS were involved in study concept and design. PMC performed statistical analysis. EVW authored the initial draft of the manuscript. EDS supervised the conduct of this study. All authors critically revised the manuscript and approved the final copy.

Corresponding author

Correspondence to Eric D. Shah.

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Competing interests

Dr. Shah has consulted for GI Supply, Ardelyx, Bausch Health, Mylan, Salix, Sanofi, Takeda, and Mahana. The other authors have no disclosures.

Ethical approval

The Institutional Review Board at Dartmouth-Hitchcock determined that this study was exempt from review, prior to initiation of our study.

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Wechsler, E.V., Martinez-Camblor, P., Curley, M.A. et al. Chronic Pain and Mood Disorders Are Not Barriers to Symptom Improvement Under Collaborative Co-managed Care (C3). Dig Dis Sci 68, 3569–3572 (2023). https://doi.org/10.1007/s10620-023-08055-4

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  • DOI: https://doi.org/10.1007/s10620-023-08055-4

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