Abstracts of the 15 th Congress of ECCO – European Crohn’s and Colitis Organisation S279 Results: 277 CD patients were included, of which 51% (142 patients) are women with a mean age at diagnosis of CD 35.3 years old (18.7 SD). The median follow-up time was 24 months (range 5–73 months). Among patients included, echographic signs of in- flammatory activity were identified in 166 patients (60%). Out of these, 116 patients (70%) received treatment step-up based on the results of ultrasound. It was observed that out of the 161 patients (58%) in which of the attending physician did not modify treatment after performing ultrasound, only 43 had activity on ultrasound (26.7%). Also among patients whose treatment was scaled, 100% had echographic activity. These differences reached statistical sig- nificance (p < 0.0001). Among patients with echographic activity, disease evolution was worse than in those without activity, present- ing less time to the next disease flare. Thus median disease-free sur- vival (without flares) after performing ultrasound was 18 months when ultrasonographic activity identified (although in most patients (70%) treatment was scaled) vs. 47 months in patients without ultra- sound activity, with statistically significant differences (p < 0.0001). Conclusion: Intestinal ultrasound is a technique capable of detecting inflammatory activity in patients with Crohn’s disease and the pres- ence of ultrasound activity is a risk factor for a subsequent activity flare and/or clinical relapse. P258 Managing an ever-increasing inflammatory bowel disease helpline service G. Scott* 1 , L. Gower 1 , N. Roads 2 , W. Lewis 3 1 Department of Gastroenterology, East Kent Hospitals NHS Foundation Trust, Margate, UK, 2 Department of Gastroenterology, East Kent Hospitals NHS Foundation Trust, Canterbury, UK, 3 Department of Gastroenterology, East Kent Hospitals NHS Foundation Trust, Ashford, UK Background: Inflammatory bowel disease helplines have been initi- ated by Trusts throughout the country over many years. However many of them are not adequately job planned and have also seen a dramatic rise in calls over the years. Our Trust operates a helpline over 3 acute hospital sites. Previously calls were not accounted for financially and calls not documented in patient notes. Methods: The nurses on each site utilise a standard form that notes the issues that patients contact the helpline for and the outcome of the call. The consultation is then dictated via a speech recognition system and a letter is generated and sent to the general practitioner. All calls are then added to a central spreadsheet which then catego- rises the calls into flare advice, medicines advice, investigation issues, appointment issues, etc.. The time that the call takes is also noted, to enable better job planning. Results: The monitoring of these helpline calls have enabled the team to employ 2 further IBD nurses as the income generated has paid for them. It has also enabled better job planning and it has highlighted the increased number of calls that are taken by the nursing team and that they have been safely managed and accounted for. it has also enabled the team to trend the calls that are taken and the reasons why patients phone our helplines. Conclusion: This project has shown a dramatic increase in activity for the IBD nurses. It has also highlighted the financial activity of the service and the contribution this provides to the gastroenterology department. This audit has since been utilised by the South East IBD Network. P259 Systematic review of prognostic factors affecting the acquisition of transition readiness skills in patients with inflammatory bowel disease L. JOHNSON* 1 , M. Lee 1,2 , G. Jones 3 , A. Lobo 4 1 Department of Medical School, University of Sheffield, Sheffield, UK, 2 Department of General Surgery, Northern General Hospital, Sheffield, UK, 3 School of Social Sciences, Leeds Beckett University, Leeds, UK, 4 Academic Department of Gastroenterology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK Background: Around 25% of patients with inflammatory bowel disease (IBD) are diagnosed before the age of 20, meaning transition from paediatric to adult healthcare is inevitable for some. Good transition is important to maintain quality of care, and poor transition can result in adverse outcomes such as clinic and medication non-adherence. Certain skills are required in order for someone to be ready to transition, and the aim of this study was to identify modifiable and non-modifiable fac- tors affecting the development of these skills in young people with IBD. Methods: This review was registered on the PROSERO database (CRD42019152272) and conducted in line with PRISMA guidelines. Studies were included if they (1) explored factors affecting the acqui- sition of transition readiness skills in IBD patients 2) were written in English (3) were published since 1999. The databases MEDLINE, CINAHL and PsychINFO were searched from September - October 2019. Bias was assessed using the Quality in Prognostic Studies tool. Results: Searches identified 822 papers and 27 full texts were retrieved. Sixteen papers were included in the final review, reporting on 1770 patients ranging from 10–29 years of age. Fourteen studies were cross-sectional and two longitudinal. Six assessed transition readi- ness, five self-management, two disease knowledge, one medication knowledge, one health literacy, and one both disease knowledge and self-management. Modifiable factors found were increased provider- communication about transition, transition duration, and health care satisfaction. Participant self-efficacy was found to be significant for three studies, and increased parent autonomy granting was related to higher disease knowledge in one study. Non-modifiable factors identi- fied were age, sex, socioeconomic score, participant educational level and ethnicity. Nine studies showed increased age as a positive prog- nostic factor, and two additional papers found an effect for certain domains assessed. Four studies showed higher scores for females, and one study demonstrated higher self-rated self-efficacy scores for males. Disease-related non-modifiable factors identified were IBD family his- tory, age at diagnosis, and absence from school. Conclusion: This study identified five potentially modifiable factors. Strategies or interventions to address these in the IBD population transitioning to adult care might lead to improved experience and outcomes. This review also identified eight non-modifiable factors. This may allow healthcare and allied professionals to identify those at an increased risk of not developing the necessary competencies for transition and adapting the way in which they approach transition for each individual. P260 Adaptation of TECCU App based on patients’ perceptions for telemonitoring inflammatory bowel disease: A qualitative study using focus groups J. Del Hoyo Francisco* 1 , P. Nos 1 , R. Faubel 2 , G. Bastida 1 , D. Muñoz 1 , E. Valero 1 , A. Garrido 1 , C. Savini 3 , P. Bella 3 , B. Peña 3 , M. Aguas 1 Downloaded from https://academic.oup.com/ecco-jcc/article-abstract/14/Supplement_1/S279/5705053 by guest on 24 July 2020