Predictors of Health-Related Quality of Life and Adherence in Crohn’s Disease and Ulcerative Colitis: Implications for Clinical Management

Tabibian, Anilga; Tabibian, James H.; Beckman, Linda J.; Raffals, Laura L.; Papadakis, Konstantinos A.; Kane, Sunanda V.

doi:10.1007/s10620-014-3471-1

Cited by 82 publications

(57 citation statements)

References 44 publications

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“…Women reporting lower HRQOL at pre-operative baseline and in the short-term postoperative period are consistent with studies evaluating predictors of HRQOL in CD patients in general [8,41,42] . However, the similar HRQOL reported by men and women by 18 months after surgery may suggest that postoperative HRQOL is better explained by other factors such as smoking or disease recurrence.…”

Section: Summary Of Main Findings and Interpretationsupporting

confidence: 82%

Quality of Life after Intestinal Resection in Patients with Crohn Disease: A Systematic Review

Ha¹,

Thong²,

Khalil³

2017

Dig Surg

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Background/Aims: Most patients with Crohn disease (CD) require surgery within 10 years of diagnosis. Intestinal resection is the most commonly performed operation although the effects on health-related quality of life (HRQOL), particularly long-term, are contentious. Methods: We conducted a systematic review evaluating the impact of intestinal resection on the HRQOL of CD patients, predictors of postoperative HRQOL, and patient satisfaction with surgery. Results: Nine studies including 1,108 CD patients undergoing intestinal resection were identified as eligible for inclusion. The median age at surgery was 29-41 years with varying follow-up period (range 30 days-5 years). Ileocolic resection was the most commonly performed operation on an elective basis (range 95-100%). HRQOL improved as early as 2 weeks postoperatively and lasted up to 5 years across both generic and gastrointestinal domains. Gender, smoking, and disease recurrence were potential predictors of postoperative HRQOL. Patient satisfaction is high with regard to surgery, with preference for a laparoscopic approach. Conclusion: Intestinal resection in CD patients improved HRQOL in the short- and long-term and patients describe high satisfaction about their surgery. Further studies are needed to validate potential predictors of postoperative HRQOL in this cohort.

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Section: Summary Of Main Findings and Interpretationsupporting

confidence: 82%

Quality of Life after Intestinal Resection in Patients with Crohn Disease: A Systematic Review

Ha¹,

Thong²,

Khalil³

2017

Dig Surg

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“…Quality of life (QOL) was the most common outcome of interest, however depression, anxiety, psychological distress and perceptions of disability were also studied. Only three studies reported findings separately for ulcerative colitis and Crohn's disease (Boye et al, 2008, Goodhand et al, 2012, Tabibian et al, 2015. All other studies, on finding no significant differences performed their statistical analysis on the group as a whole.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

A systematic review of the psychological correlates of adjustment outcomes in adults with inflammatory bowel disease

Jordan

Sin

Fear

et al. 2016

Clinical Psychology Review

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Inflammatory bowel disease (IBD) is a chronic long term condition which poses significant psychosocial adjustment challenges. The purpose of this review was to systematically identify psychological factors related to adjustment in adults with IBD with the aim of suggesting evidence based targets that may be modifiable though psychological intervention. Twenty five studies met inclusion criteria and were included in the systematic review and a narrative synthesis was conducted. A wide range of psychological variables were addressed covering six broad categories; personality traits, interpersonal traits, stress and coping, emotions and emotional control, IBD related cognitions and non IBD related cognitions. The most consistent relationship was found between certain emotion focused coping strategies and worse adjustment outcomes in IBD. Some evidence also hi-lighted a relationship between personality traits (such as neuroticism,) perceived stress, emotions and emotional control (such as alexithymia) and IBD related cognitions (such as illness perceptions) and negative adjustment outcomes. The results of this review suggest that interventions to improve adjustment in IBD may benefit from a focus on coping strategies, perceived stress and IBD related cognitions.

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“…Dentro de ellos destacan pacientes mujeres, que presenten un mayor grado de estrés, menor apoyo social, un mayor número de recaídas de su enfermedad, síntomas persistentes después de 10 años de seguimiento y una pensión de invalidez por EII 31,32 . La EC es una enfermedad heterogénea que puede presentar tres fenotipos distintos (inflamatorio, penetrante y fistulizante), los cuales resultan de una compleja interacción entre factores genéticos, inmunológicos y ambientales.…”

Section: Discapacidadunclassified

“…Los instrumentos clásicos para medir calidad de vida son el SF-36 y el SF-12, los cuales se han utilizado en algunos estudios en EII 32,36,37 , pero no son específicos para esta patología. El instrumento más comúnmente utilizado en la práctica clínica y en los estudios es el IBDQ 31,[32][33][34][35][36]38 desarrollado en la Universidad de McMaster, Ontario, Canadá, el cual consta de 32 preguntas 39 . Este cuestionario se encuentra traducido y validado al español 38 .…”

Section: Discapacidadunclassified

See 1 more Smart Citation

Manejo integral de la enfermedad inflamatoria intestinal: más allá de una terapia farmacológica adecuada

Simian

Quera

2016

Rev. méd. Chile

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Predictors of Health-Related Quality of Life and Adherence in Crohn’s Disease and Ulcerative Colitis: Implications for Clinical Management

Cited by 82 publications

References 44 publications

Quality of Life after Intestinal Resection in Patients with Crohn Disease: A Systematic Review

Quality of Life after Intestinal Resection in Patients with Crohn Disease: A Systematic Review

A systematic review of the psychological correlates of adjustment outcomes in adults with inflammatory bowel disease

Manejo integral de la enfermedad inflamatoria intestinal: más allá de una terapia farmacológica adecuada

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