Functional abdominal pain disorders and patient- and parent-reported outcomes in children with inflammatory bowel disease in remission

Chronic abdominal pain occurs frequently in pediatric patients with inflammatory bowel disease (IBD) in remission. To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). Patients with IBD for > 1 year, in clinical remis...

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Veröffentlicht in:Digestive and liver disease 2021-10, Vol.53 (10), p.1268-1275
Hauptverfasser: Tran, Léa Chantal, Bridoux-Henno, Laure, Gastineau, Swellen, Dabadie, Alain, Carré, Emilie, Hugot, Jean-Pierre, Martinez-Vinson, Christine, Mosca, Alexis, Coopman, Stéphanie, Lamireau, Thierry, Enaud, Raphaël, Clouzeau, Haude, Bertrand, Valérie, Pigneur, Bénédicte, Ruemmele, Frank, Degas, Vanessa, Breton, Anne, Mas, Emmanuel, Lacotte, Édouard, Chaillou-Legault, Emilie, Caron, Nicolas, Languepin, Jane, Willot, Stéphanie, Bouazza, Ahlem, Spyckerelle, Claire, Dimitrov, Georges, Thomassin, Nadège, Djeddi, Djamal, Vanrenterghem, Audrey, Grandjean, Camille, Viala, Jérôme, Dupont-Lucas, Claire
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container_end_page 1275
container_issue 10
container_start_page 1268
container_title Digestive and liver disease
container_volume 53
creator Tran, Léa Chantal
Bridoux-Henno, Laure
Gastineau, Swellen
Dabadie, Alain
Carré, Emilie
Hugot, Jean-Pierre
Martinez-Vinson, Christine
Mosca, Alexis
Coopman, Stéphanie
Lamireau, Thierry
Enaud, Raphaël
Clouzeau, Haude
Bertrand, Valérie
Pigneur, Bénédicte
Ruemmele, Frank
Degas, Vanessa
Breton, Anne
Mas, Emmanuel
Lacotte, Édouard
Chaillou-Legault, Emilie
Caron, Nicolas
Languepin, Jane
Willot, Stéphanie
Bouazza, Ahlem
Spyckerelle, Claire
Dimitrov, Georges
Thomassin, Nadège
Djeddi, Djamal
Vanrenterghem, Audrey
Grandjean, Camille
Viala, Jérôme
Dupont-Lucas, Claire
description Chronic abdominal pain occurs frequently in pediatric patients with inflammatory bowel disease (IBD) in remission. To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). Patients with IBD for > 1 year, in clinical remission for ≥ 3 months were recruited from a National IBD network. IBD-FAPDs were assessed using the Rome III questionnaire criteria. Patient- or parent- reported outcomes were assessed. Among 102 included patients, 57 (56%) were boys, mean age (DS) was 15.0 (± 2.0) years and 75 (74%) had Crohn's disease. Twenty-two patients (22%) had at least one Functional Gastrointestinal Disorder among which 17 had at least one IBD-FAPD. Past severity of disease or treatments received and level of remission were not significantly associated with IBD-FAPD. Patients with IBD-FAPD reported more fatigue (peds-FACIT-F: 35.9 ± 9.8 vs. 43.0 ± 6.9, p = 0.01) and a lower HR-QoL (IMPACT III: 76.5 ± 9.6 vs. 81.6 ± 9.2, p = 0.04) than patients without FAPD, and their parents had higher levels of State and Trait anxiety than the other parents. Prevalence of IBD-FAPD was 17%. IBD-FAPD was not associated with past severity of disease, but with fatigue and lower HR-QoL.
doi_str_mv 10.1016/j.dld.2021.05.034
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To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). Patients with IBD for &gt; 1 year, in clinical remission for ≥ 3 months were recruited from a National IBD network. IBD-FAPDs were assessed using the Rome III questionnaire criteria. Patient- or parent- reported outcomes were assessed. Among 102 included patients, 57 (56%) were boys, mean age (DS) was 15.0 (± 2.0) years and 75 (74%) had Crohn's disease. Twenty-two patients (22%) had at least one Functional Gastrointestinal Disorder among which 17 had at least one IBD-FAPD. Past severity of disease or treatments received and level of remission were not significantly associated with IBD-FAPD. Patients with IBD-FAPD reported more fatigue (peds-FACIT-F: 35.9 ± 9.8 vs. 43.0 ± 6.9, p = 0.01) and a lower HR-QoL (IMPACT III: 76.5 ± 9.6 vs. 81.6 ± 9.2, p = 0.04) than patients without FAPD, and their parents had higher levels of State and Trait anxiety than the other parents. Prevalence of IBD-FAPD was 17%. 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To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). Patients with IBD for &gt; 1 year, in clinical remission for ≥ 3 months were recruited from a National IBD network. IBD-FAPDs were assessed using the Rome III questionnaire criteria. Patient- or parent- reported outcomes were assessed. Among 102 included patients, 57 (56%) were boys, mean age (DS) was 15.0 (± 2.0) years and 75 (74%) had Crohn's disease. Twenty-two patients (22%) had at least one Functional Gastrointestinal Disorder among which 17 had at least one IBD-FAPD. Past severity of disease or treatments received and level of remission were not significantly associated with IBD-FAPD. Patients with IBD-FAPD reported more fatigue (peds-FACIT-F: 35.9 ± 9.8 vs. 43.0 ± 6.9, p = 0.01) and a lower HR-QoL (IMPACT III: 76.5 ± 9.6 vs. 81.6 ± 9.2, p = 0.04) than patients without FAPD, and their parents had higher levels of State and Trait anxiety than the other parents. Prevalence of IBD-FAPD was 17%. IBD-FAPD was not associated with past severity of disease, but with fatigue and lower HR-QoL.</description><subject>Abdominal pain</subject><subject>Abdominal Pain - etiology</subject><subject>Abdominal Pain - psychology</subject><subject>Adolescent</subject><subject>Anxiety</subject><subject>Case-Control Studies</subject><subject>Cross-Sectional Studies</subject><subject>Fatigue</subject><subject>Fatigue - etiology</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - complications</subject><subject>Inflammatory Bowel Diseases - psychology</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Paediatrics</subject><subject>Parents - psychology</subject><subject>Patient Reported Outcome Measures</subject><subject>Quality of Life</subject><subject>Remission Induction</subject><subject>Santé publique et épidémiologie</subject><subject>Severity of Illness Index</subject><issn>1590-8658</issn><issn>1878-3562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1u3CAUhVHUKn_tA3RTedks7PI_WF1FUZNUGqmbdo0wXGsYYTMFnCgv0Ocu1kyy7IrD5TsHxEHoE8EdwUR-3XcuuI5iSjosOsz4GbokaqNaJiR9V7XocaukUBfoKuc9rqAU-BxdMF6xjdxcor_3y2yLj7MJjRlcnPyqDsbPjfM5JgcpN2Z2dVQ8zKU9bdKqExxiKuCauBQbJ8hNtdmdD64eN8--7OpgDGaaTInppRniM4Q1F0yGlU0w-Zzr7R_Q-9GEDB9P6zX6ff_9191ju_358OPudttaznBpFeXWStJzZqUazaicJWpQTBGA3nFOHCZVKDIAjBs6UtHbsTqcxdgZOrBrdHPM3ZmgD8lPJr3oaLx-vN3qdYYZowJL9UQq--XIHlL8s0Auuj7WQghmhrhkTQWXvcKU84qSI2pTzDnB-JZNsF6r0ntdq9JrVRqLesvq-XyKX4YJ3JvjtZsKfDsCUD_kyUPS2dYKLDifwBbtov9P_D_lw6cD</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Tran, Léa Chantal</creator><creator>Bridoux-Henno, Laure</creator><creator>Gastineau, Swellen</creator><creator>Dabadie, Alain</creator><creator>Carré, Emilie</creator><creator>Hugot, Jean-Pierre</creator><creator>Martinez-Vinson, Christine</creator><creator>Mosca, Alexis</creator><creator>Coopman, Stéphanie</creator><creator>Lamireau, Thierry</creator><creator>Enaud, Raphaël</creator><creator>Clouzeau, Haude</creator><creator>Bertrand, Valérie</creator><creator>Pigneur, Bénédicte</creator><creator>Ruemmele, Frank</creator><creator>Degas, Vanessa</creator><creator>Breton, Anne</creator><creator>Mas, Emmanuel</creator><creator>Lacotte, Édouard</creator><creator>Chaillou-Legault, Emilie</creator><creator>Caron, Nicolas</creator><creator>Languepin, Jane</creator><creator>Willot, Stéphanie</creator><creator>Bouazza, Ahlem</creator><creator>Spyckerelle, Claire</creator><creator>Dimitrov, Georges</creator><creator>Thomassin, Nadège</creator><creator>Djeddi, Djamal</creator><creator>Vanrenterghem, Audrey</creator><creator>Grandjean, Camille</creator><creator>Viala, Jérôme</creator><creator>Dupont-Lucas, Claire</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-5777-8492</orcidid><orcidid>https://orcid.org/0000-0002-9513-0275</orcidid><orcidid>https://orcid.org/0000-0002-7355-6515</orcidid></search><sort><creationdate>20211001</creationdate><title>Functional abdominal pain disorders and patient- and parent-reported outcomes in children with inflammatory bowel disease in remission</title><author>Tran, Léa Chantal ; Bridoux-Henno, Laure ; Gastineau, Swellen ; Dabadie, Alain ; Carré, Emilie ; Hugot, Jean-Pierre ; Martinez-Vinson, Christine ; Mosca, Alexis ; Coopman, Stéphanie ; Lamireau, Thierry ; Enaud, Raphaël ; Clouzeau, Haude ; Bertrand, Valérie ; Pigneur, Bénédicte ; Ruemmele, Frank ; Degas, Vanessa ; Breton, Anne ; Mas, Emmanuel ; Lacotte, Édouard ; Chaillou-Legault, Emilie ; Caron, Nicolas ; Languepin, Jane ; Willot, Stéphanie ; Bouazza, Ahlem ; Spyckerelle, Claire ; Dimitrov, Georges ; Thomassin, Nadège ; Djeddi, Djamal ; Vanrenterghem, Audrey ; Grandjean, Camille ; Viala, Jérôme ; Dupont-Lucas, Claire</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-824cc61943c68faf8dc18b8381ee9d441d01e9d81beef72f259cfcc6dc00da2b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdominal pain</topic><topic>Abdominal Pain - 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To assess the prevalence and factors associated with Functional Abdominal Pain Disorders among IBD children in remission (IBD-FAPD). Patients with IBD for &gt; 1 year, in clinical remission for ≥ 3 months were recruited from a National IBD network. IBD-FAPDs were assessed using the Rome III questionnaire criteria. Patient- or parent- reported outcomes were assessed. Among 102 included patients, 57 (56%) were boys, mean age (DS) was 15.0 (± 2.0) years and 75 (74%) had Crohn's disease. Twenty-two patients (22%) had at least one Functional Gastrointestinal Disorder among which 17 had at least one IBD-FAPD. Past severity of disease or treatments received and level of remission were not significantly associated with IBD-FAPD. Patients with IBD-FAPD reported more fatigue (peds-FACIT-F: 35.9 ± 9.8 vs. 43.0 ± 6.9, p = 0.01) and a lower HR-QoL (IMPACT III: 76.5 ± 9.6 vs. 81.6 ± 9.2, p = 0.04) than patients without FAPD, and their parents had higher levels of State and Trait anxiety than the other parents. Prevalence of IBD-FAPD was 17%. IBD-FAPD was not associated with past severity of disease, but with fatigue and lower HR-QoL.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>34187767</pmid><doi>10.1016/j.dld.2021.05.034</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5777-8492</orcidid><orcidid>https://orcid.org/0000-0002-9513-0275</orcidid><orcidid>https://orcid.org/0000-0002-7355-6515</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1590-8658
ispartof Digestive and liver disease, 2021-10, Vol.53 (10), p.1268-1275
issn 1590-8658
1878-3562
language eng
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Abdominal pain
Abdominal Pain - etiology
Abdominal Pain - psychology
Adolescent
Anxiety
Case-Control Studies
Cross-Sectional Studies
Fatigue
Fatigue - etiology
Fatigue - psychology
Female
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - psychology
Life Sciences
Male
Paediatrics
Parents - psychology
Patient Reported Outcome Measures
Quality of Life
Remission Induction
Santé publique et épidémiologie
Severity of Illness Index
title Functional abdominal pain disorders and patient- and parent-reported outcomes in children with inflammatory bowel disease in remission
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