Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis
Arthritis is the most frequent extra-intestinal manifestation in patients with inflammatory bowel diseases (IBD). The coexistence of intestinal and articular inflammation advocates the need for a multidisciplinary management of patients with IBD-associated spondyloarthritis. Consecutive IBD patients...
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| Veröffentlicht in: | European journal of internal medicine 2019-06, Vol.64, p.76-84 |
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| creator | Luchetti, Michele Maria Benfaremo, Devis Bendia, Emanuele Bolognini, Laura Fava, Giammarco Marini, Francesco Di Sario, Antonio Ciferri, Monia Di Nicola, Francesca Marconi, Valentina Perini, Lucia Manfredi, Lucia Pomponio, Giovanni Mosca, Piergiorgio Benedetti, Antonio Gabrielli, Armando |
| description | Arthritis is the most frequent extra-intestinal manifestation in patients with inflammatory bowel diseases (IBD). The coexistence of intestinal and articular inflammation advocates the need for a multidisciplinary management of patients with IBD-associated spondyloarthritis.
Consecutive IBD patients were evaluated jointly by the gastroenterologist and the rheumatologist in a combined clinic. All the patients were assessed and screened for articular involvement, disease activity and health related quality of life. After the prescription of a shared treatment, patients with spondyloarthritis were followed up for 24 months.
Two hundred sixty-two IBD patients, including 80 who were classified as affected by spondyloarthritis according to the ASAS criteria, were included in the study. At baseline, patients with both IBD and spondyloarthritis showed worse quality of life in both the physical and mental domains. The multidisciplinary management provided a significant improvement of gastrointestinal and articular manifestations, as well as the health-related quality of life. Moreover, global and gastrointestinal-specific quality of life significantly correlated with articular disease activity.
The multidisciplinary management significantly improves both articular and gastrointestinal disease activities and the quality of life of patients with IBD-associated spondyloarthritis.
An appropriate screening strategy and the integrated management of these patients should be encouraged and employed in clinical practice.
•The presence of a SpA is often overlooked in IBD, with consequent diagnostic delay•The early diagnosis may be achieved by a combined gastro-rheumatological clinic•The combined clinic improved disease activity and quality of life in SpA/IBD•The improvement of disease activity and quality of life lasted up to 2 years•The multidisciplinary management of SpA/IBD is effective and feasible in clinical practice |
| doi_str_mv | 10.1016/j.ejim.2019.04.015 |
| format | Article |
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Consecutive IBD patients were evaluated jointly by the gastroenterologist and the rheumatologist in a combined clinic. All the patients were assessed and screened for articular involvement, disease activity and health related quality of life. After the prescription of a shared treatment, patients with spondyloarthritis were followed up for 24 months.
Two hundred sixty-two IBD patients, including 80 who were classified as affected by spondyloarthritis according to the ASAS criteria, were included in the study. At baseline, patients with both IBD and spondyloarthritis showed worse quality of life in both the physical and mental domains. The multidisciplinary management provided a significant improvement of gastrointestinal and articular manifestations, as well as the health-related quality of life. Moreover, global and gastrointestinal-specific quality of life significantly correlated with articular disease activity.
The multidisciplinary management significantly improves both articular and gastrointestinal disease activities and the quality of life of patients with IBD-associated spondyloarthritis.
An appropriate screening strategy and the integrated management of these patients should be encouraged and employed in clinical practice.
•The presence of a SpA is often overlooked in IBD, with consequent diagnostic delay•The early diagnosis may be achieved by a combined gastro-rheumatological clinic•The combined clinic improved disease activity and quality of life in SpA/IBD•The improvement of disease activity and quality of life lasted up to 2 years•The multidisciplinary management of SpA/IBD is effective and feasible in clinical practice</description><identifier>ISSN: 0953-6205</identifier><identifier>EISSN: 1879-0828</identifier><identifier>DOI: 10.1016/j.ejim.2019.04.015</identifier><identifier>PMID: 31047747</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Combined clinic ; Multidisciplinary management ; Patient reported outcomes ; Screening</subject><ispartof>European journal of internal medicine, 2019-06, Vol.64, p.76-84</ispartof><rights>2019 European Federation of Internal Medicine</rights><rights>Copyright © 2019 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-68b536933401813ad73b76e10e6b3e1a33e53a048dd41fc83e3e8a86b5a2a1a93</citedby><cites>FETCH-LOGICAL-c356t-68b536933401813ad73b76e10e6b3e1a33e53a048dd41fc83e3e8a86b5a2a1a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejim.2019.04.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31047747$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Luchetti, Michele Maria</creatorcontrib><creatorcontrib>Benfaremo, Devis</creatorcontrib><creatorcontrib>Bendia, Emanuele</creatorcontrib><creatorcontrib>Bolognini, Laura</creatorcontrib><creatorcontrib>Fava, Giammarco</creatorcontrib><creatorcontrib>Marini, Francesco</creatorcontrib><creatorcontrib>Di Sario, Antonio</creatorcontrib><creatorcontrib>Ciferri, Monia</creatorcontrib><creatorcontrib>Di Nicola, Francesca</creatorcontrib><creatorcontrib>Marconi, Valentina</creatorcontrib><creatorcontrib>Perini, Lucia</creatorcontrib><creatorcontrib>Manfredi, Lucia</creatorcontrib><creatorcontrib>Pomponio, Giovanni</creatorcontrib><creatorcontrib>Mosca, Piergiorgio</creatorcontrib><creatorcontrib>Benedetti, Antonio</creatorcontrib><creatorcontrib>Gabrielli, Armando</creatorcontrib><title>Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis</title><title>European journal of internal medicine</title><addtitle>Eur J Intern Med</addtitle><description>Arthritis is the most frequent extra-intestinal manifestation in patients with inflammatory bowel diseases (IBD). The coexistence of intestinal and articular inflammation advocates the need for a multidisciplinary management of patients with IBD-associated spondyloarthritis.
Consecutive IBD patients were evaluated jointly by the gastroenterologist and the rheumatologist in a combined clinic. All the patients were assessed and screened for articular involvement, disease activity and health related quality of life. After the prescription of a shared treatment, patients with spondyloarthritis were followed up for 24 months.
Two hundred sixty-two IBD patients, including 80 who were classified as affected by spondyloarthritis according to the ASAS criteria, were included in the study. At baseline, patients with both IBD and spondyloarthritis showed worse quality of life in both the physical and mental domains. The multidisciplinary management provided a significant improvement of gastrointestinal and articular manifestations, as well as the health-related quality of life. Moreover, global and gastrointestinal-specific quality of life significantly correlated with articular disease activity.
The multidisciplinary management significantly improves both articular and gastrointestinal disease activities and the quality of life of patients with IBD-associated spondyloarthritis.
An appropriate screening strategy and the integrated management of these patients should be encouraged and employed in clinical practice.
•The presence of a SpA is often overlooked in IBD, with consequent diagnostic delay•The early diagnosis may be achieved by a combined gastro-rheumatological clinic•The combined clinic improved disease activity and quality of life in SpA/IBD•The improvement of disease activity and quality of life lasted up to 2 years•The multidisciplinary management of SpA/IBD is effective and feasible in clinical practice</description><subject>Combined clinic</subject><subject>Multidisciplinary management</subject><subject>Patient reported outcomes</subject><subject>Screening</subject><issn>0953-6205</issn><issn>1879-0828</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kc2O1DAQhC0EYoeFF-CAfOSSrB0njiNxQSN-VlqJC5ytjt1hPIrjYDus9jl4YRzNLkdOLbXqq1Z1EfKWs5ozLm_ONZ6drxvGh5q1NePdM3Lgqh8qphr1nBzY0IlKNqy7Iq9SOjPGe8bES3IlOGv7vu0P5M9xdoszMFNYLF0hO1wyjbiGmNHSsGUTPCYaJppPSP02Z2ddMm4tHMQH6mGBn-h3yi1PBoneu3wqi2kG7yGHIhzDPc60sAgJK0gpGAf7jbSGxT7MAWI-RZddek1eTDAnfPM4r8mPz5--H79Wd9--3B4_3lVGdDJXUo2dkIMQLeOKC7C9GHuJnKEcBXIQAjsBrFXWtnwySqBABUqOHTTAYRDX5P3Fd43h14Ypa1-S4TzDgmFLummaoRGyl6JIm4vUxJBSxEmv0fmSX3Om9zL0We9l6L0MzVpdyijQu0f_bfRo_yFP3y-CDxcBlpS_HUZdHouLQesimqxtcP_z_wskdZ-I</recordid><startdate>201906</startdate><enddate>201906</enddate><creator>Luchetti, Michele Maria</creator><creator>Benfaremo, Devis</creator><creator>Bendia, Emanuele</creator><creator>Bolognini, Laura</creator><creator>Fava, Giammarco</creator><creator>Marini, Francesco</creator><creator>Di Sario, Antonio</creator><creator>Ciferri, Monia</creator><creator>Di Nicola, Francesca</creator><creator>Marconi, Valentina</creator><creator>Perini, Lucia</creator><creator>Manfredi, Lucia</creator><creator>Pomponio, Giovanni</creator><creator>Mosca, Piergiorgio</creator><creator>Benedetti, Antonio</creator><creator>Gabrielli, Armando</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201906</creationdate><title>Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis</title><author>Luchetti, Michele Maria ; Benfaremo, Devis ; Bendia, Emanuele ; Bolognini, Laura ; Fava, Giammarco ; Marini, Francesco ; Di Sario, Antonio ; Ciferri, Monia ; Di Nicola, Francesca ; Marconi, Valentina ; Perini, Lucia ; Manfredi, Lucia ; Pomponio, Giovanni ; Mosca, Piergiorgio ; Benedetti, Antonio ; Gabrielli, Armando</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-68b536933401813ad73b76e10e6b3e1a33e53a048dd41fc83e3e8a86b5a2a1a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Combined clinic</topic><topic>Multidisciplinary management</topic><topic>Patient reported outcomes</topic><topic>Screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Luchetti, Michele Maria</creatorcontrib><creatorcontrib>Benfaremo, Devis</creatorcontrib><creatorcontrib>Bendia, Emanuele</creatorcontrib><creatorcontrib>Bolognini, Laura</creatorcontrib><creatorcontrib>Fava, Giammarco</creatorcontrib><creatorcontrib>Marini, Francesco</creatorcontrib><creatorcontrib>Di Sario, Antonio</creatorcontrib><creatorcontrib>Ciferri, Monia</creatorcontrib><creatorcontrib>Di Nicola, Francesca</creatorcontrib><creatorcontrib>Marconi, Valentina</creatorcontrib><creatorcontrib>Perini, Lucia</creatorcontrib><creatorcontrib>Manfredi, Lucia</creatorcontrib><creatorcontrib>Pomponio, Giovanni</creatorcontrib><creatorcontrib>Mosca, Piergiorgio</creatorcontrib><creatorcontrib>Benedetti, Antonio</creatorcontrib><creatorcontrib>Gabrielli, Armando</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Luchetti, Michele Maria</au><au>Benfaremo, Devis</au><au>Bendia, Emanuele</au><au>Bolognini, Laura</au><au>Fava, Giammarco</au><au>Marini, Francesco</au><au>Di Sario, Antonio</au><au>Ciferri, Monia</au><au>Di Nicola, Francesca</au><au>Marconi, Valentina</au><au>Perini, Lucia</au><au>Manfredi, Lucia</au><au>Pomponio, Giovanni</au><au>Mosca, Piergiorgio</au><au>Benedetti, Antonio</au><au>Gabrielli, Armando</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis</atitle><jtitle>European journal of internal medicine</jtitle><addtitle>Eur J Intern Med</addtitle><date>2019-06</date><risdate>2019</risdate><volume>64</volume><spage>76</spage><epage>84</epage><pages>76-84</pages><issn>0953-6205</issn><eissn>1879-0828</eissn><abstract>Arthritis is the most frequent extra-intestinal manifestation in patients with inflammatory bowel diseases (IBD). The coexistence of intestinal and articular inflammation advocates the need for a multidisciplinary management of patients with IBD-associated spondyloarthritis.
Consecutive IBD patients were evaluated jointly by the gastroenterologist and the rheumatologist in a combined clinic. All the patients were assessed and screened for articular involvement, disease activity and health related quality of life. After the prescription of a shared treatment, patients with spondyloarthritis were followed up for 24 months.
Two hundred sixty-two IBD patients, including 80 who were classified as affected by spondyloarthritis according to the ASAS criteria, were included in the study. At baseline, patients with both IBD and spondyloarthritis showed worse quality of life in both the physical and mental domains. The multidisciplinary management provided a significant improvement of gastrointestinal and articular manifestations, as well as the health-related quality of life. Moreover, global and gastrointestinal-specific quality of life significantly correlated with articular disease activity.
The multidisciplinary management significantly improves both articular and gastrointestinal disease activities and the quality of life of patients with IBD-associated spondyloarthritis.
An appropriate screening strategy and the integrated management of these patients should be encouraged and employed in clinical practice.
•The presence of a SpA is often overlooked in IBD, with consequent diagnostic delay•The early diagnosis may be achieved by a combined gastro-rheumatological clinic•The combined clinic improved disease activity and quality of life in SpA/IBD•The improvement of disease activity and quality of life lasted up to 2 years•The multidisciplinary management of SpA/IBD is effective and feasible in clinical practice</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31047747</pmid><doi>10.1016/j.ejim.2019.04.015</doi><tpages>9</tpages></addata></record> |
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| ispartof | European journal of internal medicine, 2019-06, Vol.64, p.76-84 |
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| language | eng |
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| subjects | Combined clinic Multidisciplinary management Patient reported outcomes Screening |
| title | Clinical and patient reported outcomes of the multidisciplinary management in patients with inflammatory bowel disease-associated spondyloarthritis |
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