Quality of life in patients with established inflammatory bowel disease: a UK general practice survey

Summary Background : The current understanding of quality of life impairment in inflammatory bowel disease has largely been derived from selected populations and may not reflect the experience of patients in the community, where fewer than half are likely to be under specialist care. Aim : To descri...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 2004-03, Vol.19 (5), p.529-535
Hauptverfasser: Rubin, G. P., Hungin, A. P. S., Chinn, D. J., Dwarakanath, D.
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container_end_page 535
container_issue 5
container_start_page 529
container_title Alimentary pharmacology & therapeutics
container_volume 19
creator Rubin, G. P.
Hungin, A. P. S.
Chinn, D. J.
Dwarakanath, D.
description Summary Background : The current understanding of quality of life impairment in inflammatory bowel disease has largely been derived from selected populations and may not reflect the experience of patients in the community, where fewer than half are likely to be under specialist care. Aim : To describe the health‐related quality of life in a community‐based sample of patients with established inflammatory bowel disease and explore its association with the type and extent of disease, gender, age, material deprivation and other factors. Methods : Adults with established inflammatory bowel disease were identified systematically from the records of 23 family practices in north‐east England. The health‐related quality of life was assessed by self‐completion of the UK Inflammatory Bowel Disease Questionnaire. Results : Five hundred and fifty‐six patients were sent the questionnaire and 409 (74%) gave usable replies. Lower scores (worse quality of life) were significantly associated with female gender, Crohn's disease, more extensive disease (ulcerative colitis) and being under specialist care. The mean health‐related quality of life score was significantly lower in patients resident in more deprived districts, independent of the type and extent of disease. Conclusions : Most patients with established inflammatory bowel disease showed only minor impairment of their health‐related quality of life. On average, women and those with Crohn's disease were relatively more affected. Clinicians responsible for the care of patients with inflammatory bowel disease should be aware of these more vulnerable groups.
doi_str_mv 10.1111/j.1365-2036.2004.1873.x
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P. ; Hungin, A. P. S. ; Chinn, D. J. ; Dwarakanath, D.</creator><creatorcontrib>Rubin, G. P. ; Hungin, A. P. S. ; Chinn, D. J. ; Dwarakanath, D.</creatorcontrib><description>Summary Background : The current understanding of quality of life impairment in inflammatory bowel disease has largely been derived from selected populations and may not reflect the experience of patients in the community, where fewer than half are likely to be under specialist care. Aim : To describe the health‐related quality of life in a community‐based sample of patients with established inflammatory bowel disease and explore its association with the type and extent of disease, gender, age, material deprivation and other factors. Methods : Adults with established inflammatory bowel disease were identified systematically from the records of 23 family practices in north‐east England. The health‐related quality of life was assessed by self‐completion of the UK Inflammatory Bowel Disease Questionnaire. Results : Five hundred and fifty‐six patients were sent the questionnaire and 409 (74%) gave usable replies. Lower scores (worse quality of life) were significantly associated with female gender, Crohn's disease, more extensive disease (ulcerative colitis) and being under specialist care. The mean health‐related quality of life score was significantly lower in patients resident in more deprived districts, independent of the type and extent of disease. Conclusions : Most patients with established inflammatory bowel disease showed only minor impairment of their health‐related quality of life. On average, women and those with Crohn's disease were relatively more affected. 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P.</creatorcontrib><creatorcontrib>Hungin, A. P. S.</creatorcontrib><creatorcontrib>Chinn, D. J.</creatorcontrib><creatorcontrib>Dwarakanath, D.</creatorcontrib><title>Quality of life in patients with established inflammatory bowel disease: a UK general practice survey</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Summary Background : The current understanding of quality of life impairment in inflammatory bowel disease has largely been derived from selected populations and may not reflect the experience of patients in the community, where fewer than half are likely to be under specialist care. Aim : To describe the health‐related quality of life in a community‐based sample of patients with established inflammatory bowel disease and explore its association with the type and extent of disease, gender, age, material deprivation and other factors. Methods : Adults with established inflammatory bowel disease were identified systematically from the records of 23 family practices in north‐east England. The health‐related quality of life was assessed by self‐completion of the UK Inflammatory Bowel Disease Questionnaire. Results : Five hundred and fifty‐six patients were sent the questionnaire and 409 (74%) gave usable replies. Lower scores (worse quality of life) were significantly associated with female gender, Crohn's disease, more extensive disease (ulcerative colitis) and being under specialist care. The mean health‐related quality of life score was significantly lower in patients resident in more deprived districts, independent of the type and extent of disease. Conclusions : Most patients with established inflammatory bowel disease showed only minor impairment of their health‐related quality of life. On average, women and those with Crohn's disease were relatively more affected. 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J. ; Dwarakanath, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4413-d59579af6fd1eb03e1c3e486ec74099f652c2df929a9372b3851614c34c6d5ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age of Onset</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Digestive system</topic><topic>England - epidemiology</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Health Status</topic><topic>Health Status Indicators</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Inflammatory Bowel Diseases - epidemiology</topic><topic>Inflammatory Bowel Diseases - psychology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. 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S.</au><au>Chinn, D. J.</au><au>Dwarakanath, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life in patients with established inflammatory bowel disease: a UK general practice survey</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>2004-03</date><risdate>2004</risdate><volume>19</volume><issue>5</issue><spage>529</spage><epage>535</epage><pages>529-535</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Summary Background : The current understanding of quality of life impairment in inflammatory bowel disease has largely been derived from selected populations and may not reflect the experience of patients in the community, where fewer than half are likely to be under specialist care. Aim : To describe the health‐related quality of life in a community‐based sample of patients with established inflammatory bowel disease and explore its association with the type and extent of disease, gender, age, material deprivation and other factors. Methods : Adults with established inflammatory bowel disease were identified systematically from the records of 23 family practices in north‐east England. The health‐related quality of life was assessed by self‐completion of the UK Inflammatory Bowel Disease Questionnaire. Results : Five hundred and fifty‐six patients were sent the questionnaire and 409 (74%) gave usable replies. Lower scores (worse quality of life) were significantly associated with female gender, Crohn's disease, more extensive disease (ulcerative colitis) and being under specialist care. The mean health‐related quality of life score was significantly lower in patients resident in more deprived districts, independent of the type and extent of disease. 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subjects Adolescent
Adult
Age of Onset
Aged
Biological and medical sciences
Digestive system
England - epidemiology
Female
Gastroenterology. Liver. Pancreas. Abdomen
Health Status
Health Status Indicators
Health Surveys
Humans
Inflammatory Bowel Diseases - epidemiology
Inflammatory Bowel Diseases - psychology
Male
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Poverty
Quality of Life
Regression Analysis
Socioeconomic Factors
Surveys and Questionnaires
Urban Health
title Quality of life in patients with established inflammatory bowel disease: a UK general practice survey
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