The role of quality of care in health-related quality of life in patients with IBD

Ingrid van der Eijk; Iaonnis G. Vlachonikolis; Pia Munkholm; Judy Nijman; Tomm Bernklev; Patrizia Politi; Selwyn Odes; Epameinondas V. Tsianos; Reinhold W. Stockbrügger; Maurice G. Russel; V. Binder; E. Langholz; M. Vatn; B. Moum; T. Bernklev; I. Engdahl; C. O'Morain; M. Buckley; R. Stockbrügger; M. Russel; I. van der Eijk; E. Monteiro; J. Freitas; F. Tavarela Veloso; G. Fornaciari; M. Beltrami; P. Bodini; P. Politi; P. Bianchi; G. d'Albasio; G. Trallori; M. Cottone; G. Lupinacci; Y. Mouzas; I. Vlachonikolis; E. Tsianos; K. Katsanos; S. Odes

doi:10.1097/00054725-200407000-00010

The role of quality of care in health-related quality of life in patients with IBD

Ingrid van der Eijk, Iaonnis G. Vlachonikolis, Pia Munkholm, Judy Nijman, Tomm Bernklev, Patrizia Politi, Selwyn Odes, Epameinondas V. Tsianos, Reinhold W. Stockbrügger^*, Maurice G. Russel, V. Binder, E. Langholz, M. Vatn, B. Moum, T. Bernklev, I. Engdahl, C. O'Morain, M. Buckley, R. Stockbrügger, M. RusselI. van der Eijk, E. Monteiro, J. Freitas, F. Tavarela Veloso, G. Fornaciari, M. Beltrami, P. Bodini, P. Politi, P. Bianchi, G. d'Albasio, G. Trallori, M. Cottone, G. Lupinacci, Y. Mouzas, I. Vlachonikolis, E. Tsianos, K. Katsanos, S. Odes

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin

60 Citationer (Scopus)

Abstract

In the literature there are indications of associations between health-related quality of life (HRQoL) in inflammatory bowel disease and disease activity, psychological status, coping, stressful life events, and social support. The aim of this study was to examine whether a relation exists between quality of health care and HRQoL, taking possible confounding variables into account. For this purpose, one single questionnaire was compiled from existing validated questionnaires. A population-based inception cohort of 1056 patients with inflammatory bowel disease in eight countries, diagnosed 6 to 8 years prior to the study, was approached to participate. In total, 824 patients responded (78%), and 517 could be included in statistical analyses. It was shown that in inflammatory bowel disease HRQoL was indeed influenced by quality of care (particularly with regard to the parameters of "providing information," " costs," and "courtesy"), as well as by disease activity, psychological status, type of hospital, social support, stressful life events, and way of administration of the questionnaire. Patients with active disease had lower psychological status and HRQoL scores at the time of the survey than patients without active disease. However, quality of care scores did not differ between these groups. The care aspect "costs" was scored worse by CD compared with UC patients, probably caused by a potentially more expensive treatment. In conclusion, it is shown in a large exploratory study, for the first time, that in inflammatory bowel disease, quality of care has a significant role in determining health-related quality of life.

Originalsprog	Engelsk
Tidsskrift	Inflammatory Bowel Diseases
Vol/bind	10
Udgave nummer	4
Sider (fra-til)	392-398
Antal sider	7
ISSN	1078-0998
DOI	https://doi.org/10.1097/00054725-200407000-00010
Status	Udgivet - 1 jul. 2004

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van der Eijk, I., Vlachonikolis, I. G., Munkholm, P., Nijman, J., Bernklev, T., Politi, P., Odes, S., Tsianos, E. V., Stockbrügger, R. W., Russel, M. G., Binder, V., Langholz, E., Vatn, M., Moum, B., Bernklev, T., Engdahl, I., O'Morain, C., Buckley, M., Stockbrügger, R., ... Odes, S. (2004). The role of quality of care in health-related quality of life in patients with IBD. Inflammatory Bowel Diseases, 10(4), 392-398. https://doi.org/10.1097/00054725-200407000-00010

van der Eijk, I, Vlachonikolis, IG, Munkholm, P, Nijman, J, Bernklev, T, Politi, P, Odes, S, Tsianos, EV, Stockbrügger, RW, Russel, MG, Binder, V, Langholz, E, Vatn, M, Moum, B, Bernklev, T, Engdahl, I, O'Morain, C, Buckley, M, Stockbrügger, R, Russel, M, van der Eijk, I, Monteiro, E, Freitas, J, Tavarela Veloso, F, Fornaciari, G, Beltrami, M, Bodini, P, Politi, P, Bianchi, P, d'Albasio, G, Trallori, G, Cottone, M, Lupinacci, G, Mouzas, Y, Vlachonikolis, I, Tsianos, E, Katsanos, K & Odes, S 2004, 'The role of quality of care in health-related quality of life in patients with IBD', Inflammatory Bowel Diseases, bind 10, nr. 4, s. 392-398. https://doi.org/10.1097/00054725-200407000-00010

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abstract = "In the literature there are indications of associations between health-related quality of life (HRQoL) in inflammatory bowel disease and disease activity, psychological status, coping, stressful life events, and social support. The aim of this study was to examine whether a relation exists between quality of health care and HRQoL, taking possible confounding variables into account. For this purpose, one single questionnaire was compiled from existing validated questionnaires. A population-based inception cohort of 1056 patients with inflammatory bowel disease in eight countries, diagnosed 6 to 8 years prior to the study, was approached to participate. In total, 824 patients responded (78%), and 517 could be included in statistical analyses. It was shown that in inflammatory bowel disease HRQoL was indeed influenced by quality of care (particularly with regard to the parameters of {"}providing information,{"} {"} costs,{"} and {"}courtesy{"}), as well as by disease activity, psychological status, type of hospital, social support, stressful life events, and way of administration of the questionnaire. Patients with active disease had lower psychological status and HRQoL scores at the time of the survey than patients without active disease. However, quality of care scores did not differ between these groups. The care aspect {"}costs{"} was scored worse by CD compared with UC patients, probably caused by a potentially more expensive treatment. In conclusion, it is shown in a large exploratory study, for the first time, that in inflammatory bowel disease, quality of care has a significant role in determining health-related quality of life.",

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AU - van der Eijk, Ingrid

AU - Vlachonikolis, Iaonnis G.

AU - Munkholm, Pia

AU - Nijman, Judy

AU - Bernklev, Tomm

AU - Politi, Patrizia

AU - Odes, Selwyn

AU - Tsianos, Epameinondas V.

AU - Stockbrügger, Reinhold W.

AU - Russel, Maurice G.

AU - Binder, V.

AU - Langholz, E.

AU - Vatn, M.

AU - Moum, B.

AU - Bernklev, T.

AU - Engdahl, I.

AU - O'Morain, C.

AU - Buckley, M.

AU - Stockbrügger, R.

AU - Russel, M.

AU - van der Eijk, I.

AU - Monteiro, E.

AU - Freitas, J.

AU - Tavarela Veloso, F.

AU - Fornaciari, G.

AU - Beltrami, M.

AU - Bodini, P.

AU - Politi, P.

AU - Bianchi, P.

AU - d'Albasio, G.

AU - Trallori, G.

AU - Cottone, M.

AU - Lupinacci, G.

AU - Mouzas, Y.

AU - Vlachonikolis, I.

AU - Tsianos, E.

AU - Katsanos, K.

AU - Odes, S.

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N2 - In the literature there are indications of associations between health-related quality of life (HRQoL) in inflammatory bowel disease and disease activity, psychological status, coping, stressful life events, and social support. The aim of this study was to examine whether a relation exists between quality of health care and HRQoL, taking possible confounding variables into account. For this purpose, one single questionnaire was compiled from existing validated questionnaires. A population-based inception cohort of 1056 patients with inflammatory bowel disease in eight countries, diagnosed 6 to 8 years prior to the study, was approached to participate. In total, 824 patients responded (78%), and 517 could be included in statistical analyses. It was shown that in inflammatory bowel disease HRQoL was indeed influenced by quality of care (particularly with regard to the parameters of "providing information," " costs," and "courtesy"), as well as by disease activity, psychological status, type of hospital, social support, stressful life events, and way of administration of the questionnaire. Patients with active disease had lower psychological status and HRQoL scores at the time of the survey than patients without active disease. However, quality of care scores did not differ between these groups. The care aspect "costs" was scored worse by CD compared with UC patients, probably caused by a potentially more expensive treatment. In conclusion, it is shown in a large exploratory study, for the first time, that in inflammatory bowel disease, quality of care has a significant role in determining health-related quality of life.

AB - In the literature there are indications of associations between health-related quality of life (HRQoL) in inflammatory bowel disease and disease activity, psychological status, coping, stressful life events, and social support. The aim of this study was to examine whether a relation exists between quality of health care and HRQoL, taking possible confounding variables into account. For this purpose, one single questionnaire was compiled from existing validated questionnaires. A population-based inception cohort of 1056 patients with inflammatory bowel disease in eight countries, diagnosed 6 to 8 years prior to the study, was approached to participate. In total, 824 patients responded (78%), and 517 could be included in statistical analyses. It was shown that in inflammatory bowel disease HRQoL was indeed influenced by quality of care (particularly with regard to the parameters of "providing information," " costs," and "courtesy"), as well as by disease activity, psychological status, type of hospital, social support, stressful life events, and way of administration of the questionnaire. Patients with active disease had lower psychological status and HRQoL scores at the time of the survey than patients without active disease. However, quality of care scores did not differ between these groups. The care aspect "costs" was scored worse by CD compared with UC patients, probably caused by a potentially more expensive treatment. In conclusion, it is shown in a large exploratory study, for the first time, that in inflammatory bowel disease, quality of care has a significant role in determining health-related quality of life.

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The role of quality of care in health-related quality of life in patients with IBD

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