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 for this work

Department of Clinical Medicine

60 Citations (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.

Original language	English
Journal	Inflammatory Bowel Diseases
Volume	10
Issue number	4
Pages (from-to)	392-398
Number of pages	7
ISSN	1078-0998
DOIs	https://doi.org/10.1097/00054725-200407000-00010
Publication status	Published - 1 Jul 2004

Keywords

Exploratory multi-center setting
Health-related quality of life
Quality of care

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10.1097/00054725-200407000-00010

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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, vol. 10, no. 4, pp. 392-398. https://doi.org/10.1097/00054725-200407000-00010

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

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AU - Vlachonikolis, Iaonnis G.

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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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Keywords

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