The child’s perception on monitoring inflammatory bowel disease activity

Autor: Johanna H. van der Lee, Marc A. Benninga, Elsa A. van Wassenaer, Mira S. Staphorst, Renée R. van der Klift, Bart G. P. Koot
Přispěvatelé: Graduate School, Paediatric Gastroenterology, Amsterdam Gastroenterology Endocrinology Metabolism, General Paediatrics, APH - Methodology, APH - Quality of Care, Amsterdam Reproduction & Development (AR&D)
Rok vydání: 2021
Předmět:
Zdroj: European journal of pediatrics. Springer Verlag
ISSN: 1432-1076
0340-6199
DOI: 10.1007/s00431-021-04315-5
Popis: To determine the perception of children with inflammatory bowel disease (IBD) regarding monitoring tests, we first compared the reported discomfort and patient perspective during gastro-intestinal (GI)-endoscopy, magnetic resonance entrography (MRE), and ultrasound (US) and, in a second comparison, patient preference on non-invasive tests (venipuncture, sampling stool and US). A cross-sectional study in children 8–18 years undergoing an US, MRE, and GI-endoscopy for diagnosis or follow-up of IBD. After each procedure, the children filled out the Discomfort during research procedures questionnaire (DISCO-RC). Items of the DISCO-RC are as follows: nervousness, annoyance, pain, fright, boredom, and tiredness. Answers range from “not” (= 0 points) to “extremely” (= 4 points) (range total score: 0–24). Differences between the procedures were assessed with Friedman test, with subsequent Wilcoxon signed-rank test. The children were also asked which non-invasive test they preferred not to undergo regularly (venipuncture, stool-sampling, or US). Answers were analyzed with χ2-test. Forty-nine patients (27 (55%) female, median age 15 (range 9–17)) were included. The children reported to be most nervous, frightened, and tired after GI-endoscopy (median: 1, 1, 2 points, respectively), equally annoyed by MRE and GI-endoscopy (median 1 point), and equally bored by MRE and US. GI-endoscopy was ranked as most discomfortable, followed by MRE and US (total DISCO-RC scores: 7 vs. 5 vs. 2, p n = 20 (41%, both) (p Conclusion: Our results suggest that the children with IBD report low discomfort after US, MRE, and GI-endoscopy. US is preferred as a monitoring tool, also among non-invasive monitoring tests. GI-endoscopy was most discomfortable. What is Known:• Children with inflammatory bowel disease need to be monitored frequently for disease activity.• Adult studies — including a systematic review — on acceptability of monitoring tools among IBD patients showed mixed results. What is New:• Children in our study ranked gastro-intestinal endoscopy as most discomfortable, followed by MRE and US.• With regard to non-invasive monitoring, most children preferred not to sample stool or perform venipuncture regularly, and preferred US.
Databáze: OpenAIRE
Externí odkaz: