International Perspectives on Management of Inflammatory Bowel Disease: Opinion Differences and Similarities Between Patients and Physicians From the IBD GAPPS Survey
| Autor: | David T. Rubin, Anita Afzali, Charles A. Sninsky, Britta Siegmund, Miquel Sans, Yoram Bouhnik, Alessandro Armuzzi, Brian Bressler, Ailsa Hart |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Internationality Disease Inflammatory bowel disease Patient advocacy Adrenal Cortex Hormones Clinical Research inflammatory bowel disease Physicians Internal medicine medicine Humans Immunology and Allergy Irritable bowel syndrome Depression (differential diagnoses) AcademicSubjects/MED00260 ulcerative colitis Crohn's disease business.industry Gastroenterology Disease Management Crohn disease Inflammatory Bowel Diseases medicine.disease Ulcerative colitis Europe Patient Satisfaction Chronic Disease North America Anxiety Colitis Ulcerative medicine.symptom business |
| Zdroj: | Inflammatory Bowel Diseases |
| ISSN: | 1536-4844 1078-0998 |
| DOI: | 10.1093/ibd/izab006 |
| Popis: | Background Inflammatory bowel diseases (IBD), including Crohn disease (CD) and ulcerative colitis (UC), are complex disorders with multiple comorbidities. We conducted international patient and physician surveys to evaluate current experiences and perceptions of patients with CD or UC and physicians who treat IBD. Methods The IBD Global Assessment of Patient and Physician Unmet Need Surveys comprised a patient survey and a physician survey, fielded in North America and Europe between August 16, 2019, and November 10, 2019. Adults with CD or UC (targeted 1:1 ratio) were recruited from physicians, patient advocacy groups, and recruitment panels; physicians were recruited by recruitment agencies and panels. Results In total, 2398 patients with IBD (1368 CD, 1030 UC) and 654 physicians completed surveys. Anxiety and depression were the most common comorbidities among patients with IBD. Patients and physicians were generally aligned on treatment goals and patient-physician communication. Patients with IBD reported high quality-of-life impact by rectal urgency and need to use the toilet, which were rated as lower-impact by physicians. Patients defined remission based on symptoms; physicians defined remission based primarily on clinical tests. Patients expected current treatments to control their disease for a longer duration than did physicians. Patients expressed more concern about corticosteroid use compared with physicians; many physicians reported prescribing corticosteroids for more than 4 months per year in some patients. Conclusions Patients could benefit from education about disease remission and expectations for current therapies. High corticosteroid use is concerning to patients, and physicians should minimize the use of corticosteroids for extended periods of time. |
| Databáze: | OpenAIRE |
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