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자료유형
학술저널
저자정보
Prisca Yue Min Ho (National University of Singapore) Wenjia Hu (National University of Singapore) Ying Yun Lee (Woodlands Health Campus) Chuxi Gao (Singapore General Hospital) Yan Zhi Tan (Singapore General Hospital) Hua Heng Cheen (Singapore General Hospital) Hwee Lin Wee (National University of Singapore) Teong Guan Lim (Singapore General Hospital) Wan Chee Ong (Singapore General Hospital)
저널정보
대한장연구학회 Intestinal research Intestinal research Vol.17 No.1
발행연도
2019.1
수록면
107 - 118 (12page)

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Background/Aims: Inflammatory bowel disease (IBD) is associated with considerable impairment of patients’ health-relatedquality of life (HRQoL). Knowledge of factors that significantly affect IBD patients’ HRQoL can contribute to better patient care. However, the HRQoL of IBD patients in non-Western countries are limited. Hence, we assessed the HRQoL of Singaporean IBDpatients and identified its determinants. Methods: A prospective, cross-sectional study was conducted at Singapore GeneralHospital outpatient IBD Centre. The HRQoL of IBD patients was assessed using the short IBD questionnaire (SIBDQ), ShortForm-36 physical and mental component summary (SF-36 PCS/MCS) and EuroQol 5-dimensions 3-levels (EQ-5D-3L) andvisual analogue scale (VAS). Independent samples t-test was used to compare HRQoL between Crohn’s disease (CD) and ulcerativecolitis (UC). Determinants of HRQoL were identified through multiple linear regression. Results: A total of 195 IBD patients(103 UC, 92 CD) with a mean disease duration of 11.2 years were included. There was no significant difference in HRQoLbetween patients with UC and CD. Factors that significantly worsened HRQoL were presence of active disease (b=−6.293[SIBDQ], −9.409 [PCS], −9.743 [MCS], −7.254 [VAS]), corticosteroids use (b=−7.392 [SIBDQ], −10.390 [PCS], −8.827 [MCS]), poormedication adherence (b=−4.049 [SIBDQ], −1.320 [MCS], −8.961 [VAS]), presence of extraintestinal manifestations (b=−13.381[PCS]), comorbidities (b=−4.531 [PCS]), non-employment (b=−9.738 [MCS], −0.104 [EQ-5D-3L]) and public housing (b=−8.070[PCS], −9.207 [VAS]). Conclusions: The HRQoL is impaired in this Asian cohort of IBD. The magnitude of HRQoL impairmentwas similar in UC and CD. Clinical characteristics were better determinants of patients’ HRQoL than socio-demographic factors. Recognizing the factors that impact patients’ HRQoL would improve the holistic management of IBD patients. (Intest Res2019;17:107-118)

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