Evidence map›Paper›PMID 30900609›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association

Maladaptive coping, low self-efficacy and disease activity are associated with poorer patient-reported outcomes in inflammatory bowel disease.

Che-Yung Chao, Carolyne Lemieux, Sophie Restellini, Waqqas Afif, Alain Bitton, Peter L Lakatos, Gary Wild, Talat Bessissow

Abstract readComparative Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Risk of neutropenia in inflammatory bowel disease patients treated with TNF inhibitors: A single-center, retrospective cohort study.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2020
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  19. Disability and quality of life before and during the COVID-19 outbreak: A cross-sectional study in inflammatory bowel disease patients.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
    Article
  20. A cross-sectional survey on the psychological impact of the COVID-19 pandemic on inflammatory bowel disease patients in Saudi Arabia.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Che-Yung ChaoDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, Australia.
Carolyne LemieuxDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada.
Sophie RestelliniDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada; Department of Gastroenterology and Hepatology, Geneva University Hospitals and University of Geneva, Switzerland.
Waqqas AfifDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada.
Alain BittonDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada.
Peter L LakatosDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada; Department of Gastroenterology, Semmelweis University, Budapest, Hungary.
Gary WildDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada.
Talat BessissowDivision of Gastroenterology, McGill University Health Centre, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsPatient-reported outcomes (PRO) are key aspects in the management of inflammatory bowel disease (IBD). This study aims to evaluate factors associated with adverse PRO, including modifiable social constructs of maladaptive coping and self-efficacy as well as physician-patient concordance on PRO. PATIENTS AND

methodsThis cross-sectional study was performed in patients with Crohn's disease (CD) or ulcerative colitis (UC) from September 2015 to March 2016. Validated questionnaires were used to assess quality of life (Short IBD Questionnaire), disability (IBD disability index), productivity (work productivity and activity impairment questionnaire), anxiety/depression (Hospital Anxiety and Depression Scale), coping strategies [Brief Coping Operations Preference Enquiry (Brief COPE)], and self-efficacy (General Self-Efficacy Scale). Independent physician assessment was used to compare concordance with patients.

resultsIn all, 207 (CD: 144 and UC: 63) patients, with median age of 39 years, were included, with 42.5% males. Significant proportion of patients reported moderate/severe impairment of disability (30.5%), quality of life (29.4%), productivity (52.4%), anxiety (32.9%) and depression (23.3%). Disease activity and maladaptive coping were independently associated with unfavourable PRO, whereas self-efficacy had a positive effect in multivariate analysis. Physicians could accurately identify the magnitude of PRO impairment in standard clinical settings (r = 0.59-0.65, P < 0.001).

conclusionDisease activity and modifiable psychological constructs are associated with unfavorable PRO in patients with IBD. These factors could assist with identifying high-risk patients, many of whom may benefit from targeted interventions to improve health outcomes.

Indexed as

Patient Reported Outcome MeasuresAdaptation, PsychologicalAdultAnxietyCanadaColitis, UlcerativeCrohn DiseaseCross-Sectional StudiesDepressionDisability EvaluationFemaleHumansInflammatory Bowel DiseasesMaleMiddle AgedPhysician-Patient RelationsBiopsychosocialinflammatory bowel diseasepatient-reported outcomesphysician–patient concordance

Identifiers

PMID30900609
PMCPMC6526742

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.