Evidence map›Paper›PMID 41426881›Full record

ArticleCureus2025

Impact of Inflammatory Bowel Disease on Quality of Life and Work Productivity in Patients Under Treatment.

Nikolaos Kafalis, Dionysios Kogias, Vasileios P Papadopoulos, Ioannis Moschos, Panagiotis Skendros, Konstantinos Ritis, Georgios Kouklakis

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Nikolaos KafalisFirst Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, GRC.
Dionysios KogiasFirst Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, GRC.
Vasileios P PapadopoulosLaboratory of Anatomy, Department of Medicine, Democritus University of Thrace, Alexandroupolis, GRC.
Ioannis MoschosDepartment of Nursing, International Hellenic University, Thessaloniki, GRC.
Panagiotis SkendrosFirst Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, GRC.
Konstantinos RitisFirst Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, GRC.
Georgios KouklakisFirst Department of Internal Medicine, Democritus University of Thrace, Alexandroupolis, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Inflammatory bowel disease (IBD), encompassing Crohn's disease (CD) and ulcerative colitis (UC), is a chronic immune-mediated disorder that often emerges in early adulthood, coinciding with peak occupational years. Despite therapeutic progress, IBD continues to impair health-related quality of life (HRQoL) and work capacity. This study aimed to assess its impact on quality of life and work productivity compared with healthy controls. Methodology This cross-sectional, observational study included 371 patients with IBD (CD: 59.8%; UC: 40.2%) and 371 age- and gender-matched healthy controls, recruited from two tertiary hospitals. Clinical, endoscopic, and demographic data were collected, including disease duration, treatment regimen, disease activity, and the presence of extraintestinal manifestations. HRQoL was assessed using the EuroQol 5 Dimensions 3 Levels (EQ-5D-3L), and work productivity was assessed using the Work Productivity and Activity Impairment (WPAI) questionnaire. Predictive models were implemented using categorical regression with optimal scaling. Results Across all dimensions of the EQ-5D-3L and WPAI, patients with IBD reported greater impairment than healthy controls (p < 0.001). Multivariable models identified physically demanding occupation as the strongest predictor of impaired patient-reported outcomes, with extraintestinal manifestations, age, gender, and disease duration contributing variably across domains (all p < 0.05). CD was independently associated with limitations in usual activities (p = 0.007). Both the Harvey-Bradshaw Index (p < 0.001) and Partial Mayo Score (p < 0.001) correlated negatively with health state and activity impairment. Conclusions IBD patients under treatment continue to experience significant impairments in HRQoL and work productivity compared with healthy controls. Physically demanding occupation, extraintestinal manifestations, and CD emerged as key determinants of impaired outcomes in IBD, highlighting the need for integrated management strategies addressing occupational and systemic disease burden.

Indexed as

crohn’s diseaseinflammatory bowel diseasequality of lifeulcerative colitiswork productivity

Identifiers

PMID41426881
PMCPMC12717476

What OpenQuestion holds

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Registered trials

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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.