ArticleInternational journal of colorectal disease2026
Waiting time for surgery and health-related quality of life in patients with inflammatory bowel disease.
Article in International journal of colorectal disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
purposeWhen surgery is indicated in patients with inflammatory bowel disease (IBD), timely intervention may reduce the risk of further complications. This study aimed to assess health-related quality of life (HRQoL) in relation to waiting time for IBD surgery.
methodsThis cross-sectional, register-based study assessed HRQoL using the EQ-5D-5L questionnaire. Patients with IBD who had undergone surgery or were awaiting surgery between 2017 and 2023 at Sahlgrenska University Hospital, Gothenburg, Sweden, were identified and invited to participate.
resultsA total of 214 patients were included in the study (33.6% women, mean age 44.3 ± 16.9 years). Sixty percent had undergone surgery, while the remainder were awaiting surgery. The mean EQ VAS was 64.9, and the lowest scores were observed in patients waiting for surgery for over a year, compared to Swedish age-matched population norms, with a mean EQ VAS of 87.0. Using the Swedish value set, the mean EQ-5D-5L index was higher among patients waiting for surgery < 3 months compared with those waiting 12-24 months (p = 0.017) and > 24 months (p = 0.012). It was also higher among patients waiting 3-6 months compared with those waiting 12-24 months (p = 0.036) and > 24 months (p = 0.032).
conclusionProlonged waiting time for IBD surgery was associated with impaired HRQoL, particularly among patients who had waited more than 1 year. While causal inferences cannot be drawn from this cross-sectional study, the findings support incorporating patient-reported HRQoL into prioritisation of patients awaiting IBD surgery.
trial registrationThe study has been registered in clinicaltrials.gov (NCT: 2022-05975-01).
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