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Change in quality of life for patients with irritable bowel syndrome following referral to a gastroenterologist: a cohort study

Canavan, Caroline; West, Joe; Card, Timothy R.

Authors

Caroline Canavan

JOE WEST JOE.WEST@NOTTINGHAM.AC.UK
Professor of Epidemiology

Dr TIM CARD tim.card@nottingham.ac.uk
Clinical Associate Professor



Abstract

BACKGROUND: Irritable bowel syndrome (IBS), a chronic functional condition, considerably reduces quality of life (QoL) and referral to gastroenterology is common. Until now, however, the impact of seeing a gastroenterologist for IBS on patients’ QoL and utility has not been assessed.

METHODS: Patients referred with “probable IBS” to the Nottingham Treatment Centre between October 2012 and March 2014 were invited to complete a QoL questionnaire (EuroQol–5 Dimension) before their first appointment. Patients with confirmed IBS who completed this baseline assessment were sent follow-up questionnaires three and twelve months later. Global QoL and utility were measured at each time point and change from baseline calculated. Paired t-tests analysed the significance of any change.

RESULTS: Of 205 invited patients, 69 were eligible and recruited. Response at three and twelve months was 45% and 17% respectively. Median global QoL at baseline was 67.5 (Interquartile range [IQR] 50.0 to 80.0), with a mean increase of 3.25 (95% confidence interval [CI] -5.38 to 11.88) three months later and a mean decrease of -1.82 (95% CI -16.01 to 12.38) after one year. The median utility at baseline was 0.76 (IQR 0.69 to 0.80), with a mean increase of 0.06 (95%CI -0.01 to 0.14) at three months and no change, 0.00 (-0.16 to 0.16), after one year.

CONCLUSION: Patients experienced a small but not statistically significant increase in QoL and utility three months after seeing a gastroenterologist for IBS, which was not maintained. Gastroenterology referral does not appear to appreciably improve Qol for most people with IBS.

Journal Article Type Article
Publication Date Oct 2, 2015
Journal Plos One
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 10
Issue 10
Article Number e0139389
APA6 Citation Canavan, C., West, J., & Card, T. R. (2015). Change in quality of life for patients with irritable bowel syndrome following referral to a gastroenterologist: a cohort study. PLoS ONE, 10(10), doi:10.1371/journal.pone.0139389
DOI https://doi.org/10.1371/journal.pone.0139389
Publisher URL http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0139389
Related Public URLs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4591971/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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