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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.

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

Journal Article Type Article
Publication Date Oct 2, 2015
Deposit Date Apr 6, 2016
Publicly Available Date Apr 6, 2016
Journal PLoS ONE
Electronic ISSN 1932-6203
Publisher Public Library of Science
Peer Reviewed Peer Reviewed
Volume 10
Issue 10
Article Number e0139389
DOI https://doi.org/10.1371/journal.pone.0139389
Public URL http://eprints.nottingham.ac.uk/id/eprint/32649
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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