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Do inflammatory bowel disease patient preferences from treatment outcomes differ by ethnicity and gender?A cross-sectional observational study

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World Journal of Clinical Cases 2022年第35期10卷 12899-12908页

作者： Timna Naftali Vered Richter Amir Mari Tawfik Khoury Haim Shirin Efrat Broide Institute of Gastroenterology Meir Medical CenterKfar-saba 4428164Israel Department of Gastroenterology Shamir Medical CenterZerifin 70300Israel Department of Gastroenterology Nazareth HospitalNazareth 16100Israel Shamir(Assaf Harofeh)Medical Center Affiliated to Sackler School of MedicineThe Gonczarowski Family Institute of Gastroenterology and Liver DiseasesTel Aviv UniversityZerifin 70300Israel Pediatric Gastroenterology Unit Asaf Harofeh Medical CenterZrifin 70300Israel

BACKGROUND Inflammatory bowel disease(ibd)patients’expectations of treatment outcomes may differ by *** To investigate treatment preferences of Jewish and Arabs *** This prospective survey ranked outcomes treatment preferences among Arab ibd patients,based on the 10 ibd-disk items compared to historical data of *** anonymous questionnaire in either Arabic or Hebrew was distributed among ibd *** were required to rank 10 statements describing different aspects of ibd according to their importance to the patients as treatment *** were compared to the answers of a historical group of Jewish *** ibd-disk items of 121 Arabs were compared to 240 Jewish *** Jewish patients included more females,[151(62.9%)vs 52(43.3%);P<0.001],higher education level(P=0.02),more urban residence[188(78.3%)vs 54(45.4%);P<0.001],less unemployment[52(21.7%)vs 41(33.9%);P=0.012],higher income level(P<0.001),and more in a partnership[162(67.8%)vs 55(45.4%);P<0.001].Expectations regarding disease symptoms:abdominal pain,energy,and regular defecation ranked highest for both *** gave significantly lower rankings(range 4.29-6.69)than Jewish patients(range 6.25-9.03)regarding all items,except for body *** to Arab women,Jewish women attached higher priority to abdominal pain,energy,education/work,sleep,and joint *** regression analysis revealed that higher patient preferences were associated with Jewish ethnicity(OR 4.77;95%CI 2.36-9.61,P<0.001)and disease *** more active the disease,the greater the odds ratio for higher ranking of the questionnaire items(1-2 attacks per year:OR 2.13;95%CI 1.02-4.45,P=0.043;and primarily active disease:OR 5.29;95%CI 2.30-12.18,P<0.001).Factors inversely associated with higher patient preference were male gender(OR 0.5;95%CI 0.271-0.935,P=0.030),UC(OR 0.444;95%CI 0.241-0.819,P=0.009),and above average income level(OR 0.267;95%CI:0.124-0.577,P=0.001).CONCL

关键词： Inflammatory bowel disease Crohn’s disease Ulcerative colitis Patients’preferences Ethnicity ibd-disk Patients reported outcomes

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