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Patients' view on fecal microbiota transplantation in disorders of gut-brain interaction: a survey-based study
Valeria Schindler1, Jonas Zeitz2, Amanda Bianca3
1Division of Gastroenterology, University Hospital Zurich, Zurich, Switzerland - valeria.schindler@usz.ch.
Background:
Fecal microbiota transplantation (FMT) has gained popularity over the last years. So far, conflicting data regarding the effect on disorders of gut-brain interaction (DGBI) exist. In this study we aimed to access current knowledge and attitude towards potential FMT of DGBI patients.
Methods:
A survey on attitudes toward FMT was conducted in DGBI patients. Patients answered questions anonymously before and after having read a brief information sheet on FMT. Data were collected prospectively in 2017-2018 and in 2022-2023.
Results:
In total, 387 patients completed the survey. Forty percent of patients had heard about FMT prior to underlying survey. Prior to a brief information regarding FMT, 38% of patients would have agreed to FMT, while 50% were undecided and 12% would have declined. After a brief information sheet on FMT, decisions significantly changed to 63%, 26% and 11% respectively (P<0.001). The decision of patients to undergo FMT remained unchanged between 2017 and 2022. Type of DGBI and disease severity are significantly associated with treatment decisions (P=0.005).
Conclusions:
This survey demonstrates great interest of DGBI patients in potential FMT, especially after being informed on details of the procedure. Bearing in mind that in the future FMT may be a clearer option in the treatment of certain DGBIs, patient education will be an important factor.
Insights
Fecal microbiota transplantation (FMT) shows potential for treating gut-brain interaction disorders (DGBI). Patient interest in FMT significantly increases after receiving information, highlighting the importance of patient education for future DGBI treatments.
Area of Science:
- Gastroenterology and microbiome research.
- Patient attitudes and treatment decision-making.
Background:
- Fecal microbiota transplantation (FMT) is increasingly recognized, but its impact on gut-brain interaction disorders (DGBI) remains debated.
- Understanding patient perspectives on FMT for DGBI is crucial.
Purpose of the Study:
- To assess the current knowledge and attitudes of DGBI patients towards fecal microbiota transplantation (FMT).
- To evaluate how patient decisions regarding FMT change after receiving information about the procedure.
Main Methods:
- An anonymous survey was administered to DGBI patients before and after they read an informational sheet on FMT.
- Data were collected prospectively across two periods: 2017-2018 and 2022-2023.
Main Results:
- Out of 387 participants, 40% had prior awareness of FMT.
- Informed patients showed a significant increase in willingness to undergo FMT (38% to 63%, P<0.001).
- Treatment decisions were associated with DGBI type and disease severity, and remained stable between survey periods.
Conclusions:
- DGBI patients exhibit substantial interest in FMT, particularly once educated about the process.
- Patient education is vital for informed decision-making regarding FMT as a potential DGBI therapy.
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