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Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy

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Assessment of the Gastrointestinal System I: Subjective Data

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Updated: May 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Published on: August 1, 2019

Preferences, Expectations and Management Satisfaction in IBD Patients: A Cross-Sectional Questionnaire-Based Study.

Maja Mejza¹, Anna Bajer¹, Laura Biskup¹

¹Department of Digestive Tract Diseases, Medical University of Lodz, 90-153 Lodz, Poland.

Journal of Clinical Medicine

|May 13, 2026

Summary

Biological treatments improve life satisfaction and reduce disease activity in inflammatory bowel disease (IBD) patients. Discussing patient preferences and colorectal cancer screening is crucial for better outcomes.

Keywords:

Crohn’s disease inflammatory bowel diseases patients’ expectations questionnaire reported satisfaction ulcerative colitis

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Last Updated: May 14, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Gastroenterology
Clinical Medicine
Patient-Reported Outcomes

Background:

Rising global and Polish prevalence of Ulcerative Colitis and Crohn's Disease (Inflammatory Bowel Disease - IBD).
Underexplored aspects of daily functioning and treatment in IBD patients.
Need for comprehensive patient perspective in IBD management.

Purpose of the Study:

To assess patient satisfaction with IBD treatment and its correlation with disease activity and life quality.
To explore patient expectations and adherence to prescribed therapies.
To identify factors influencing treatment satisfaction and outcomes in IBD.

Main Methods:

Recruitment of adult IBD patients from the Medical University of Lodz, Poland.
Data collection via a custom questionnaire on therapy opinions, expectations, and life satisfaction (June-July 2025).
Analysis of 87 IBD patient responses correlating treatment type, disease activity, and outcomes.

Main Results:

High overall treatment satisfaction (67.82%), linked to perceived respect for patient preferences.
Biological therapy associated with higher satisfaction, lower disease activity, and fewer social limitations.
Remission linked to less physical activity limitation; younger patients more likely to receive biologics.
Higher surgical intervention rates in women; majority satisfied with surgical outcomes.
Concerns regarding non-prescribed medication use (22.99%) and treatment regimen modification (24.14%).
Significant fear of surgery (65.52%) but high satisfaction post-surgery (91.67%).
Low adherence to colorectal cancer screening recommendations (10.81% for >8 years disease duration).

Conclusions:

Biological treatments significantly improve IBD patient quality of life and reduce disease activity.
Enhanced communication regarding patient preferences and shared decision-making is vital for gastroenterologists.
Increased patient awareness and adherence to colorectal cancer screening protocols are necessary.