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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.
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.
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