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Extraintestinal Manifestations Have a Negative Impact on Quality of Life of Patients Living with Inflammatory Bowel
Jesus K Yamamoto-Furusho1, Fausto Damian Gutierrez-Herrera2
1Department of Gastroenterology, Inflammatory Bowel Disease Clinic, National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico, kazuofurusho@hotmail.com.
Introduction:
Inflammatory bowel diseases (IBDs) can produce extraintestinal manifestations (EIMs) in up to 50% of patients with IBD and may have worse quality of life than the general population. In general, IBD patients with activity have worse quality of life than those who are in remission. No previous studies have explored whether EIMs can affect the quality of life in patients with IBD. The aim of this study is to evaluate whether the presence of EIM causes a worse quality of life in patients with IBD.
Methods:
A case-control study that included 243 patients diagnosed with IBD (132 without EIM and 111 with EIM). The IBDQ-32 questionnaire was administered to all patients in order to measure the quality of life. The cutoff value to consider altered quality of life was <170 points. Statistical analysis was performed using SPSS version 25.
Results:
Patients with IBD with EIMs had significantly worse quality of life than those without EIMs (p = 0.001; OR = 2.29, 95% CI: 1.3-3.8). In the subgroup analysis by dimensions of the IBDQ-32, we found that all of them, such as social function (p < 0.0001), systemic symptoms (p < 0.0001), intestinal symptoms (p < 0.0001), and emotional (p < 0.0001), were affected in all patients with EIMs.
Conclusions:
Patients with IBD and EIMs had worse quality of life compared to those without EIMs regardless of IBD activity.
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