4.5 Article

Health-related quality of life is impaired in active collagenous colitis

Journal

DIGESTIVE AND LIVER DISEASE
Volume 43, Issue 2, Pages 102-109

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.dld.2010.06.004

Keywords

Collagenous colitis; Health; Health-related quality of life; Inflammatory bowel disease (IBD); Microscopic colitis; Quality of life

Funding

  1. Orebro County Research Committee
  2. Orebro University Hospital Research Foundation
  3. Swedish Society of Medicine (Bengt Ihre Foundation) [16898-2005]
  4. Professor Nanna Svartz Foundation

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Objectives: The characteristic clinical symptoms of collagenous colitis are non-bloody diarrhoea, urgency and abdominal pain. Treatment is aimed at reducing the symptom burden and the disease impact on patients' health-related quality of life. The objective of this study was to analyse health-related quality of life in patients with collagenous colitis. Methods: In a cross-sectional, postal HRQL survey, 116 patients with collagenous colitis at four Swedish hospitals completed four health-related quality of life questionnaires, two disease-specific (Inflammatory Bowel Disease Questionnaire and Rating Form of IBD Patient Concerns), and two generic (Short Form 36, SF-36, and Psychological General Well-Being, PGWB), and a one-week symptom diary. Demographic and disease-related data were collected. Results for the collagenous colitis population were compared with a background population controlled for age and gender (n = 8931). Results: Compared with a Swedish background population, patients with collagenous colitis scored significantly worse in all Short Form 36 dimensions (p < 0.01), except physical function. Patients with active disease scored worse health-related quality of life than patients in remission. Co-existing disease had an impact on health-related quality of life measured with the generic measures. Lower education level and shorter disease duration were associated with decreased well-being. Conclusion: Health-related quality of life was impaired in patients with collagenous colitis compared with a background population. Disease activity is the most important factor associated with impairment of health-related quality of life. Patients in remission have a health-related quality of life similar to a background population. (C) 2010 Published by Elsevier Ltd on behalf of Editrice Gastroenterologica Italiana S.r.l.

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