Publicação
Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey
| Resumo: | Abstract Introduction: Patients with inflammatory bowel disease (IBD) do not seem to be at increased risk of infection by SARS-CoV-2, but there is a concern whether immunosuppressive therapy may be associated with more severe disease. Several clinical practice recommendations have been published to help guide IBD care during the COVID-19 pandemic. Nonetheless, few studies have addressed patients’ perspectives and fears. We aimed to evaluate Portuguese IBD patients’ perspectives on the clinical management of their disease during the SARS-CoV-2 pandemic as well as the impact on their professional life. Methods: An anonymous electronic survey was created using REDCap and was distributed by the Portuguese Association of Inflammatory Bowel Disease (APDI) between May and August 2020. Patients’ perspectives on immunosuppressive therapy, disease management, interaction with gastroenterology departments, and the impact of the pandemic in their professional life were assessed. Patients’ proposals to improve medical care were also evaluated. Descriptive analysis and logistic regression were performed. Results: A total of 137 participants answered the survey (79.6% females, mean age 41.7 ± 12.1 years). Although having IBD and receiving treatment with immunosuppressors (thiopurines, steroids, or biologics) were considered promotors of anxiety, most patients (85.4%) agreed that disease remission was a priority and only a minority of patients interrupted their treatment during the pandemic. In multivariate analysis, active disease, biologic treatment, and use of corticosteroids in the last 3 months were perceived by the patients as high-risk features for increased risk of SARS-Cov-2 infection and more severe disease. Fifty-nine patients (44%) believed that their follow-up was influenced by the pandemic and only 58.8% felt that they had the opportunity to discuss their therapeutic options with their doctor. Sixty-three patients (46.0%) were working from home during the pandemic, although this decision was related to IBD and immunosuppressive therapy in only 36.5 and 39.7% of the cases, respectively. Areas where care could have been improved during the pandemic were identified by patients, namely enhancement of the communication with IBD professionals, conciliation of telemedicine with face-to-face appointments, and facilitation of the interaction between patients and employers. Conclusion: Most patients agreed that maintaining IBD remission is crucial, and only a minority of the patients stopped their treatment as per their own initiative. IBD status only had a small influence on patients’ professional activity during the COVID-19 outbreak, with most changes being related to the pandemic itself. |
|---|---|
| Autores principais: | Revés,Joana Branco |
| Outros Autores: | Frias-Gomes,Catarina; Morão,Bárbara; Nascimento,Catarina; Palmela,Carolina; Fidalgo,Catarina; Ramos,Lídia Roque; Sampaio,Ana; Glória,Luísa; Cravo,Marília; Torres,Joana |
| Assunto: | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Fundação para a Ciência e Tecnologia |
| Idioma: | inglês |
| Origem: | SciELO Portugal |
| _version_ | 1868441988398841856 |
|---|---|
| author | Revés,Joana Branco |
| author2 | Frias-Gomes,Catarina Morão,Bárbara Nascimento,Catarina Palmela,Carolina Fidalgo,Catarina Ramos,Lídia Roque Sampaio,Ana Glória,Luísa Cravo,Marília Torres,Joana |
| author2_role | author author author author author author author author author author |
| author_facet | Revés,Joana Branco Frias-Gomes,Catarina Morão,Bárbara Nascimento,Catarina Palmela,Carolina Fidalgo,Catarina Ramos,Lídia Roque Sampaio,Ana Glória,Luísa Cravo,Marília Torres,Joana |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Revés,Joana Branco\"},{\"Person.name\":\"Frias-Gomes,Catarina\"},{\"Person.name\":\"Morão,Bárbara\"},{\"Person.name\":\"Nascimento,Catarina\"},{\"Person.name\":\"Palmela,Carolina\"},{\"Person.name\":\"Fidalgo,Catarina\"},{\"Person.name\":\"Ramos,Lídia Roque\"},{\"Person.name\":\"Sampaio,Ana\"},{\"Person.name\":\"Glória,Luísa\"},{\"Person.name\":\"Cravo,Marília\"},{\"Person.name\":\"Torres,Joana\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Revés,Joana Branco Frias-Gomes,Catarina Morão,Bárbara Nascimento,Catarina Palmela,Carolina Fidalgo,Catarina Ramos,Lídia Roque Sampaio,Ana Glória,Luísa Cravo,Marília Torres,Joana |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| datacite.titles.title.fl_str_mv | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| dc.creator.none.fl_str_mv | Revés,Joana Branco Frias-Gomes,Catarina Morão,Bárbara Nascimento,Catarina Palmela,Carolina Fidalgo,Catarina Ramos,Lídia Roque Sampaio,Ana Glória,Luísa Cravo,Marília Torres,Joana |
| dc.format.none.fl_str_mv | text/html |
| dc.identifier.none.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500041 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Sociedade Portuguesa de Gastrenterologia |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | GE-Portuguese Journal of Gastroenterology v.29 n.5 2022 |
| dc.subject.none.fl_str_mv | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| dc.title.fl_str_mv | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | Abstract Introduction: Patients with inflammatory bowel disease (IBD) do not seem to be at increased risk of infection by SARS-CoV-2, but there is a concern whether immunosuppressive therapy may be associated with more severe disease. Several clinical practice recommendations have been published to help guide IBD care during the COVID-19 pandemic. Nonetheless, few studies have addressed patients’ perspectives and fears. We aimed to evaluate Portuguese IBD patients’ perspectives on the clinical management of their disease during the SARS-CoV-2 pandemic as well as the impact on their professional life. Methods: An anonymous electronic survey was created using REDCap and was distributed by the Portuguese Association of Inflammatory Bowel Disease (APDI) between May and August 2020. Patients’ perspectives on immunosuppressive therapy, disease management, interaction with gastroenterology departments, and the impact of the pandemic in their professional life were assessed. Patients’ proposals to improve medical care were also evaluated. Descriptive analysis and logistic regression were performed. Results: A total of 137 participants answered the survey (79.6% females, mean age 41.7 ± 12.1 years). Although having IBD and receiving treatment with immunosuppressors (thiopurines, steroids, or biologics) were considered promotors of anxiety, most patients (85.4%) agreed that disease remission was a priority and only a minority of patients interrupted their treatment during the pandemic. In multivariate analysis, active disease, biologic treatment, and use of corticosteroids in the last 3 months were perceived by the patients as high-risk features for increased risk of SARS-Cov-2 infection and more severe disease. Fifty-nine patients (44%) believed that their follow-up was influenced by the pandemic and only 58.8% felt that they had the opportunity to discuss their therapeutic options with their doctor. Sixty-three patients (46.0%) were working from home during the pandemic, although this decision was related to IBD and immunosuppressive therapy in only 36.5 and 39.7% of the cases, respectively. Areas where care could have been improved during the pandemic were identified by patients, namely enhancement of the communication with IBD professionals, conciliation of telemedicine with face-to-face appointments, and facilitation of the interaction between patients and employers. Conclusion: Most patients agreed that maintaining IBD remission is crucial, and only a minority of the patients stopped their treatment as per their own initiative. IBD status only had a small influence on patients’ professional activity during the COVID-19 outbreak, with most changes being related to the pandemic itself. |
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| identifier.url.fl_str_mv | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500041 |
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| institution | Fundação para a Ciência e Tecnologia |
| instname_str | Fundação para a Ciência e Tecnologia |
| language | eng |
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| network_name_str | SciELO Portugal |
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| person_str_mv | Revés,Joana Branco Frias-Gomes,Catarina Morão,Bárbara Nascimento,Catarina Palmela,Carolina Fidalgo,Catarina Ramos,Lídia Roque Sampaio,Ana Glória,Luísa Cravo,Marília Torres,Joana |
| publishDate | 2022 |
| publisher.none.fl_str_mv | Sociedade Portuguesa de Gastrenterologia |
| reponame_str | SciELO Portugal |
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| spelling | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese SurveyRevés,Joana BrancoFrias-Gomes,CatarinaMorão,BárbaraNascimento,CatarinaPalmela,CarolinaFidalgo,CatarinaRamos,Lídia RoqueSampaio,AnaGlória,LuísaCravo,MaríliaTorres,JoanaInflammatory bowel diseaseCrohn’s diseaseUlcerative colitisCOVID-19open accesshttp://purl.org/coar/access_right/c_abf2http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500041URLhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500041URLHasVersion2022-10-01Abstract Introduction: Patients with inflammatory bowel disease (IBD) do not seem to be at increased risk of infection by SARS-CoV-2, but there is a concern whether immunosuppressive therapy may be associated with more severe disease. Several clinical practice recommendations have been published to help guide IBD care during the COVID-19 pandemic. Nonetheless, few studies have addressed patients’ perspectives and fears. We aimed to evaluate Portuguese IBD patients’ perspectives on the clinical management of their disease during the SARS-CoV-2 pandemic as well as the impact on their professional life. Methods: An anonymous electronic survey was created using REDCap and was distributed by the Portuguese Association of Inflammatory Bowel Disease (APDI) between May and August 2020. Patients’ perspectives on immunosuppressive therapy, disease management, interaction with gastroenterology departments, and the impact of the pandemic in their professional life were assessed. Patients’ proposals to improve medical care were also evaluated. Descriptive analysis and logistic regression were performed. Results: A total of 137 participants answered the survey (79.6% females, mean age 41.7 ± 12.1 years). Although having IBD and receiving treatment with immunosuppressors (thiopurines, steroids, or biologics) were considered promotors of anxiety, most patients (85.4%) agreed that disease remission was a priority and only a minority of patients interrupted their treatment during the pandemic. In multivariate analysis, active disease, biologic treatment, and use of corticosteroids in the last 3 months were perceived by the patients as high-risk features for increased risk of SARS-Cov-2 infection and more severe disease. Fifty-nine patients (44%) believed that their follow-up was influenced by the pandemic and only 58.8% felt that they had the opportunity to discuss their therapeutic options with their doctor. Sixty-three patients (46.0%) were working from home during the pandemic, although this decision was related to IBD and immunosuppressive therapy in only 36.5 and 39.7% of the cases, respectively. Areas where care could have been improved during the pandemic were identified by patients, namely enhancement of the communication with IBD professionals, conciliation of telemedicine with face-to-face appointments, and facilitation of the interaction between patients and employers. Conclusion: Most patients agreed that maintaining IBD remission is crucial, and only a minority of the patients stopped their treatment as per their own initiative. IBD status only had a small influence on patients’ professional activity during the COVID-19 outbreak, with most changes being related to the pandemic itself.Sociedade Portuguesa de GastrenterologiaGE-Portuguese Journal of Gastroenterology v.29 n.5 2022text/htmlengjournal articlehttp://purl.org/coar/resource_type/c_6501literature |
| spellingShingle | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey Revés,Joana Branco Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| status | SINGLETON |
| subject.fl_str_mv | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| title | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| title_full | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| title_fullStr | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| title_full_unstemmed | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| title_short | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| title_sort | Inflammatory Bowel Disease Patients’ Perspectives during COVID-19 Pandemic: Results from a Portuguese Survey |
| topic | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| topic_facet | Inflammatory bowel disease Crohn’s disease Ulcerative colitis COVID-19 |
| url | http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452022000500041 |
| visible | 1 |