The IBD-disk Is a Reliable Tool to Assess the Daily-life Burden of Patients with Inflammatory Bowel Disease

Author:

Tadbiri Sara1,Nachury Maria2,Bouhnik Yoram3,Serrero Melanie4,Hébuterne Xavier5,Roblin Xavier6,Kirchgesner Julien7,Bouguen Guillaume8,Franchimont Denis9,Savoye Guillaume10,Buisson Anthony11,Louis Edouard12,Nancey Stephane13,ABitbol Vered14,Reimund Jean-Marie15,DeWit Olivier16,Vuitton Lucine17,Matthieu Nicolas18,Peyrin-Biroulet Laurent19,Gilletta Cyrielle20,Allez Matthieu21,Viennot Stephanie22,Trang-Poisson Caroline23,Dib Nina24,Brixi Hedia25,Boualit Medina26,Plastaras Laurianne27,Boivineau Lucile28,Fumery Mathurin29,Caillo Ludovic30,Laharie David31,Amiot Aurelien1,Amiot Aurelien,Tadbiri Sara,Gagniere Charlotte,Tannoury Jenny,Nachury Maria,Pariente Benjamin,Wils Pauline,Bouhnik Yoram,Stefanescu Carmen,Treton Xavier,Serrero Melanie,Filippi Jerome,Hébuterne Xavier,Arab Nadia,Cluzeau Virginie,Roblin Xavier,Del Tedesco Emilie,Beaugerie Laurent,Seksik Philippe,Bourrier Anne,Landmann Cecilia,Kirchgesner Julien,Sokol Harry,Bouguen Guillaume,Siproudhis Laurent,DeWit Marie,Franchimont Denis,Savoye Guillaume,Buisson Anthony,Louis Edouard,Reenaers Catherine,Nancey Stephane,Boschetti Gilles,Gay Claire,Danion Pauline,Flourié Bernard,Abitbol Vered,Malamut Georgia,Reimund Jean-Marie,Caron Benedicte,DeWit Olivier,Vuitton Lucine,Mathieu Nicolas,Pestour Sandie,Peyrin-Biroulet Laurent,Zallot Camille,Gilletta Cyrielle,Allez Matthieu,Gornet Jean-Marc,Baudry Clotilde,Viennot Stephanie,Bourreille Arnaud,Trang-Poisson Caroline,Dib Nina,Brixi Hedi,Cadiot Guillaume,Boualit Medina,Painchart Claire,Plastaras Laurianne,Boivineau Lucile,Altwegg Romain,Fumery Mathurin,Caillo Ludovic,Laharie David,Riviere Pauline,Poullenot Florian,Coffin Benoit,Duboc Henri,Nahon Stephane,Tavernier Noemie,Simon Marion,Coulibaly Baya,Amil Morgane,Nicolas Duveau,Khater Sherine,Kaassis Mehdi,Goutorbe Felix,Moussata Driffa,Picon Laurence,

Affiliation:

1. Department of Gastroenterology, Henri Mondor Hospital, Paris Est-Créteil Val de Marne University, Creteil, France

2. Department of Gastroenterology, CHU Lille, Service des Maladies de l’appareil digestif, Lille, France

3. Department of Gastroenterology, IBD and Nutrition Support, Beaujon Hospital, University Paris 7 Denis Diderot, Clichy, France

4. Hôpital Nord, Centre d’investigation Clinique Marseille Nord, Université Méditerranée, Marseille, France

5. Department of Gastroenterology and Clinical Nutrition, CHU of Nice, University Côte d’Azur, Nice, France

6. Department of Gastroenterology, Saint-Etienne University Hospital, Saint-Etienne, France

7. Department of Gastroenterology, AP-HP, Hôpital Saint-Antoine, , UPMC Université Paris 6, Paris, France

8. Department of Gastroenterology, CHU Rennes and University of Rennes, NUMECAN Institute, Rennes, France

9. Department of Gastroenterology, Hôpital Erasme, Laboratoire de Gastroenterologie experimentale, ULB, Brussels, Belgium

10. Department of Gastroenterology, Rouen University Hospital, Rouen, France

11. Department of Hepato-Gastroenterology, University Hospital Estaing of Clermont-Ferrand, Université d’Auvergne, Clermont-Ferrand, France

12. Department of Gastroenterology, Liège University Hospital, CHU Liège, Belgium

13. Department of Gastroenterology, Lyon-Sud Hospital, Hospices Civils de Lyon and INSERM U1111, University Claude Bernard Lyon 1, Lyon, France

14. Department of Gastroenterology, Cochin University Hospital, Paris, France

15. Service d’Hépato-Gastroentérologie et d’Assistance Nutritive, Hôpitaux Universitaires de Strasbourg et INSERM U1113, Université de Strasbourg, Strasbourg, France

16. Cliniques Universitaires Saint-Luc, UCL, Brussels, Belgium

17. Department of Gastroenterology, Besancon University Hospital, Besancon, France

18. Department of Hepato-Gastroenterology and Digestive Oncology, Grenoble Alpes University Hospital, Grenoble, France

19. Department of Gastroenterology, Nancy University Hospital, Inserm U1256 NGERE, Lorraine University, Vandoeuvre-les-Nancy, France

20. Department of Gastroenterology, Toulouse University Hospital, Toulouse, France

21. Department of Gastroenterology, Saint-Louis University Hospital, Paris, France

22. Department of Gastroenterology, Caen University Hospital, Caen, France

23. CHU Nantes, Institut des Maladies de l’Appareil Digestif [IMAD], Nantes University, Nantes, France

24. Department of HepatoGastroenterology, Angers University Hospital, Angers, France

25. Department of GastroEnterology, Reims University Hospital, Rheims, France

26. Department of Gastroenterology, Valenciennes General Hospital, Valenciennes, France

27. Department of Hepato-Gastroenterology, Hospital Pasteur, Colmar, France

28. Department of Gastroenterology, Hôpital Saint-Eloi, University Hospital of Montpellier, Montpellier, France

29. Department of Gastroenterology, Amiens University Hospital, Amiens, France

30. Department of Gastroenterology, Nimes University Hospital, Nimes, France

31. Department of HepatoGastroenterology and Digestive Oncology, Centre Medico-chirurgical Magellan, Haut-Leveque Hospital, Université de Bordeaux, Bordeaux, France

Abstract

Abstract Background and Aim The inflammatory bowel disease [IBD]-disk is a 10-item self-questionnaire that is used to assess IBD-related disability. The aim of the present study was to evaluate this tool in the assessment of IBD daily-life burden. Methods A 1-week cross-sectional study was conducted in 42 centres affiliated in France and Belgium. Patients were asked to complete the IBD-disk [best score: 0, worst score: 100] and a visual analogue scale [VAS] of IBD daily-life burden [best score: 0, worst score: 10]. Analyses included internal consistency, correlation analysis, and diagnostic performance assessment. Results Among the 2011 IBD outpatients who responded to the survey [67.8% of the patients had Crohn’s disease], 49.9% were in clinical remission. The IBD-disk completion rate was 73.8%. The final analysis was conducted in this population [n = 1455 patients]. The mean IBD-disk score and IBD daily-life burden VAS were 39.0 ± 23.2 and 5.2 ± 2.9, respectively. The IBD-disk score was well correlated with the IBD daily-life burden VAS [r = 0.67; p <0.001]. At an optimal IBD-disk cut-off of 40, the area under the receiver operating characteristic curve [AUROC] for high IBD daily-life burden [VAS >5] was 0.81 (95% confidence interval [CI]: 0.79–0.83; p <0.001). Conclusions In a large cohort of patients, the IBD-disk score was well correlated with IBD daily-life burden, and it could be used in clinical practice.

Funder

Abbvie

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology,General Medicine

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