P235 Does pregnancy adversely impact the health-related quality of life among women with IBD?
Notice bibliographique
Résumé
Women with inflammatory bowel disease (IBD) are at risk of flaring during pregnancy, and are associated with adverse maternal and neonatal outcomes. In addition, active IBD has been associated with poor health-related quality of life (HRQoL). However, whether pregnancy-related changes also influence HRQoL of life is still unknown. This study assessed the impact of pregnancy on the HRQoL among women with IBD and the impact of IBD disease activity on HRQoL in pregnant women with IBD. Adult (≧18years) women with Crohn’s disease (CD) or ulcerative colitis (UC), and healthy volunteers who were either preconception or pregnant participated in a quality of life research study, and followed until delivery. Participants completed disease activity indices, such as Harvey Bradshaw Index (HBI) for CD or partial Mayo score (pMayo) for UC. Clinically active disease was defined as mHBI ≧5 or pMayo ≧2; whereas c-reactive protein ≧8.0 mg/l and fecal calprotectin ≧250 mg/kg indicated objectively active disease. Short IBD quality of life (SIBDQ) survey was administered at each time point (preconception, trimester 1, trimester 2, and trimester 3) and compared between groups for diagnosis and disease activity. SIBDQ scores in each time point were compared using independent samples median t-test and differences between categorical variables were analysed using chi-square test. Statistically significant results were considered to have p <0.05. All statistical analyses were performed using SPSS statistical program, version 24.0. A total of 70 women completed at least one SIBDQ survey during the follow-up period. There were 11 (15.7%) healthy volunteers, 36 (52.4%) women with UC, and 23 (32.9%) women with CD. There was no difference in SIBDQ scores at preconception or during pregnancy between healthy women and women with IBD. SIBDQ scores were lower in IBD patients than in healthy participants in trimester 2 of pregnancy. Furthermore, SIBDQ scores were significantly lower in patients who had clinically active disease in trimesters 2 and 3. No statistically significant differences were found when patients were grouped by objective disease activity. Overall, HRQoL was reduced in women with IBD and especially during clinically active disease during pregnancy. Women with inactive IBD during pregnancy have similar IBD-related quality of life as women without IBD. Our findings encourage further research on the interaction of IBD and pregnancy to improve patient and physician-related knowledge in optimizing pregnancy outcomes in IBD patients.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,004 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».