Do Quality of Life and Disease Activity in Inflammatory Bowel Disease Differ by Race in a Tertiary Referral Practice?
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Résumé
Purpose: To assess for racial differences in quality of life and disease activity among patients with inflammatory bowel disease (IBD). Baseline characteristics such as gender, age at diagnosis, disease location and disease behavior were also compared. Methods: The University of Maryland Inflammatory Bowel Disease Program Clinical Database documents demography, phenotype, quality of life and disease activity scores at each visit for all outpatients with IBD. We identified all Caucasian and African American (AA) patients having ≥2 encounters with recorded scores for the Short Form-Inflammatory Bowel Disease Questionnaire (SIBDQ) and disease activity indices from 2004-2009. The Harvey Bradshaw Index (HBI) was used for Crohn's disease (CD) and Simple Clinical Colitis Activity Index (SCCAI) for ulcerative colitis (UC) patients. We compared mean SIBDQ, HBI and SCCAI scores by race. We performed linear regression for the UC and CD cohorts to evaluate the association between race and mean SIBDQ scores. Models controlled for gender, age at diagnosis, disease location and disease phenotype (using Montreal update of Vienna Classification). Results: The database query yielded 291 IBD patients meeting criteria. Of these, 194 (67%) had CD and 97 (33%) had UC; 238 (82%) were Caucasian and 53 (18%) were AA. No differences were seen in mean SIBDQ, HBI or SCCAI scores by race in the unadjusted analyses. In CD patients, females had a mean SIBDQ score that was 8.8 points (95% CI -12.3, -5.3) lower than males, while stricturing phenotype patients had a mean SIBDQ score that was 5.3 points (95% CI -9.6, -1.1) lower than non-stricturing, non-penetrating phenotype patients in the adjusted analysis. Additionally, for each 1 year increase in age at diagnosis, the mean SIBDQ score decreased 0.50 points (95% CI -0.98, -0.01) in AAs, a trend not seen in Caucasians. In UC patients, AA males had a mean SIBDQ score that was 10 points (95% CI 3.7, 16.3) higher than Caucasian males while AA females had a mean SIBDQ score that was 6.6 points lower (95% CI -13.6, 0.33) than Caucasian females in the adjusted analysis. Higher adjusted mean SIBDQ scores were also seen in UC patients with E2 (+ 6.3 points; 95% CI 0.02-12.6) and E3 (+ 8.5 points; 95% CI 2.44-14.5) compared to E1 disease extent. Conclusion: In a CD referral cohort, mean SIBDQ scores decreased with increasing age at diagnosis among AA, but not Caucasians. In a UC referral cohort, mean SIBDQ scores were higher in AA men but lower in AA women compared to their Caucasian counterparts. No racial differences in mean SCCAI or HBI scores were seen. This research was supported by an industry grant from Procter and Gamble.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 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 découle