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S1195 Communicating Needs and Features of IBD Experiences (CONFIDE) Survey: Patient and Healthcare Professional Perspectives on Communication Relating to Ulcerative Colitis Symptoms in Canada

2023· article· en· W4387751556 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
aboutThe title or abstract carries a Canadian signal from the geographic lexicon.

Bibliographic record

VenueThe American Journal of Gastroenterology · 2023
Typearticle
Languageen
FieldMedicine
TopicMicroscopic Colitis
Canadian institutionsWestern UniversityMcGill UniversityMontreal General HospitalEli Lilly (Canada)University of Calgary
Fundersnot available
KeywordsMedicineUlcerative colitisHealth professionalsQuality of life (healthcare)Health careCross-sectional studyFamily medicineInflammatory bowel diseaseDiseaseInternal medicineNursingPathology

Abstract

fetched live from OpenAlex

Introduction: Moderate-to-severe ulcerative colitis (UC) can be associated with impaired quality of life. The Communicating Needs and Features of IBD Experiences (CONFIDE) study aims to increase understanding of patients’ experiences and the impact of IBD on their lives and elucidate any communication gaps between healthcare professionals (HCPs) and patients with moderate-to-severe UC in the United States, Europe, Japan, and Canada. These data focus on Canadian patients and HCPs. Methods: Online, quantitative, cross-sectional survey was conducted (panel recruitment) between February and April 2023 with patients diagnosed with moderate-to-severe UC and gastroenterologists (GIs) in Canada. Active disease of at least moderate severity defined using criteria based on previous treatment, steroid use, and/or hospitalization. HCPs were GIs responsible for making prescribing decisions for patients with moderate-to-severe UC. Results summarised descriptively. Results: Survey completed by 82 (373 contacted) patients (65% male, mean age 43.5 years (SD 12.6), mean time since diagnosis 6.3 years (SD 7.6, range 1-33 years)) and 53 GIs (70 contacted). The top 3 patient-reported symptoms experienced in the past month were diarrhea (39%, n=32), bowel urgency (BU, 30%, n=25), and fatigue/tiredness (29%, n=24). Among patients currently experiencing BU, 36% (n=9) discussed this at every appointment, of those that did not (n=16), 88% would like to discuss this more. 22% of patients (n=10) who have ever suffered from BU did not feel comfortable reporting BU to their GI. 85% (n=45) GIs reported they proactively discuss BU at routine appointments; 73% (n=39) thought their patients were comfortable reporting BU. GIs who reported that they do not proactively discuss BU (15%, n=8) cited the main reasons as expectation for the patient to bring it up and insufficient time (both 62%, n=5). Conclusion: A communication gap related to BU exists between patients and GIs. Most GIs report they proactively discuss BU routinely, but the majority of patients experiencing this would like to discuss it more. Among GIs that do not routinely proactively discuss BU, most believe their patients are comfortable reporting it. Patients who do not routinely discuss it would like to do so more frequently, but do not feel comfortable reporting it to their GI.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.231
Threshold uncertainty score0.702

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.014
GPT teacher head0.301
Teacher spread0.287 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it