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• W2978166952 abstract "Purpose: Patients with inflammatory bowel disease (IBD) have a lower health-related quality of life (HRQoL) compared to non-IBD patients. Disease knowledge may contribute to better adherence to treatment, as well as coping with symptoms and complications. However, there is a paucity of data on patient or disease-related factors affecting disease knowledge and association between IBD-related knowledge with HRQoL. The aims of this study were to evaluate the association between patient disease knowledge of IBD and HRQoL and to identify predictors of patient IBD disease knowledge. Methods: Consecutive eligible patients seen at the IBD clinic at the Michael E. DeBakey VA Medical Center were recruited. Patients eligible to participate had an established diagnosis of IBD; however, patients diagnosed with IBD within the past 3 months or those who have never seen a gastroenterologist in clinic were excluded. The validated patient knowledge questionnaire, Crohn's and colitis knowledge score (CCKNOW), and short inflammatory bowel disease questionnaire (SIBDQ) were prospectively self-administered during the clinic encounter. Demographic data, disease characteristics, surgical history, and IBD-related hospitalizations were abstracted from the VA electronic medical record. Predictors of CCKNOW score were assessed using univariate/multivariate analyses. Results: A total of 101 patients were recruited: 49 with ulcerative colitis (UC), 43 with Crohn's disease (CD), and nine with indeterminate colitis (IC). There was no correlation between overall CCKNOW and SIBDQ scores (R2=0.34, p=0.13). CD patients had significantly higher CCKNOW scores (13.58 SD 4.95) compared to patients with UC (10.24 SD 4.65) and IC (8.75 SD 5.90), p<0.01. Caucasian patients scored higher than non-Caucasians (12.46 SD 5.19 vs. 9.62 SD 4.67, p=0.02). Younger age of diagnosis was associated with higher CCKNOW scores (<17 yrs, 14.00 SD 0;17-40 yrs, 13.12 SD 4.77; >40 yrs, 9.20 SD 7.82), p<0.01. Longer disease duration was also associated with higher CCKNOW scores (<5 yrs, 9.91 SD 5.18 vs. >/= 5 yrs, 12.54 SD 4.94, p=0.02). Patients with a history of IBD-related surgeries had higher CCKNOW scores (13.33 SD 5.09) compared to those without surgery (10.51 SD 4.98), p=0.02. Higher levels of education were numerically, but not statistically, significantly associated with higher CCKNOW scores, p=0.22. On multivariate analyses, only age at IBD diagnosis remained statistically significant, p=0.03. Conclusion: IBD diagnosis at a younger age was significantly associated with higher knowledge about IBD. However, patient knowledge of IBD was not correlated with HRQoL. Further studies are required to study the effect of patient knowledge of IBD on other clinical outcomes." @default.
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• W2978166952 date "2013-10-01" @default.
• W2978166952 modified "2023-10-18" @default.
• W2978166952 title "Assessment of Disease-specific Knowledge among Veterans with Inflammatory Bowel Disease" @default.
• W2978166952 doi "https://doi.org/10.14309/00000434-201310001-01788" @default.
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