Classifying Back Pain and Peripheral Joint Complaints in Inflammatory Bowel Disease Patients: A Prospective Longitudinal Follow-up Study

Erp, S. J. van; Brakenhoff, L.; Gaalen, Floris A van; Berg, Rosaline van den; Fidder, Herma H.; Verspaget, Hein W.; Huizinga, Tom W J; Veenendaal, R. A.; Wolterbeek, Ron; Heijde, Desirée van der; Jong, Andrea E. van der Meulen–de; Hommes, Daniël W.

doi:10.1093/ecco-jcc/jjv195

Cited by 53 publications

(71 citation statements)

References 32 publications

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“…and ). Then, 378 full texts were assessed for eligibility and, finally, 78 papers were included in the qualitative and quantitative analysis: 67 for the analysis of the prevalence of co‐existing IBD‐SpA (Tables and ) and only 11 for the diagnostic accuracy of red flags .…”

Section: Resultsmentioning

confidence: 99%

“…Inflammatory bowel diseases (IBD, including Crohn's disease (CD) and ulcerative colitis (UC) and spondyloarthritis (SpA), are chronic disorders which may co‐exist in the same subject, worsening the disability and the quality of life of the patient and making the clinical management of the diseases more complicated. It is noteworthy that SpA is reported in the literature as the most common extra‐intestinal manifestation in IBD patients . However, this still represents an underestimated clinical problem, as demonstrated by Stolwijk et al .…”

Section: Introductionmentioning

confidence: 97%

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Red flags for appropriate referral to the gastroenterologist and the rheumatologist of patients with inflammatory bowel disease and spondyloarthritis

Felice

Leccese

Scudeller

et al. 2019

Clinical and Experimental Immunology

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Collaboration between gastroenterologists and rheumatologists is recommended for the correct management of patients with associated spondyloarthritis (SpA) and inflammatory bowel disease (IBD). We aimed to establish the appropriateness of several red flags for a prompt specialist referral. A systematic review of the literature was performed using the GRADE method to describe the prevalence of co-existing IBD-SpA and the diagnostic accuracy of red flags proposed by a steering committee. Then, a consensus among expert gastroenterologists and rheumatologists (10 in the steering committee and 13 in the expert panel) was obtained using the RAND method to confirm the appropriateness of each red flag as 'major' (one sufficient for patient referral) or 'minor' (at least three needed for patient referral) criteria for specialist referral. The review of the literature confirmed the high prevalence of co-existing IBD-SpA. Positive and negative predictive values of red flags were not calculated, given the lack of available data. A consensus among gastroenterology and rheumatology specialists was used to confirm the appropriateness of each red flag. Major criteria to refer patients with SpA to the gastroenterologist included: rectal bleeding, chronic abdominal pain, perianal fistula or abscess, chronic diarrhoea and nocturnal symptoms. Major criteria to refer patients with IBD to the rheumatologist included: chronic low back pain, dactylitis, enthesitis and pain/swelling of peripheral joints. Several major and minor red flags have been identified for the diagnosis of co-existing IBD-SpA. The use of red flags in routine clinical practice may avoid diagnostic delay and reduce clinic overload.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Red flags for appropriate referral to the gastroenterologist and the rheumatologist of patients with inflammatory bowel disease and spondyloarthritis

Felice

Leccese

Scudeller

et al. 2019

Clinical and Experimental Immunology

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“…At study inclusion, participants were asked 1) whether they currently have painful and/or swollen peripheral joints and 2) whether they currently have back pain that already lasts for 3 months or longer. If one of these questions was answered with yes, it was coded that peripheral joint pain and/or back pain was present [26].…”

Section: Methodsmentioning

confidence: 99%

“…No exclusion or inclusion criteria were specified. The participants had to complete web-based or postal questionnaires assessing demographic characteristics, disease activity, peripheral joint pain, back pain, illness perceptions about IBD, coping strategies, mental and physical health as well as activity and work impairment [22,26]. Of the 255 patients, 245 completed all questionnaires.…”

Section: Patient Population and Data Collectionmentioning

confidence: 99%

Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?

et al. 2016

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Purpose: Patients with inflammatory bowel disease (IBD) often experience severe impairment in different life domains. Psychological factors, such as illness perceptions and coping, may play a role in the adjustment to IBD as indicated by mental and physical health, activity and work impairment. The present study aimed at examining the assumption of the Common Sense Model (CSM) that coping mediates the relationship between illness perceptions and adjustment in patients with IBD. Method:In a cross-sectional design, 211 IBD patients (73% Crohn's disease, 40% male, mean age 42.9±12.9 years) attending an outpatient clinic completed questionnaires assessing illness perceptions (IPQ-R), coping (CORS), mental and physical health (SF-36) as well as activity and work impairment (WPAI). Multiple mediation analyses were applied that allow estimating the total and direct effects of all illness perception dimensions and the indirect effects through all coping strategies on the illness outcomes simultaneously. Results:The analyses yielded significant direct effects of perceptions regarding the cyclical course, the chronic course, the severity of the consequences, the comprehensibility, and the emotional impact of IBD on study outcomes. Additionally, significant indirect effects were found for the perceptions regarding the severity of the consequences, the possibility of personal control, and the comprehensibility of IBD on mental and physical health as well as activity impairment through the use of one specific coping strategy, i.e., reduction of activity. Conclusions:The results provide evidence for the assumptions of the CSM and suggest the importance of addressing illness perceptions and activity stimulation in quality health care for IBD patients.

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“…To investigate this, we determined the presence of anti-CarP antibodies in serum samples from patients with renal failure,5 inflammatory bowel disease (IBD)6 and in heavy smokers with or without chronic obstructive pulmonary disease (COPD)7 (see table 1). The presence of anti-CarP antibodies in healthy controls and patients with RA was used as a comparison 1 8.…”

mentioning

confidence: 99%

Anti-carbamylated protein antibodies: a specific hallmark for rheumatoid arthritis. Comparison to conditions known for enhanced carbamylation; renal failure, smoking and chronic inflammation

et al. 2016

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Classifying Back Pain and Peripheral Joint Complaints in Inflammatory Bowel Disease Patients: A Prospective Longitudinal Follow-up Study

Cited by 53 publications

References 32 publications

Red flags for appropriate referral to the gastroenterologist and the rheumatologist of patients with inflammatory bowel disease and spondyloarthritis

Red flags for appropriate referral to the gastroenterologist and the rheumatologist of patients with inflammatory bowel disease and spondyloarthritis

Illness Perceptions and Outcomes in Patients with Inflammatory Bowel Disease: Is Coping a Mediator?

Anti-carbamylated protein antibodies: a specific hallmark for rheumatoid arthritis. Comparison to conditions known for enhanced carbamylation; renal failure, smoking and chronic inflammation

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