Preventive health measures in inflammatory bowel disease

Abegunde, Ayokunle T.; Muhammad, Bashir H; Ali, Tauseef

doi:10.3748/wjg.v22.i34.7625

Cited by 43 publications

(28 citation statements)

References 166 publications

(261 reference statements)

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“…As reported by Andrews et al ., Bennett et al ., and a 2013 report Improving Inflammatory Bowel Disease care across Australia , this can provide opportunities for PCPs to optimize care in key areas in IBD. Examples of this include managing adherence to therapy, monitoring treatment efficacy, smoking cessation, vaccination, screening for cancers (skin, colorectal cervical), and providing education on self‐management . Collaborations involving primary healthcare professionals; GPs and pharmacists; and secondary/tertiary healthcare professionals, nurses, and gastroenterologists can work synergistically toward achieving efficient and improved patient outcomes that could indeed help to significantly reduce both the economic and the clinical burdens of IBD …”

Section: Discussionmentioning

confidence: 99%

“…Examples of this include managing adherence to therapy, monitoring treatment efficacy, smoking cessation, vaccination, screening for cancers (skin, colorectal cervical), and providing education on selfmanagement. 64,77 Collaborations involving primary healthcare professionals; GPs and pharmacists; and secondary/tertiary healthcare professionals, nurses, and gastroenterologists can work synergistically toward achieving efficient and improved patient outcomes that could indeed help to significantly reduce both the economic and the clinical burdens of IBD. 16,48,78 The studies included in this review differed in their design, outcomes, and measurements, and this heterogeneity reduced our ability to make a more precise assessment of key trends.…”

Section: Discussionmentioning

confidence: 99%

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Roles of healthcare professionals in the management of chronic gastrointestinal diseases with a focus on primary care: A systematic review

et al. 2019

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Background and aim Inflammatory bowel disease (IBD) refers to a group of complex and chronic conditions that requires long‐term care delivered by a group of healthcare professionals through a multidisciplinary care model. We conducted a systematic review to examine and understand the role of healthcare professionals in the primary care management of IBD, and identify the gaps in IBD management that could be filled by primary care providers such as general practitioners (GPs) and pharmacists. Methods The search strategy retrieved published studies from five databases, and eligible articles were assessed for quality. A gray literature search of the websites of organizations was also undertaken. Results Twenty‐one studies were included, of which 19 were peer‐reviewed research articles and two reports were from organizational bodies. Although studies have shown the roles of GPs, pharmacists, dietitians, and psychologists in IBD management, nurses and gastroenterologists were the key drivers delivering specialized care to IBD patients. Many key services are accessible only for hospital inpatients (tertiary care) or through outpatient clinics (secondary care) with an absence of a multidisciplinary approach including GPs and pharmacists. Conclusion Gastroenterologists and nurses have an important role in the delivery of care to patients with chronic gastrointestinal diseases including IBD, coeliac disease, irritable bowel syndrome, and functional dyspepsia. The role of nurses includes provision of specialized care to IBD patients, as well as supportive care such as education, monitoring of therapy, and ongoing assistance. The available evidence shows many opportunities for primary care providers to play a more active role in the management of IBD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Roles of healthcare professionals in the management of chronic gastrointestinal diseases with a focus on primary care: A systematic review

et al. 2019

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“…After bowel resection in the IBD context, short bowel and malabsorption syndromes can lead to vitamin A deficiency, which may result in night blindness (nyctalopia) and keratoconjunctivitis sicca[ 127 , 128 ]. Vomiting and unilateral painful red eye lead to a suspicion of acute angle closure glaucoma[ 67 ], a threatening ophthalmological urgency that has not been described in IBD but which may confound the clinician.…”

Section: Ocular Involvementmentioning

confidence: 99%

Ophthalmic manifestations in patients with inflammatory bowel disease: A review

Troncoso

Biancardi

Moraes

et al. 2017

WJG

112

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Clinical manifestations of inflammatory bowel disease (IBD) are not locally restricted to the gastrointestinal tract, and a significant portion of patients have involvement of other organs and systems. The visual system is one of the most frequently affected, mainly by inflammatory disorders such as episcleritis, uveitis and scleritis. A critical review of available literature concerning ocular involvement in IBD, as it appears in PubMed, was performed. Episcleritis, the most common ocular extraintestinal manifestation (EIM), seems to be more associated with IBD activity when compared with other ocular EIMs. In IBD patients, anterior uveitis has an insidious onset, it is longstanding and bilateral, and not related to the intestinal disease activity. Systemic steroids or immunosuppressants may be necessary in severe ocular inflammation cases, and control of the underlying bowel disease is important to prevent recurrence. Our review revealed that ocular involvement is more prevalent in Crohn’s disease than ulcerative colitis, in active IBD, mainly in the presence of other EIMs. The ophthalmic symptoms in IBD are mainly non-specific and their relevance may not be recognized by the clinician; most ophthalmic manifestations are treatable, and resolve without sequel upon prompt treatment. A collaborative clinical care team for management of IBD that includes ophthalmologists is central for improvement of quality care for these patients, and it is also cost-effective.

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“…Continued smoking increases the risk of a more complicated course of CD, and is associated with a poorer prognosis. The reverse applies for UC, with a lower risk of illness (36). Other increasing risk factors are antibiotics and anti-inflammatory medication, which can trigger relapse in IBD (31).…”

Section: Pathogenesismentioning

confidence: 99%

“…Self-care management was described as making sure to sleep well (62%), stress management (73%), finding out more about IBD (79%), and looking for new approaches living with IBD (68%) ( Table 8). 17107 (36) 82 (27) 58 (19) 3 (1) I avoid various activities 109 (36) 124 4149 (16) 12 44 (1) I avoid sex 126 (42) 96 3226 913 436 (12) I avoid alcohol 84 2883 2858 (19) 44 1519 (6) Plan my day so that I am always near a toilet 80 (27) 103 3454 (18) 56 (19) 5 (2) I plan my day in view of the fact that I have IBD 100 (33) 120 4044 (15) 31 104 (1) Do you take medication for IBD as prescribed by a doctor?…”

Section: Test Retest Reliabilitymentioning

confidence: 99%

Self-care: the way to find balance in life : Development and evaluation of a self-care questionnaire for patients with inflammatory bowel disease

Wickman

2019

Linköping University Medical Dissertations

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Introduction: Inflammatory bowel disease (IBD), ulcerative colitis (UC), and Crohn's disease (CD) occur worldwide and are lifelong chronic conditions. The symptoms, which include abdominal pain and frequent diarrhea, cause limitations in life. Thus, patients with IBD need self-care in accordance with their symptoms, their own commitment to maintaining health, and decisions on symptom management. To strengthen self-care, there is a need for a tool that assesses self-care in patients with IBD, which aims to support the patient dialogue about self-care. The overall aim of this thesis was to develop and evaluate a questionnaire for the clinical assessment of self-care, and to explore self-care in relation to disease activity and to health-related quality of life (HRQOL) in patients with IBD. Design and method: The thesis includes four studies, where studies I, II and IV were conducted in Sweden, and study III was conducted in the United States (U.S.). In study I, a descriptive design, interviews were conducted with twenty adult patients, in order to explore self-care in patients with IBD. In study II, the self-care questionnaire was developed and tested with 193 patients with IBD in Sweden. In study III, a cross-sectional descriptive design, the self-care questionnaire was translated into English, and the responses of 67 patients in the U.S. were evaluated. Finally, in study IV, a cross-sectional exploratory design was used to explore self-care in relation to patient characteristics, disease activity, and HRQOL among 234 patients. For a total of 421 patients, the data was analyzed using content analysis, and descriptive and analytic statistics (studies I, II, III and IV). Results: Among patients with IBD, self-care relates to symptom recognition, handling symptoms, planning life, and seeking new options. Self-care varied according to how the patient managed daily life with regard to the symptoms of the disease (study I). Based on the results from study I, the self-care questionnaire was developed in Swedish, resulting in a valid and reliable questionnaire comprising 22 items (study II). The questionnaire was translated to English, and performed self-care activities were associated with a lower degree of well-being in relation to age and gender (study III). The patients were taking medication for IBD, paying attention to their Abstract intestinal symptoms, adapting their diet, managing their stress, planning their day and avoiding activities (studies III and IV). Self-care was more frequent in patients with CD when it came to paying attention to psychological symptoms; diet adaption; avoiding various activities including sex; and looking for new approaches to living with IBD. A greater degree of selfcare activities was associated with a lower degree of HRQOL (IV). Conclusion: The results indicate the importance of identifying the total symptom experience, and of the patient's need to discuss self-care, in order to strengthen self-care and achieve better treatment. The self-care questionnaire can be a useful tool to be...

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Preventive health measures in inflammatory bowel disease

Cited by 43 publications

References 166 publications

Roles of healthcare professionals in the management of chronic gastrointestinal diseases with a focus on primary care: A systematic review

Roles of healthcare professionals in the management of chronic gastrointestinal diseases with a focus on primary care: A systematic review

Ophthalmic manifestations in patients with inflammatory bowel disease: A review

Self-care: the way to find balance in life : Development and evaluation of a self-care questionnaire for patients with inflammatory bowel disease

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