The Inflammatory Bowel Disease-Disability Index: validation of the Portuguese version according to the COSMIN checklist

Soares, João; Pereira, Rafaela; Costa, Juliana M; Arroja, Bruno; Gonçalves, Raquel

doi:10.1097/meg.0000000000000701

Cited by 22 publications

(20 citation statements)

References 20 publications

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“…With regard to the influence of sex, data were found that showed more disability in women than in men, with a difference of approximately six points. This finding is in line with the studies conducted in the French and Portuguese populations, which also observed worse IBDDI scores in women than in men [15,30]. It should be noted that the scoring system used was not the same in both studies.…”

Section: Discussionsupporting

confidence: 89%

“…The multivariate analysis in the fitted models also corroborated this finding. The literature reviewed supports this result, evidencing an association between disability and the situation of activity or inactivity in the disease [15,16,17,30,32]. Specifically, the systematic review mentioned above showed that patients with an active disease had higher rates of disability than those in remission, although it is again worth noting the high heterogeneity found among the studies reviewed [18].…”

Section: Discussionmentioning

confidence: 76%

“…It should be noted that during the validation process, the scale was reduced to 14 items from the initial 28, and the total score ranged from 0 to 100 points [15]. Another similar study conducted in a Portuguese population also reduced the final version of the IBDDI to 14 items and obtained a Cronbach’s alpha of 0.88 [30]. A study developed in Australia, from which the scoring system for our research was taken, showed that the IBDDI had a high internal consistency (Cronbach’s alpha of 0.94, somewhat higher than that of our study), also showing a good discriminating capacity [16].…”

Section: Discussionmentioning

confidence: 99%

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Cultural Adaptation and Validation of the Inflammatory Bowel Disease Disability Index in a Spanish Population and Its Association with Sociodemographic and Clinical Factors

López-Cortés

Herrero-Hahn

Eduardo

et al. 2019

IJERPH

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Inflammatory bowel diseases generate disability. We aimed to adapt and validate the Inflammatory Bowel Disease Disability Index in a Spanish population and to analyze the sociodemographic and clinical factors associated with disability in patients with Crohn’s disease and ulcerative colitis. Cultural adaptation and validation of psychometric properties in the index were done, along with an observational, cross-sectional, and analytical approach to determine associations with sociodemographic and clinical factors. Sociodemographic data, quality of life (using the Inflammatory Bowel Disease Questionnaire-32), and indicators of disease activity were collected, among others. A total of 170 subjects participated. The index showed high internal consistency, with a Cronbach’s alpha of 0.869 and concurrent validity with the Inflammatory Bowel Disease Questionnaire-32 (r = 0.723, p < 0.001). The average score of the index was −3.91. Greater degrees of disability were found in women (mean = −6.77) than in men (mean = −1.25) (p = 0.018), in patients with Crohn’s disease (mean = −5.94) rather than those with ulcerative colitis (mean = −0.94) (p = 0.028), and in patients in the moderately active disease phase (mean = −20.94) rather than those in the mildly active disease phase (mean = −2.65) and/or those in remission (mean = −1.40) (p < 0.001). The Disability Index is a valid tool for the Spanish population and is associated with sex, type of illness, and disease activity. It is a useful index in evaluating and monitoring disability in patients with inflammatory bowel disease.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

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Cultural Adaptation and Validation of the Inflammatory Bowel Disease Disability Index in a Spanish Population and Its Association with Sociodemographic and Clinical Factors

López-Cortés

Herrero-Hahn

Eduardo

et al. 2019

IJERPH

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“…In addition, statistically significant influence was recorded for lower education in the UC and for operation and marital status in the CD group. Concerning activity, the relationship with disability is easily understandable and not surprising [36, 37]. But for the other parameters, we have not detected corresponding references in literature.…”

Section: Discussionmentioning

confidence: 86%

Disability in Patients with Inflammatory Bowel Disease: Correlations with Quality of Life and Patient’s Characteristics

Argyriou

Kapsoritakis

Oikonomou

et al. 2017

Canadian Journal of Gastroenterology and Hepatology

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Background Inflammatory bowel diseases may cause significant disability. However, little is known regarding the life domains where patients encounter most limitations. Objectives To assess patients' overall disability and determine the life domains where most restrictions were applied. Secondarily, we sought for possible relationships among disability, quality of life (HRQoL), and population characteristics. Method The study lasted for two years (2013–2015) and included 200 patients [52% ulcerative colitis (UC)] from a referral centre. Disability was evaluated using the 36-item version of WHODAS 2.0 questionnaire. The influence of population characteristics on overall disability was assessed with linear regression. Results Crohn's disease (CD) patients showed greater overall disability compared to UC (19.22 versus 15.01, p = 0.001), with higher scores in the domains of relationships, life activities, and participation. Disability was negatively associated with HRQoL (p < 0.001). Long activity, extensive disease, rural residence, and employment independently influenced the overall disability in both groups. Additionally, significant influence was recorded for lower education in the UC and for operation and celibacy in the CD group. Conclusions CD patients were facing more limitations compared to those with UC, especially in the domains of relationships, activities, and participation. Other than clinical factors, sociodemographic characteristics were also associated with increased disability.

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“…Patient-reported outcomes in combination with clinical-reported outcomes have been recently emphasized by medical organizations and regulatory agencies (i.e., FDA and EMA), becoming one of the primary aims of clinical trials focusing to evaluate novel molecules and treatment modalities for IBD patients experiencing disease relapse. In parallel, specific instruments, such as the IBD-DI, have been developed and validated in recent years [16, 17, 20, 22]. Based on these premises, our study was designed to evaluate clinical and pharmacological factors associated with impaired quality of life and disability in a large cohort of IBD patients consecutively enrolled at our IBD outpatient unit.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Disability and Quality of Life during Treatment: A Cross-Sectional Study on IBD Patients

Marinelli

Savarino

Inferrera

et al. 2019

Gastroenterology Research and Practice

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Background/Aim. Inflammatory bowel disease (IBD) is a chronic disorder affecting patients’ quality of life and increasing their disability. The aim of our study was to evaluate clinical and pharmacological factors associated with impaired quality of life and disability in a large cohort of IBD patients during IBD treatment. Methods. We consecutively and prospectively recruited all IBD patients referred to the IBD Unit of the “Azienda Ospedaliera” of Padua. Demographics and clinical information were collected, and all patients completed the IBD questionnaire (IBDQ) and the IBD-Disability Index (IBD-DI) questionnaire. A multivariate regression model and Spearman’s rank correlation coefficient were applied for detecting IBD-related variables relevant to disability and quality of life. Results. We included 435 IBD patients. Multivariate regression modelling identified active disease, anaemia, presence of extraintestinal manifestations, and Crohn subtype as independent predictors for both disability and poor quality of life. We observed a strong positive correlation between IBD-DI and IBDQ (r=0.84, p<0.001), while there was no association with ongoing therapy or other clinical features disease-related. Conclusions. Our study showed that disability and quality of life are both associated with active disease, anaemia, presence of extraintestinal manifestations, and Crohn phenotype while ongoing therapy seems not to be associated with disability and QoL during disease management.

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The Inflammatory Bowel Disease-Disability Index: validation of the Portuguese version according to the COSMIN checklist

Abstract: The Portuguese version of IBD-DI obtained is a reliable, valid, responsive, and interpretable (at the group level) tool to assess disability in Portuguese IBD patients.

Cited by 22 publications

References 20 publications

Cultural Adaptation and Validation of the Inflammatory Bowel Disease Disability Index in a Spanish Population and Its Association with Sociodemographic and Clinical Factors

Cultural Adaptation and Validation of the Inflammatory Bowel Disease Disability Index in a Spanish Population and Its Association with Sociodemographic and Clinical Factors

Disability in Patients with Inflammatory Bowel Disease: Correlations with Quality of Life and Patient’s Characteristics

Factors Influencing Disability and Quality of Life during Treatment: A Cross-Sectional Study on IBD Patients

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