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Evaluation of Quality of Life in Crohn’s Disease and Ulcerative Colitis: What Is Health-Related Quality of Life?

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Crohn's Disease and Ulcerative Colitis

Abstract

While good Quality of Life (QoL) has long been a policy goal in the treatment of inflammatory bowel disease (IBD), adequate definition and measurement of it have remained elusive. The term “quality of life” is used to describe the general well-being of individuals in the field of healthcare. QoL should not be confused with “standard of living,” a term defined primarily by income. Instead, standard indicators of QoL include not only wealth and employment, but also the built environment, physical and mental health, education, recreation and leisure time, and social belonging. Health-related quality of life (HRQoL) is a subjective measure of a person’s physical and psychological well-being and represents a patient’s assessment of how a particular disease or intervention has affected their life.

We should not worry about how long we live but rather how satisfactorily;

For in order to live a long time, you only require fate,

But living satisfactorily requires understanding. Life is long if it is full.

Lucius Annaeus Seneca (4BC–65 AD)

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References

  1. Burisch J, Jess T, Martinato M, et al. The burden of inflammatory bowel disease in Europe. J Crohns Colitis. 2013;7:322–37. doi:10.1016/j.crohns.2013.01.010.

    Article  PubMed  Google Scholar 

  2. Canavan C, Abrams KR, Hawthorne B, et al. Long-term prognosis in Crohn’s disease: factors that affect quality of life. Aliment Pharmacol Ther. 2006;23:377–85. doi:10.1111/j.1365-2036.2006.02753.x.

    Article  CAS  PubMed  Google Scholar 

  3. Hjortswang H, Järnerot G, Curman B, et al. The influence of demographic and disease-related factors on health-related quality of life in patients with ulcerative colitis. Eur J Gastroenterol Hepatol. 2003;15:1011–20. doi:10.1097/00042737-200309000-00012.

    Article  PubMed  Google Scholar 

  4. Casellas F, Arenas JI, Baudet JS, et al. Impairment of health-related quality of life in patients with inflammatory bowel disease: a Spanish multicenter study. Inflamm Bowel Dis. 2005;11:488–96.

    Article  CAS  PubMed  Google Scholar 

  5. Rubin GP, Hungin APS, Chinn DJ, et al. Quality of life in patients with established inflammatory bowel disease: a UK general practice survey. Aliment Pharmacol Ther. 2004;19:529–35. doi:10.1111/j.1365-2036.2004.1873.x.

    Article  CAS  PubMed  Google Scholar 

  6. Casellas F, López-Vivancos J, Badia X, et al. Influence of inflammatory bowel disease on different dimensions of quality of life. Eur J Gastroenterol Hepatol. 2001;13:567–72.

    Article  CAS  PubMed  Google Scholar 

  7. Nordin K, Påhlman L, Larsson K, et al. Health-related quality of life and psychological distress in a population-based sample of Swedish patients with inflammatory bowel disease. Scand J Gastroenterol. 2002;37:450–7. doi:10.1080/003655202317316097.

    Article  CAS  PubMed  Google Scholar 

  8. Burisch J, Weimers P, Pedersen N, et al. Health-related quality of life improves during one year of medical and surgical treatment in a European population-based inception cohort of patients with Inflammatory Bowel Disease—an ECCO-EpiCom study. J Crohns Colitis. 2014;8:1030–42. doi:10.1016/j.crohns.2014.01.028.

    Article  CAS  PubMed  Google Scholar 

  9. Bernklev T, Jahnsen J, Lygren I, et al. Health-related quality of life in patients with inflammatory bowel disease measured with the short form-36: psychometric assessments and a comparison with general population norms. Inflamm Bowel Dis. 2005;11:909–18. doi:10.1097/01.mib.0000179467.01748.99.

    Article  PubMed  Google Scholar 

  10. Kunz JH, Hommel KA, Greenley RN. Health-related quality of life of youth with inflammatory bowel disease: a comparison with published data using the PedsQL 4.0 generic core scales. Inflamm Bowel Dis. 2010;16:939–46. doi:10.1002/ibd.21128.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ingerski LM, Modi AC, Hood KK, et al. Health-related quality of life across pediatric chronic conditions. J Pediatr. 2010;156:639–44. doi:10.1016/j.jpeds.2009.11.008.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Lix LM, Graff L, Walker JR, et al. Longitudinal study of quality of life and psychological functioning for active, fluctuating, and inactive disease patterns in inflammatory bowel disease. Inflamm Bowel Dis. 2008;14:1575–84. doi:10.1002/ibd.20511.

    Article  PubMed  Google Scholar 

  13. Bernklev T, Jahnsen J, Schulz T, et al. Course of disease, drug treatment and health-related quality of life in patients with inflammatory bowel disease 5 years after initial diagnosis. Eur J Gastroenterol Hepatol. 2005;17:1037–45. doi:10.1097/00042737-200510000-00006.

    Article  PubMed  Google Scholar 

  14. Loonen HJ, Grootenhuis MA, Last BF, et al. Quality of life in pediatric inflammatory bowel disease measured by a generic and a disease-specific questionnaire. Acta Paediatr. 2002;91:348–54. doi:10.1080/08035250252834049.

    Article  CAS  PubMed  Google Scholar 

  15. Otley AR, Griffiths AM, Hale S, et al. Health-related quality of life in the first year after a diagnosis of pediatric inflammatory bowel disease. Inflamm Bowel Dis. 2006;12:684–91.

    Article  PubMed  Google Scholar 

  16. Van der Eijk I, Vlachonikolis IG, Munkholm P, et al. The role of quality of care in health-related quality of life in patients with IBD. Inflamm Bowel Dis. 2004;10:392–8. doi:10.1097/00054725-200407000-00010.

    Article  PubMed  Google Scholar 

  17. Elkjaer M, Moser G, Reinisch W, et al. IBD patients need in health quality of care ECCO consensus. J Crohns Colitis. 2008;2:181–8. doi:10.1016/j.crohns.2008.02.001.

    Article  PubMed  Google Scholar 

  18. Van der Have M, van der Aalst KS, Kaptein AA, et al. Determinants of health-related quality of life in Crohn’s disease: a systematic review and meta-analysis. J Crohns Colitis. 2014;8:93–106. doi:10.1016/j.crohns.2013.04.007.

    Article  PubMed  Google Scholar 

  19. Raat H, Mohangoo AD, Grootenhuis MA. Pediatric health-related quality of life questionnaires in clinical trials. Curr Opin Allergy Clin Immunol. 2006;6:180–5. doi:10.1097/01.all.0000225157.67897.c2.

    Article  PubMed  Google Scholar 

  20. Matza LS, Swensen AR, Flood EM, et al. Assessment of health-related quality of life in children: a review of conceptual, methodological, and regulatory issues. Value Heal. 2004;7:79–92. doi:10.1111/j.1524-4733.2004.71273.x.

    Article  Google Scholar 

  21. Turner D, Otley AR, Mack D, et al. Development, validation, and evaluation of a pediatric ulcerative colitis activity index: a prospective multicenter study. Gastroenterology. 2007;133:423–32. doi:10.1053/j.gastro.2007.05.029.

    Article  PubMed  Google Scholar 

  22. Griffiths AM, Nicholas D, Smith C, et al. Development of a quality-of-life index for pediatric inflammatory bowel disease: dealing with differences related to age and IBD type. J Pediatr Gastroenterol Nutr. 1999;28:S46–52.

    Article  CAS  PubMed  Google Scholar 

  23. Jenney ME, Campbell S. Measuring quality of life. Arch Dis Child. 1997;77:347–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Varni JW, Limbers CA, Burwinkle TM. How young can children reliably and validly self-report their health-related quality of life?: an analysis of 8,591 children across age subgroups with the PedsQL 4.0 Generic Core Scales. Health Qual Life Outcomes. 2007;5:1. doi:10.1186/1477-7525-5-1.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Eiser C, Morse R. Can parents rate their child’s health-related quality of life? Results of a systematic review. Qual Life Res. 2001;10:347–57. doi:10.1023/A:1012253723272.

    Article  CAS  PubMed  Google Scholar 

  26. Balzola F, Bernstein C, Van Assche G. Paediatric inflammatory bowel disease during a 44-year period in Copenhagen County: occurrence, course and prognosis—a population-based study from the Danish Crohn Colitis Database. Commentary Inflamm Bowel Dis Monit. 2010;10:90. doi:10.1097/MEG.0b013e32832a4ed6.

    Google Scholar 

  27. Van Limbergen J, Russell RK, Drummond HE, et al. Definition of phenotypic characteristics of childhood-onset inflammatory bowel disease. Gastroenterology. 2008;135:1114–22. doi:10.1053/j.gastro.2008.06.081.

    Article  PubMed  Google Scholar 

  28. Guyatt GH, Feeny DH, Patrick DL. Measuring health-related quality of life. Ann Intern Med. 1993;118:622–9. doi:10.7326/0003-4819-118-8-199304150-00009.

    Article  CAS  PubMed  Google Scholar 

  29. Spiegel BMR. Patient-reported outcomes in gastroenterology: clinical and research applications. J Neurogastroenterol Motil. 2013;19:137–48. doi:10.5056/jnm.2013.19.2.137.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Wagner EH, Austin BT, Von Korff M. Organizing care for patients with chronic illness. Milbank Q. 1996;74:511–44.

    Article  CAS  PubMed  Google Scholar 

  31. European Medicines Agency. Pre-authorisation evaluation of medicines for human use. London: 2008.

    Google Scholar 

  32. U.S. Food and Drug Administration. Guidance for industry clinical trial endpoints for the approval of cancer drugs and biologics. 2007. doi:10.1089/blr.2007.9941.

  33. Peyrin-Biroulet L, Sandborn W, Sands BE, et al. Selecting therapeutic targets in inflammatory bowel disease (STRIDE): determining therapeutic goals for treat-to-target. Am J Gastroenterol. 2015;110(9):1324–38. doi: 10.1038/ajg.2015.233. Epub 2015 Aug 25. Review.

  34. Nielsen ML. New professor systematises patient data. Aarhus Univ News. 2015. http://newsroom.au.dk/en/news/show/artikel/ny-professor-saetter-patientdata-i-system/. Accessed 9 July 2015.

  35. Irvine EJ. Quality of life issues in patients with inflammatory bowel disease. Am J Gastroenterol. 1997;92:18S–24.

    CAS  PubMed  Google Scholar 

  36. Guyatt G, Mitchell A, Irvine EJ, et al. A new measure of health status for clinical trials in inflammatory bowel disease. Gastroenterology. 1989;96:804–10. doi:S0016508589000922 [pii].

    Article  CAS  PubMed  Google Scholar 

  37. Irvine E, Feagan B, Rochon J, et al. Quality of life: a valid and reliable measure of therapeutic efficacy in the treatment of inflammatory bowel disease. Canadian Crohn’s Relapse Prevention Trial Study Group. Gastroenterology. 1994;106:287–96.

    Article  CAS  PubMed  Google Scholar 

  38. Jowett SL, Seal CJ, Barton JR, et al. The Short Inflammatory Bowel Disease Questionnaire is reliable and responsive to clinically important change in ulcerative colitis. Am J Gastroenterol. 2001;96:2921–8. doi:10.1016/S0002-9270(01)03244-0.

    Article  CAS  PubMed  Google Scholar 

  39. Elkjaer M, Shuhaibar M, Burisch J, et al. E-health empowers patients with ulcerative colitis: a randomised controlled trial of the web-guided ‘Constant-care’ approach. Gut. 2010;59:1652–61. doi:10.1136/gut.2010.220160.

    Article  PubMed  Google Scholar 

  40. Pedersen N, Elkjaer M, Duricova D, et al. EHealth: Individualisation of infliximab treatment and disease course via a self-managed web-based solution in Crohn’s disease. Aliment Pharmacol Ther. 2012;36:840–9. doi:10.1111/apt.12043.

    CAS  PubMed  Google Scholar 

  41. Pedersen N, Thielsen P, Martinsen L, et al. eHealth: Individualization of mesalazine treatment through a self-managed web-based solution in mild-to-moderate ulcerative colitis. Inflamm Bowel Dis. 2014;20:2276–85. doi:10.1097/MIB.0000000000000199.

    Article  PubMed  Google Scholar 

  42. Love J, Irvine E, Fedorak R. Quality of life in inflammatory bowel disease. J Clin Gastroenterol. 1992;14:15–9.

    Article  CAS  PubMed  Google Scholar 

  43. Hjortswang H, Almer S, Ström M. The network: a strategy to describe the relationship between quality of life and disease activity. The case of inflammatory bowel disease. Eur J Gastroenterol Hepatol. 1999;11:1099–104.

    Article  CAS  PubMed  Google Scholar 

  44. Hjortswang H, Järnerot G, Curman B, et al. The Short Health Scale: a valid measure of subjective health in ulcerative colitis. Scand J Gastroenterol. 2006;41:1196–203. doi:10.1080/00365520600610618.

    Article  PubMed  Google Scholar 

  45. Stjernman H, Grännö C, Järnerot G, et al. Short health scale: a valid, reliable, and responsive instrument for subjective health assessment in Crohn’s disease. Inflamm Bowel Dis. 2008;14:47–52. doi:10.1002/ibd.20255.

    Article  PubMed  Google Scholar 

  46. Jelsness-Jørgensen LP, Bernklev T, Moum B. Quality of life in patients with inflammatory bowel disease: translation, validity, reliability and sensitivity to change of the Norwegian version of the Short Health Scale (SHS). Qual Life Res. 2012;21:1671–6. doi:10.1007/s11136-011-0081-7.

    Article  PubMed  Google Scholar 

  47. McDermott E, Keegan D, Byrne K, et al. The Short Health Scale: a valid and reliable measure of health related quality of life in English speaking inflammatory bowel disease patients. J Crohns Colitis. 2013;7:616–21. doi:10.1016/j.crohns.2012.07.030.

    Article  PubMed  Google Scholar 

  48. Abdovic S, Pavic AM, Milosevic M, et al. Short health scale: a valid, reliable, and responsive measure of health-related quality of life in children with inflammatory bowel disease. Inflamm Bowel Dis. 2015;21:818–23. doi:10.1097/MIB.0000000000000324.

    Article  PubMed  Google Scholar 

  49. Drossman DA, Leserman J, Li ZM, et al. The rating form of IBD patient concerns: a new measure of health status. Psychosom Med 1991;53:701–12. doi:0033-3174/91/5306-0701J03.00/0

    Google Scholar 

  50. Stjernman H, Tysk C, Almer S, et al. Worries and concerns in a large unselected cohort of patients with Crohn’s disease. Scand J Gastroenterol. 2010;45:696–706. doi:10.3109/00365521003734141.

    Article  PubMed  Google Scholar 

  51. Hjortswang H, Ström M, Almeida RT, et al. Evaluation of the RFIPC, a disease-specific health-related quality of life questionnaire, in Swedish patients with ulcerative colitis. Scand J Gastroenterol. 1997;32:1235–40. doi:10.3109/00365529709028153.

    Article  CAS  PubMed  Google Scholar 

  52. Levenstein S, Li Z, Almer S, et al. Cross-cultural variation in disease-related concerns among patients with inflammatory bowel disease. Am J Gastroenterol. 2001;96:1822–30. doi:10.1016/S0002-9270(01)02441-8.

    Article  CAS  PubMed  Google Scholar 

  53. Moser G, Tillinger W, Sachs G, et al. Relationship between the use of unconventional therapies and disease-related concerns: a study of patients with inflammatory bowel disease. J Psychosom Res. 1996;40:503–9. doi:10.1016/0022-3999(95)00581-1.

    Article  CAS  PubMed  Google Scholar 

  54. Provenzale D, Shearin M, Phillips-Bute BG, et al. Health-related quality of life after ileoanal pull-through: evaluation and assessment of new health status measures. Gastroenterology. 1997;113:7–14. doi:10.1016/S0016-5085(97)70074-X.

    Article  CAS  PubMed  Google Scholar 

  55. Karwowski CA, Keljo D, Szigethy E. Strategies to improve quality of life in adolescents with inflammatory bowel disease. Inflamm Bowel Dis. 2009;15:1755–64. doi:10.1002/ibd.20919.

    Article  PubMed  Google Scholar 

  56. Ruemmele FM, Hyams JS, Otley A, et al. Outcome measures for clinical trials in pediatric IBD: an evidence-based, expert-driven practical statement paper of the pediatric ECCO committee. Gut. 2015;64:438–46. doi:10.1136/gutjnl-2014-307008.

    Article  PubMed  Google Scholar 

  57. Otley A, Smith C, Nicholas D, et al. The IMPACT questionnaire: a valid measure of health-related quality of life in pediatric inflammatory bowel disease. J Pediatr Gastroenterol Nutr. 2002;35:557–63. doi:10.1097/00005176-200210000-00018.

    Article  PubMed  Google Scholar 

  58. Loonen HJ, Grootenhuis MA, Last BF, et al. Measuring quality of life in children with inflammatory bowel disease: the impact-II (NL). Qual Life Res. 2002;11:47–56.

    Article  CAS  PubMed  Google Scholar 

  59. Ogden CA, Abbott J, Aggett P, et al. Pilot evaluation of an instrument to measure quality of life in British children with inflammatory bowel disease. J Pediatr Gastroenterol Nutr. 2008;46:117–20. doi:10.1097/01.mpg.0000304467.45541.bb.

    Article  PubMed  Google Scholar 

  60. Ogden C, Akobeng A, Abbott J, et al. Validation of an instrument to measure quality of life in British children with inflammatory bowel disease. J Pediatr Gastroenterol Nutr. 2011;53:280–6. doi:10.1097/MPG.0b013e3182165d10.

    Article  CAS  PubMed  Google Scholar 

  61. Gallo J, Grant A, Otley AR, et al. Do parents and children agree? Quality-of-life assessment of children with inflammatory bowel disease and their parents. J Pediatr Gastroenterol Nutr. 2014;58:481–5. doi:10.1097/MPG.0000000000000236.

    Article  CAS  PubMed  Google Scholar 

  62. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30:473–83. doi:10.1097/00005650-199206000-00002.

    Article  PubMed  Google Scholar 

  63. Ware J, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34:220–33. doi:10.2307/3766749.

    Article  PubMed  Google Scholar 

  64. Dupuy H. The psychological General Well-Being (PGWB) Index. In: Wenger N, Mattson M, Furburg C, et al., editors. Assessment of quality of life in clinical trials of cardiovascular therapies. Shelton CT: Le Jacq Publishing; 1984. Assessment of Quality of Life in Clinical Trials o.

    Google Scholar 

  65. Varni JW, Seid M, Rode CA. The PedsQL: measurement model for the pediatric quality of life inventory. Med Care. 1999;37:126–39.

    Article  CAS  PubMed  Google Scholar 

  66. Perrin JM, Kuhlthau K, Chughtai A, et al. Measuring quality of life in pediatric patients with inflammatory bowel disease: psychometric and clinical characteristics. J Pediatr Gastroenterol Nutr. 2008;46:164–71. doi:10.1097/MPG.0b013e31812f7f4e.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Marcus SB, Strople J, Neighbors K, et al. Fatigue and health-related quality of life in pediatric inflammatory bowel disease. Clin Gastroenterol Hepatol. 2009;7:554–61. doi:10.1016/j.cgh.2009.01.022.

    Article  PubMed  Google Scholar 

  68. Gumidyala AP, Greenley RN. Correlates of health-related quality of life in pediatric inflammatory bowel disease: a cumulative risk model approach. J Pediatr Psychol. 2014;39:55–64. doi:10.1093/jpepsy/jst073.

    Article  PubMed  Google Scholar 

  69. Faus AL, Turchi RM, Polansky M, et al. Health-related quality of life in overweight/obese children compared with children with inflammatory bowel disease. Clin Pediatr (Phila). 2015;54:775–82. doi:10.1177/0009922814562555.

    Article  Google Scholar 

  70. Ryan JL, Mellon MW, Junger KWF, et al. The clinical utility of health-related quality of life screening in a pediatric inflammatory bowel disease clinic. Inflamm Bowel Dis. 2013;19:2666–72. doi:10.1097/MIB.0b013e3182a82b15.

    Article  PubMed  Google Scholar 

  71. Kunz JH, Greenley RN, Howard M. Maternal, paternal, and family health-related quality of life in the context of pediatric inflammatory bowel disease. Qual Life Res. 2011;20:1197–204. doi:10.1007/s11136-011-9853-3.

    Article  PubMed  Google Scholar 

  72. Uchida K, Kawamata A, Hashimoto K, et al. Self-reported assessment of health-related quality of life in children who underwent restorative proctocolectomy with ileal J-pouch anal anastomosis for ulcerative colitis. Pediatr Surg Int. 2013;29:287–91. doi:10.1007/s00383-012-3224-1.

    Article  PubMed  Google Scholar 

  73. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39:800–12.

    Article  CAS  PubMed  Google Scholar 

  74. Upton P, Eiser C, Cheung I, et al. Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes. 2005;3:22. doi:10.1186/1477-7525-3-22.

    Article  PubMed  PubMed Central  Google Scholar 

  75. Varni JW, Burwinkle TM, Seid M, et al. The PedsQLTM 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambul Pediatr. 2003;3:329–41. doi:10.1367/1539-4409(2003)003<0329:tpaapp>2.0.co;2.

    Article  PubMed  Google Scholar 

  76. Verrips E, Vogels T, Koopman H, et al. Measuring health-related quality of life in a child population. Eur J Public Health. 1999;9:188–93.

    Article  Google Scholar 

  77. Fekkes M, Theunissen NC, Brugman E, et al. Development and psychometric evaluation of the TAPQOL: a health-related quality of life instrument for 1-5-year-old children. Qual Life Res. 2000;9:961–72.

    Article  CAS  PubMed  Google Scholar 

  78. De Boer M, Grootenhuis M, Derkx B, et al. Health-related quality of life and psychosocial functioning of adolescents with inflammatory bowel disease. Inflamm Bowel Dis. 2005;11:400–6. doi:10.1097/01.MIB.0000164024.10848.0a.

    Article  PubMed  Google Scholar 

  79. Sewitch MJ, Abrahamowicz M, Bitton A, et al. Psychological distress, social support, and disease activity in patients with inflammatory bowel disease. Am J Gastroenterol. 2001;96:1470–9. doi:10.1111/j.1572-0241.2001.03800.x.

    Article  CAS  PubMed  Google Scholar 

  80. Janke K-H, Klump B, Gregor M, et al. Determinants of life satisfaction in inflammatory bowel disease. Inflamm Bowel Dis. 2005;11:272–86.

    Article  PubMed  Google Scholar 

  81. Pihl-Lesnovska K, Hjortswang H, Ek A-C, et al. Patients’ perspective of factors influencing quality of life while living with Crohn disease. Gastroenterol Nurs. 2010;33:37–44. doi:10.1097/SGA.0b013e3181d3d8db.

    Article  PubMed  Google Scholar 

  82. Engstrom I. Inflammatory bowel disease in children and adolescents: mental health and family functioning. J Pediatr Gastroenterol Nutr. 1999;28:S28–33. doi:10.1097/00005176-199904001-00004.

    Article  CAS  PubMed  Google Scholar 

  83. Tojek TM, Lumley MA, Corlis M, et al. Maternal correlates of health status in adolescents with inflammatory bowel disease. J Psychosom Res. 2002;52:173–9. doi:10.1016/S0022-3999(01)00291-4.

    Article  PubMed  Google Scholar 

  84. Herzer M, Denson LA, Baldassano RN, et al. Family functioning and health-related quality of life in adolescents with pediatric inflammatory bowel disease. Eur J Gastroenterol Hepatol. 2011;23:95–100. doi:10.1097/MEG.0b013e3283417abb.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Greenley RN, Cunningham C. Parent quality of life in the context of pediatric inflammatory bowel disease. J Pediatr Psychol. 2009;34:129–36. doi:10.1093/jpepsy/jsn056.

    Article  PubMed  Google Scholar 

  86. Huppertz-Hauss G, Høivik ML, Langholz E, et al. Health-related quality of life in inflammatory bowel disease in a European-wide population-based cohort 10 years after diagnosis. Inflamm Bowel Dis. Published Online First: 7 Jan 2015. doi:10.1097/MIB.0000000000000272.

  87. Straus WL, Eisen GM, Sandler RS, et al. Crohn’s disease: does race matter? The Mid-Atlantic Crohn's Disease Study Group. Am J Gastroenterol. 2000;95:479–83. doi:10.1111/j.1572-0241.2000.t01-1-01531.x.

    Article  CAS  PubMed  Google Scholar 

  88. Farrokhyar F, Marshall JK, Easterbrook B, et al. Functional gastrointestinal disorders and mood disorders in patients with inactive inflammatory bowel disease: prevalence and impact on health. Inflamm Bowel Dis. 2006;12:38–46. doi:10.1097/01.MIB.0000195391.49762.89.

    Article  PubMed  Google Scholar 

  89. Sullivan M, Karlsson J. The Swedish SF-36 Health Survey. III. Evaluation of criterion-based validity: results from normative population. J Clin Epidemiol. 1998;51:1105–13. doi:10.1016/S0895-4356(98)00102-4.

    Article  CAS  PubMed  Google Scholar 

  90. Sainsbury A, Heatley RV. Review article: psychosocial factors in the quality of life of patients with inflammatory bowel disease. Aliment Pharmacol Ther. 2005;21:499–508. doi:10.1111/j.1365-2036.2005.02380.x.

    Article  CAS  PubMed  Google Scholar 

  91. Cherepanov D, Palta M, Fryback DG, et al. Gender differences in health-related quality-of-life are partly explained by sociodemographic and socioeconomic variation between adult men and women in the US: evidence from four US nationally representative data sets. Qual Life Res. 2010;19:1115–24. doi:10.1007/s11136-010-9673-x.

    Article  PubMed  PubMed Central  Google Scholar 

  92. Hill R, Lewindon P, Muir R, et al. Quality of life in children with Crohn disease. J Pediatr Gastroenterol Nutr. 2010;51:35–40. doi:10.1097/MPG.0b013e3181c2c0ef.

    Article  PubMed  Google Scholar 

  93. Van der Zaag-Loonen HJ, Grootenhuis MA, Last BF, et al. Coping strategies and quality of life of adolescents with inflammatory bowel disease. Qual Life Res. 2004;13:1011–9.

    Article  PubMed  Google Scholar 

  94. Blondel-Kucharski F, Chircop C, Marquis P, et al. Health-related quality of life in Crohn’s disease: a prospective longitudinal study in 231 patients. Am J Gastroenterol. 2001;96:2915–20. doi:10.1111/j.1572-0241.2001.4681_b.x.

    Article  CAS  PubMed  Google Scholar 

  95. Casellas F, López-Vivancos J, Casado A, et al. Factors affecting health related quality of life of patients with inflammatory bowel disease. Qual Life Res. 2002;11:775–81.

    Article  PubMed  Google Scholar 

  96. Verissimo R, Mota-Cardoso R, Taylor G. Relationships between alexithymia, emotional control, and quality of life in patients with inflammatory bowel disease. Psychother Psychosom. 1998;67:75–80. doi:10.1159/10.1159/000012263.

    Article  CAS  PubMed  Google Scholar 

  97. Petrak F, Hardt J, Clement T, et al. Impaired health-related quality of life in inflammatory bowel diseases: psychosocial impact and coping styles in a national German sample. Scand J Gastroenterol. 2001;36:375–82.

    Article  CAS  PubMed  Google Scholar 

  98. Guthrie E, Jackson J, Shaffer J, et al. Psychological disorder and severity of inflammatory bowel disease predict health-related quality of life in ulcerative colitis and Crohn’s disease. Am J Gastroenterol. 2002;97:1994–9. doi:10.1016/S0002-9270(02)04198-9.

    Article  PubMed  Google Scholar 

  99. Mussell M, Böcker U, Nagel N, et al. Predictors of disease-related concerns and other aspects of health-related quality of life in outpatients with inflammatory bowel disease. Eur J Gastroenterol Hepatol. 2004;16:1273–80. doi:10.1097/00042737-200412000-00007.

    Article  PubMed  Google Scholar 

  100. Moreno-Jiménez B, López Blanco B, Rodríguez-Muñoz A, et al. The influence of personality factors on health-related quality of life of patients with inflammatory bowel disease. J Psychosom Res. 2007;62:39–46. doi:10.1016/j.jpsychores.2006.07.026.

    Article  PubMed  Google Scholar 

  101. Nicholas DB, Otley A, Smith C, et al. Challenges and strategies of children and adolescents with inflammatory bowel disease: a qualitative examination. Health Qual Life Outcomes. 2007;5:28. doi:10.1186/1477-7525-5-28.

    Article  PubMed  PubMed Central  Google Scholar 

  102. Sprangers MAG, Schwartz CE. Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med. 1999: 1507–15. doi:10.1016/S0277-9536(99)00045-3.

  103. Munkholm P, Langholz E, Davidsen M, et al. Disease activity courses in a regional cohort of Crohn’s disease patients. Scand J Gastroenterol. 1995;30:699–706. doi:10.3109/00365529509096316.

    Article  CAS  PubMed  Google Scholar 

  104. Henriksen M, Jahnsen J, Lygren I, et al. Clinical course in Crohn’s disease: results of a five-year population-based follow-up study (the IBSEN study). Scand J Gastroenterol. 2007;42:602–10. doi:10.1080/00365520601076124.

    Article  PubMed  Google Scholar 

  105. Solberg IC, Vatn MH, Høie O, et al. Clinical course in Crohn’s disease: results of a Norwegian population-based ten-year follow-up study. Clin Gastroenterol Hepatol. 2007;5:1430–8. doi:10.1016/j.cgh.2007.09.002.

    Article  PubMed  Google Scholar 

  106. Pizzi LT, Weston CM, Goldfarb NI, et al. Impact of chronic conditions on quality of life in patients with inflammatory bowel disease. Inflamm Bowel Dis. 2006;12:47–52. doi:10.1097/01.MIB.0000191670.04605.e7.

    Article  PubMed  Google Scholar 

  107. Borgaonkar MR, Townson G, Donnelly M, et al. Providing disease-related information worsens health-related quality of life in inflammatory bowel disease. Inflamm Bowel Dis. 2002;8:264–9. doi:10.1097/00054725-200207000-00005.

    Article  PubMed  Google Scholar 

  108. Larsson K, Sundberg Hjelm M, Karlbom U, et al. A group-based patient education programme for high-anxiety patients with Crohn disease or ulcerative colitis. Scand J Gastroenterol. 2003;38:763–9.

    Article  CAS  PubMed  Google Scholar 

  109. Shepanski MA, Hurd LB, Culton K, et al. Health-related quality of life improves in children and adolescents with inflammatory bowel disease after attending a camp sponsored by the Crohn’s and Colitis Foundation of America. Inflamm Bowel Dis. 2005;11:164–70.

    Article  PubMed  Google Scholar 

  110. Russel MG, Nieman FH, Bergers JM, et al. Cigarette smoking and quality of life in patients with inflammatory bowel disease. South Limburg IBD Study Group. Eur J Gastroenterol Hepatol. 1996;8:1075–81.

    Article  CAS  PubMed  Google Scholar 

  111. Andersson P, Olaison G, Bendtsen P, et al. Health related quality of life in Crohn’s proctocolitis does not differ from a general population when in remission. Color Dis. 2003;5:56–62. doi:10.1046/j.1463-1318.2003.00407.x.

    Article  CAS  Google Scholar 

  112. Graff L, Walker JR, Lix L, et al. The relationship of inflammatory bowel disease type and activity to psychological functioning and quality of life. Clin Gastroenterol Hepatol. 2006;4:1491–501. doi:10.1016/j.cgh.2006.09.027.

    Article  PubMed  Google Scholar 

  113. Cohen RD. The quality of life in patients with Crohn’s disease. Aliment Pharmacol Ther. 2002;16:1603–9. doi:10.1046/j.1365-2036.2002.01323.x.

    Article  CAS  PubMed  Google Scholar 

  114. Szigethy E, Levy-Warren A, Whitton S, et al. Depressive symptoms and inflammatory bowel disease in children and adolescents: a cross-sectional study. J Pediatr Gastroenterol Nutr. 2004;39:395–403. doi:10.1097/00005176-200410000-00017.

    Article  PubMed  Google Scholar 

  115. Mackner LM. Review: Psychosocial issues in pediatric inflammatory bowel disease. J Pediatr Psychol. 2004;29:243–57. doi:10.1093/jpepsy/jsh027.

    Article  PubMed  Google Scholar 

  116. Greenley RN, Hommel KA, Nebel J, et al. A meta-analytic review of the psychosocial adjustment of youth with inflammatory bowel disease. J Pediatr Psychol. 2010;35:857–69. doi:10.1093/jpepsy/jsp120.

    Article  PubMed  PubMed Central  Google Scholar 

  117. Thirlby RC, Land JC, Fenster LF, et al. Effect of surgery on health-related quality of life in patients with inflammatory bowel disease: a prospective study. Arch Surg. 1998;133:826–32. doi:10.1001/archsurg.133.8.826.

    Article  CAS  PubMed  Google Scholar 

  118. Boonen A, Dagnelie PC, Feleus A, et al. The impact of inflammatory bowel disease on labor force participation: results of a population sampled case-control study. Inflamm Bowel Dis. 2002;8:382–9. doi:10.1097/00054725-200211000-00002.

    Article  PubMed  Google Scholar 

  119. Trachter AB, Rogers AI, Leiblum SR. Inflammatory bowel disease in women: impact on relationship and sexual health. Inflamm Bowel Dis. 2002;8:413–21. doi:10.1097/00054725-200211000-00006.

    Article  PubMed  Google Scholar 

  120. Wewer V, Hesselfeldt P, Qvist N, et al. J-pouch ileoanal anastomosis in children and adolescents with ulcerative colitis: functional outcome, satisfaction and impact on social life. J Pediatr Gastroenterol Nutr. 2005;40:189–93.

    Article  PubMed  Google Scholar 

  121. Stavlo PL, Libsch KD, Rodeberg DA, et al. Pediatric ileal pouch-anal anastomosis: functional outcomes and quality of life. J Pediatr Surg. 2003;38:935–9. doi:10.1016/S0022-3468(03)00127-1.

    Article  PubMed  Google Scholar 

  122. Sachar DB. Ten common errors in the management of inflammatory bowel disease. Inflamm Bowel Dis. 2003;9:205–9. doi:10.1097/00054725-200305000-00011.

    Article  PubMed  Google Scholar 

  123. Sachar DB. Indications for surgery in inflammatory bowel disease: a gastroenetrologists opinion. In: Kirsner JB, editor. Inflammatory bowel diseases. Philadelphia: WB Saunders; 2000. p. 611–5.

    Google Scholar 

  124. Elkjaer M. E-health: Web-guided therapy and disease self-management in ulcerative colitis. Impact on disease outcome, quality of life and compliance. Dan Med J. 2012;59:B4478.

    PubMed  Google Scholar 

  125. Huang VW, Reich KM, Fedorak RN. Distance management of inflammatory bowel disease: systematic review and meta-analysis. World J Gastroenterol. 2014;20:829–42. doi:10.3748/wjg.v20.i3.829.

    Article  PubMed  PubMed Central  Google Scholar 

  126. Knowles SR, Mikocka-Walus A. Utilization and efficacy of internet-based eHealth technology in gastroenterology: a systematic review. Scand J Gastroenterol. 2014;49:387–408. doi:10.3109/00365521.2013.865259.

    Article  PubMed  Google Scholar 

  127. Heida A, Dijkstra A, Groen H, et al. Comparing the efficacy of a web-assisted calprotectin-based treatment algorithm (IBD-live) with usual practices in teenagers with inflammatory bowel disease: study protocol for a randomized controlled trial. Trials. 2015;16:271. doi:10.1186/s13063-015-0787-x.

    Article  PubMed  PubMed Central  Google Scholar 

  128. Hommel KA, Gray WN, Hente E, et al. The Telehealth Enhancement of Adherence to Medication in Pediatric IBD (TEAM) trial: design and methodology. Contemp Clin Trials. 2015;43:105–13. doi:10.1016/j.cct.2015.05.013.

    Article  PubMed  PubMed Central  Google Scholar 

  129. Carlsen K, Christian J, Hansen LF, et al. P433. Is e-Health, web-based monitoring and treatment, useful for children and adolescents with inflammatory bowel disease?—a pediatric clinical trial. J Crohns Colitis. 2014;8:246.

    Article  Google Scholar 

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Carlsen, K., Munkholm, P., Burisch, J. (2017). Evaluation of Quality of Life in Crohn’s Disease and Ulcerative Colitis: What Is Health-Related Quality of Life?. In: Baumgart, D. (eds) Crohn's Disease and Ulcerative Colitis. Springer, Cham. https://doi.org/10.1007/978-3-319-33703-6_25

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