Factors associated with quality of life in Italian children and adolescents with IBD

Abstract Improving the quality of life (QoL) is crucial in the management of pediatric inflammatory bowel disease (IBD). We aimed to (1) Validate the IMPACT-III questionnaire in Italian IBD children; (2) explore factors associated to QoL in pediatric IBD. Internal consistency, concurrent validity, d...

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Autores principales: Simona Gatti, Giada Del Baldo, Giulia Catassi, Andrea Faragalli, Marina Aloi, Matteo Bramuzzo, Giulia D’Arcangelo, Enrico Felici, Maurizio Fuoti, Sara Lega, Roberto Panceri, Maria Pastore, Francesca Penagini, Rosaria Gesuita, Carlo Catassi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:039d18acdee84278b78726da4b8248852021-12-02T18:03:05ZFactors associated with quality of life in Italian children and adolescents with IBD10.1038/s41598-021-97661-12045-2322https://doaj.org/article/039d18acdee84278b78726da4b8248852021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-97661-1https://doaj.org/toc/2045-2322Abstract Improving the quality of life (QoL) is crucial in the management of pediatric inflammatory bowel disease (IBD). We aimed to (1) Validate the IMPACT-III questionnaire in Italian IBD children; (2) explore factors associated to QoL in pediatric IBD. Internal consistency, concurrent validity, discriminant validity and reproducibility of the Italian version of the IMPACT-III questionnaire was measured in IBD children/adolescents in 8 centers. Associations between patient and disease characteristics and the IMPACT-III domains were analyzed through quantile regression analysis. The IMPACT-III questionnaire, collected in 282 children with IBD (median age: 14.8 years; IQR 12.4–16.4) showed a median total score of 76 (IQR 67–83). Female gender, active disease and age were negatively associated with the total IMPACT-III score. Specifically, female gender was negatively associated with the Bowel/Systemic Symptoms, Emotional and Treatment domain scores, while disease activity was significantly associated with Bowel Symptoms and Treatment/Interventions reported QoL. The IMPACT- III showed good internal consistency (Cronbach’s alpha coefficient = 0.87, 95% CI 0.85–0.89) and reproducibility (Concordance Correlation Coefficient = 0.66, 95% CI 0.57–0.74). In Italian children with IBD active disease, female gender and adolescence are associated to a worse QoL, indicating the need of more attention in this subgroup of young patients. IMPACT-III questionnaire is a reliable instrument to measure QoL in Italian children.Simona GattiGiada Del BaldoGiulia CatassiAndrea FaragalliMarina AloiMatteo BramuzzoGiulia D’ArcangeloEnrico FeliciMaurizio FuotiSara LegaRoberto PanceriMaria PastoreFrancesca PenaginiRosaria GesuitaCarlo CatassiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Simona Gatti
Giada Del Baldo
Giulia Catassi
Andrea Faragalli
Marina Aloi
Matteo Bramuzzo
Giulia D’Arcangelo
Enrico Felici
Maurizio Fuoti
Sara Lega
Roberto Panceri
Maria Pastore
Francesca Penagini
Rosaria Gesuita
Carlo Catassi
Factors associated with quality of life in Italian children and adolescents with IBD
description Abstract Improving the quality of life (QoL) is crucial in the management of pediatric inflammatory bowel disease (IBD). We aimed to (1) Validate the IMPACT-III questionnaire in Italian IBD children; (2) explore factors associated to QoL in pediatric IBD. Internal consistency, concurrent validity, discriminant validity and reproducibility of the Italian version of the IMPACT-III questionnaire was measured in IBD children/adolescents in 8 centers. Associations between patient and disease characteristics and the IMPACT-III domains were analyzed through quantile regression analysis. The IMPACT-III questionnaire, collected in 282 children with IBD (median age: 14.8 years; IQR 12.4–16.4) showed a median total score of 76 (IQR 67–83). Female gender, active disease and age were negatively associated with the total IMPACT-III score. Specifically, female gender was negatively associated with the Bowel/Systemic Symptoms, Emotional and Treatment domain scores, while disease activity was significantly associated with Bowel Symptoms and Treatment/Interventions reported QoL. The IMPACT- III showed good internal consistency (Cronbach’s alpha coefficient = 0.87, 95% CI 0.85–0.89) and reproducibility (Concordance Correlation Coefficient = 0.66, 95% CI 0.57–0.74). In Italian children with IBD active disease, female gender and adolescence are associated to a worse QoL, indicating the need of more attention in this subgroup of young patients. IMPACT-III questionnaire is a reliable instrument to measure QoL in Italian children.
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author Simona Gatti
Giada Del Baldo
Giulia Catassi
Andrea Faragalli
Marina Aloi
Matteo Bramuzzo
Giulia D’Arcangelo
Enrico Felici
Maurizio Fuoti
Sara Lega
Roberto Panceri
Maria Pastore
Francesca Penagini
Rosaria Gesuita
Carlo Catassi
author_facet Simona Gatti
Giada Del Baldo
Giulia Catassi
Andrea Faragalli
Marina Aloi
Matteo Bramuzzo
Giulia D’Arcangelo
Enrico Felici
Maurizio Fuoti
Sara Lega
Roberto Panceri
Maria Pastore
Francesca Penagini
Rosaria Gesuita
Carlo Catassi
author_sort Simona Gatti
title Factors associated with quality of life in Italian children and adolescents with IBD
title_short Factors associated with quality of life in Italian children and adolescents with IBD
title_full Factors associated with quality of life in Italian children and adolescents with IBD
title_fullStr Factors associated with quality of life in Italian children and adolescents with IBD
title_full_unstemmed Factors associated with quality of life in Italian children and adolescents with IBD
title_sort factors associated with quality of life in italian children and adolescents with ibd
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/039d18acdee84278b78726da4b824885
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