Is there any association between impaired health-related quality of life and non-adherence to medical therapy in inflammatory bowel disease?

Gábor Horváth, Klaudia Farkas, Renáta Hollósi, Ferenc Nagy, Zoltán Szepes, Mária Papp, Károly Palatka, Pál Miheller, László Lakatos, Tamás Szamosi, Tibor Nyári, Tibor Wittmann, Tamás Molnár

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Objectives: Inflammatory bowel diseases (IBD) have a huge impact on the patients' lives and require continuous medication and long-term medical follow-up. The Short Form Health Survey (SF-36) is a commonly used questionnaire measuring health-related quality of life (HRQOL). Our aim was to evaluate whether HRQOL influences medication adherence and vice versa in IBD patients, and to find relationships between demographic parameters, therapeutic modalities and non-adherence or HRQOL. Patients and methods. Five hundred ninety-two IBD patients treated at six Hungarian tertiary centers were enrolled. Patients completed the SF-36 questionnaire and a medication adherence report scale during their visits. The associations between demographic parameters, HRQOL, different kinds of therapies and non-adherence were analyzed. Results. The most affected dimension was physical functioning and least affected were the social functions. About 42.7% of the patients revealed their HRQOL to be acceptable. About 74.6% of the patients believed that the prescribed medications actually improved their HRQOL. Diarrhea was the most common and most severe symptom during the course of the disease. Non-adherence was reported in 13.4% of the patients. 'Forgetting to take the medication' was the main reason for non-adherence in 67.6% of the cases. Medication adherence was significantly higher among nonsmoker patients, and also in the case of immunomodulator therapy. There was no association between the sum of HRQOL and different subscores and non-adherence. Conclusion. Inflammatory bowel disease is associated with low HRQOL, which is not affected by drug therapy. The impaired quality of life in IBD is mainly influenced by the disease itself.

Original languageEnglish
Pages (from-to)1298-1303
Number of pages6
JournalScandinavian journal of gastroenterology
Volume47
Issue number11
DOIs
Publication statusPublished - Nov 1 2012

Keywords

  • Health-related quality of life
  • Inflammatory bowel disease
  • Medical adherence

ASJC Scopus subject areas

  • Gastroenterology

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