Cargando…
COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey
Background and objectives: Spreading of SARS-CoV-2 infection from China to countries with a higher prevalence of inflammatory bowel disease (IBD) has generated concern among gastroenterologists and patients. The aim of this survey is to evaluate knowledge about clinical importance of COVID-19, disea...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466290/ https://www.ncbi.nlm.nih.gov/pubmed/32823727 http://dx.doi.org/10.3390/medicina56080407 |
_version_ | 1783577778760712192 |
---|---|
author | Spagnuolo, Rocco Larussa, Tiziana Iannelli, Chiara Cosco, Cristina Nisticò, Eleonora Manduci, Elena Bruno, Amalia Boccuto, Luigi Abenavoli, Ludovico Luzza, Francesco Doldo, Patrizia |
author_facet | Spagnuolo, Rocco Larussa, Tiziana Iannelli, Chiara Cosco, Cristina Nisticò, Eleonora Manduci, Elena Bruno, Amalia Boccuto, Luigi Abenavoli, Ludovico Luzza, Francesco Doldo, Patrizia |
author_sort | Spagnuolo, Rocco |
collection | PubMed |
description | Background and objectives: Spreading of SARS-CoV-2 infection from China to countries with a higher prevalence of inflammatory bowel disease (IBD) has generated concern among gastroenterologists and patients. The aim of this survey is to evaluate knowledge about clinical importance of COVID-19, disease management, prevention measures, and anxiety level during pandemic among patients with IBD. Material and methods: From 15th March to 15th April 2020, a questionnaire survey was administered to 200 patients with IBD by email or phone application. The questionnaire consisted of five sections: (1) anthropometric, demographic and clinical characteristics, (2) knowledge about clinical importance of COVID-19, (3) IBD management, (4) prevention measures, (5) anxiety level during pandemic. Results: One hundred forty two questionnaires were completed. Ninety-seven patients (68.3%) were males with a mean age of 46 years (SD 13; range 17–76). Fifty-four individuals (38%) were affected by Crohn disease and 88 (62%) by Ulcerative Colitis. Most patients reported high knowledge about clinical importance of COVID-19 (80%), IBD management (72%), and prevention measures (97%). Sixty-two percent of them showed moderate-high level of anxiety. High education level was independently associated with high knowledge about clinical importance of COVID-19 (odds ratio [OR] 5, 95% confidence interval [CI] 1.49–16.6, p = 0.009) and older age (OR 1, 95%, CI 1.01–1.1, p = 0.01), while the receipt of e-format educational material with low knowledge about clinical importance of COVID-19 (OR 3, 95%, CI 1.08–9.3, p = 0.03). Displaying an active disease appeared to be independently associated with low knowledge of IBD management (OR 5.8, 95% CI 1.4–22.8, p = 0.01) and no variables other than an older age was independently associated with higher level of anxiety (OR 1.04, 95% CI 1.009–1.09, p = 0.01). Conclusions: High educational level and aging promote knowledge about clinical importance of COVID-19, while e-format educational material does not. Taken together with findings that an active disease status compromises knowledge of IBD management and the high level of anxiety related to increasing age, these data suggest the need of further supporting patient-oriented strategies in IBD during Covid-19 pandemic. |
format | Online Article Text |
id | pubmed-7466290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-74662902020-09-14 COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey Spagnuolo, Rocco Larussa, Tiziana Iannelli, Chiara Cosco, Cristina Nisticò, Eleonora Manduci, Elena Bruno, Amalia Boccuto, Luigi Abenavoli, Ludovico Luzza, Francesco Doldo, Patrizia Medicina (Kaunas) Article Background and objectives: Spreading of SARS-CoV-2 infection from China to countries with a higher prevalence of inflammatory bowel disease (IBD) has generated concern among gastroenterologists and patients. The aim of this survey is to evaluate knowledge about clinical importance of COVID-19, disease management, prevention measures, and anxiety level during pandemic among patients with IBD. Material and methods: From 15th March to 15th April 2020, a questionnaire survey was administered to 200 patients with IBD by email or phone application. The questionnaire consisted of five sections: (1) anthropometric, demographic and clinical characteristics, (2) knowledge about clinical importance of COVID-19, (3) IBD management, (4) prevention measures, (5) anxiety level during pandemic. Results: One hundred forty two questionnaires were completed. Ninety-seven patients (68.3%) were males with a mean age of 46 years (SD 13; range 17–76). Fifty-four individuals (38%) were affected by Crohn disease and 88 (62%) by Ulcerative Colitis. Most patients reported high knowledge about clinical importance of COVID-19 (80%), IBD management (72%), and prevention measures (97%). Sixty-two percent of them showed moderate-high level of anxiety. High education level was independently associated with high knowledge about clinical importance of COVID-19 (odds ratio [OR] 5, 95% confidence interval [CI] 1.49–16.6, p = 0.009) and older age (OR 1, 95%, CI 1.01–1.1, p = 0.01), while the receipt of e-format educational material with low knowledge about clinical importance of COVID-19 (OR 3, 95%, CI 1.08–9.3, p = 0.03). Displaying an active disease appeared to be independently associated with low knowledge of IBD management (OR 5.8, 95% CI 1.4–22.8, p = 0.01) and no variables other than an older age was independently associated with higher level of anxiety (OR 1.04, 95% CI 1.009–1.09, p = 0.01). Conclusions: High educational level and aging promote knowledge about clinical importance of COVID-19, while e-format educational material does not. Taken together with findings that an active disease status compromises knowledge of IBD management and the high level of anxiety related to increasing age, these data suggest the need of further supporting patient-oriented strategies in IBD during Covid-19 pandemic. MDPI 2020-08-13 /pmc/articles/PMC7466290/ /pubmed/32823727 http://dx.doi.org/10.3390/medicina56080407 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Spagnuolo, Rocco Larussa, Tiziana Iannelli, Chiara Cosco, Cristina Nisticò, Eleonora Manduci, Elena Bruno, Amalia Boccuto, Luigi Abenavoli, Ludovico Luzza, Francesco Doldo, Patrizia COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title | COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title_full | COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title_fullStr | COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title_full_unstemmed | COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title_short | COVID-19 and Inflammatory Bowel Disease: Patient Knowledge and Perceptions in a Single Center Survey |
title_sort | covid-19 and inflammatory bowel disease: patient knowledge and perceptions in a single center survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7466290/ https://www.ncbi.nlm.nih.gov/pubmed/32823727 http://dx.doi.org/10.3390/medicina56080407 |
work_keys_str_mv | AT spagnuolorocco covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT larussatiziana covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT iannellichiara covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT coscocristina covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT nisticoeleonora covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT manducielena covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT brunoamalia covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT boccutoluigi covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT abenavoliludovico covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT luzzafrancesco covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey AT doldopatrizia covid19andinflammatoryboweldiseasepatientknowledgeandperceptionsinasinglecentersurvey |