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Rohatinsky N, Russell B, Read KB. The Experiences of Older Adults Living With Inflammatory Bowel Disease: A Scoping Review. Gastroenterol Nurs 2023; 46:296-308. [PMID: 37158397 DOI: 10.1097/sga.0000000000000737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 02/23/2023] [Indexed: 05/10/2023] Open
Abstract
The prevalence of inflammatory bowel disease is rising in persons older than 65 years. Although there is extensive literature on inflammatory bowel disease in older adults from a disease-related outcome, epidemiological, and treatment perspective, the older adult perspective on inflammatory bowel disease-related care needs and experiences is not well represented. This scoping review examines the existing literature regarding the care experiences of older adults living with inflammatory bowel disease. A systematic search was conducted using 3 concepts: older adults, inflammatory bowel disease, and patient experience. Seven publications met the inclusion criteria. Reported data include study design and methods, sample characteristics, and findings relevant to the research question. Two themes were identified: preferences for interactions with healthcare personnel and peer support networks, and barriers to accessing care for inflammatory bowel disease needs. An overarching concept across all studies was the need and request for individualized, patient-centered care where patient preferences are considered. This review highlights the need for more research on the older adult age group to guide evidence-informed practice that meets their individual inflammatory bowel disease care needs.
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Affiliation(s)
- Noelle Rohatinsky
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Brooke Russell
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
| | - Kevin B Read
- Noelle Rohatinsky, PhD, RN, CMSN(c), is Associate Professor, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Brooke Russell, BSN, RN, is Research Assistant, College of Nursing, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
- Kevin B. Read, MLIS, MAS, is Associate Librarian, Health Sciences Library, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
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Impact of Female Gender in Inflammatory Bowel Diseases: A Narrative Review. J Pers Med 2023; 13:jpm13020165. [PMID: 36836400 PMCID: PMC9958616 DOI: 10.3390/jpm13020165] [Citation(s) in RCA: 12] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 01/05/2023] [Accepted: 01/12/2023] [Indexed: 01/18/2023] Open
Abstract
Inflammatory bowel diseases show a gender bias, as reported for several other immune-mediated diseases. Female-specific differences influence disease presentation and activity, leading to a different progression between males and females. Women show a genetic predisposition to develop inflammatory bowel disease related to the X chromosome. Female hormone fluctuation influences gastrointestinal symptoms, pain perception, and the state of active disease at the time of conception could negatively affect the pregnancy. Women with inflammatory bowel disease report a worse quality of life, higher psychological distress, and reduced sexual activity than male patients. This narrative review aims to resume the current knowledge of female-related features in clinical manifestations, development, and therapy, as well as sexual and psychological implications related to inflammatory bowel disease. The final attempt is to provide gastroenterologists with a roadmap of female-specific differences, to improve patients' diagnosis, management, and treatment.
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Nistor OI, Godfrey C, Ross-White A, Wilson R. Systematic Review and Meta-analysis on the Incidence, Prevalence and Determinants of Discomfort in Inflammatory Bowel Disease. J Can Assoc Gastroenterol 2022; 5:96-97. [PMID: 35368319 PMCID: PMC8972280 DOI: 10.1093/jcag/gwab043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 10/25/2021] [Indexed: 11/16/2022] Open
Abstract
Background The symptom burden in inflammatory bowel disease (IBD) has a significant negative impact on the health-related quality of life (HRQOL). Patients with IBD report physical, psychological and social discomfort even during remission. Aim To synthesize the best available evidence to determine the worldwide incidence, prevalence and determinants of discomfort in adults with inflammatory bowel disease (IBD). Methods Following PRISMA recommendations, we searched the Medline, CINAHL, PsycInfo, Embase, Cochrane, Campbell and JBI Evidence Synthesis databases for studies on either incidence or prevalence of discomfort in English until January 2021. Data were extracted using the Joanna Briggs Institute’s standardized extraction tools. Data that directly reported or could be used to calculate the incidence and prevalence of discomfort were extracted. Ten studies were eligible for inclusion in this review. Overall, the methodological quality of the included studies was considered moderate. Data measuring the incidence of discomfort in 6 out of 10 identified studies using the same measurement tool (EQ-5D) were pooled in a meta-analysis. Additional results have been presented in a narrative form, including tables. Results There is no standardized definition or tool utilized to describe or measure discomfort in IBD. Synthesized findings demonstrate that discomfort is prevalent among adults living with IBD. Determinants of discomfort included health literacy, disease activity, hospitalization/surgery, age and gender, delayed diagnosis, local practice standards and quality of IBD care. Conclusions More research is needed to identify the impact of discomfort on health-related outcomes for people with IBD and consequently appraise discomfort interventions for their efficacy.
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Affiliation(s)
- Oana-Irina Nistor
- Faculty of Health Sciences, School of Nursing, Queen’s University, Kingston, Ontario, Canada
| | - Christina Godfrey
- Faculty of Health Sciences, School of Nursing, Queen’s University, Kingston, Ontario, Canada
- Queen’s Collaboration for Health Care Quality: A JBI Centre of Excellence, Queen’s University, Kingston, Ontario, Canada
| | - Amanda Ross-White
- Faculty of Health Sciences, School of Nursing, Queen’s University, Kingston, Ontario, Canada
- Queen’s University Library, Kingston, Ontario, Canada
| | - Rosemary Wilson
- Faculty of Health Sciences, School of Nursing, Queen’s University, Kingston, Ontario, Canada
- Queen’s Collaboration for Health Care Quality: A JBI Centre of Excellence, Queen’s University, Kingston, Ontario, Canada
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A New Preparation Method for Peroral Endoscopic Myotomy in Patients with Achalasia Can Effectively Reduce the Esophageal Residual Contents: A Comparative Retrospective Study. Gastroenterol Res Pract 2022; 2022:6953166. [PMID: 35154312 PMCID: PMC8831038 DOI: 10.1155/2022/6953166] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Revised: 12/21/2021] [Accepted: 01/18/2022] [Indexed: 02/08/2023] Open
Abstract
Methods This retrospective study enrolled 65 achalasia patients who underwent POEM from June 2017 to October 2021. Based on the preoperative diet strategies, patients were divided into carbonated beverage group (n = 48) and control group (n = 17). Demographic and clinical data, duration of preoperative endoscopy, quality of esophagus cleansing, and patient satisfaction on preoperative procedure were collected and compared. In the current study, we established the quality of esophagus cleansing: Grade A, no remnants or only liquid or frothy discharge; Grade B, a little amount of solid content remained; and Grade C, a large amount of solid content remained. Results There were 41 Grade A, 6 Grade B, and 1 Grade C patients in the carbonated beverage group, while there were 8 Grade A, 6 Grade B, and 3 Grade C patients in the control group (p value = 0.001). The esophagus cleansing degrees were significantly ameliorated after drinking carbonated beverages in all the three subtypes of achalasia according to the degree of dilatation. The mean duration of preoperative endoscopy was 6.54 ± 2.250 minutes in the carbonated beverage group and 10.27 ± 4.788 minutes in the control group (p value = 0.010). The score of patient satisfaction concerning the procedure before the POEM in the carbonated beverage group was 4.5 ± 0.652, while the score in the control group was 4.35 ± 0.702 (p value = 0.436). In the multivariate analysis, patient satisfaction was significantly associated with male (odds ratio 0.296, 95% CI: 0.097-0.905, p value = 0.033). Conclusions Drinking carbonated beverages reduce the duration of preoperative endoscopy and ameliorate the esophagus cleansing degrees without impairing patient satisfaction.
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