The clinical utility of health-related quality of life screening in a pediatric inflammatory bowel disease clinic

The clinical utility of health-related quality of life screening in a pediatric inflammatory bowel disease clinic

Adjusting to symptom flares, treatment regimens, and side effects places youth with inflammatory bowel disease (IBD) at increased risk for emotional and behavioral problems and adverse disease outcomes. Implementation of psychosocial screening into clinical practice remains a challenge. This study e...

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Bibliographic Details
Published in:Inflammatory bowel diseases Vol. 19; no. 12; pp. 2666 - 2672
Main Authors: Ryan, Jamie L, Mellon, Michael W, Junger, Katherine W F, Hente, Elizabeth A, Denson, Lee A, Saeed, Shehzad A, Hommel, Kevin A
Format: Journal Article
Language:English
Published: England 01-11-2013
Subjects:
Adaptation, Psychological
Adolescent
Child
Colitis, Ulcerative - complications
Colitis, Ulcerative - psychology
Crohn Disease - complications
Crohn Disease - psychology
Female
Follow-Up Studies
Humans
Male
Mass Screening - utilization
Prognosis
Quality of Life
Retrospective Studies
Stress, Psychological - diagnosis
Stress, Psychological - psychology
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Summary:Adjusting to symptom flares, treatment regimens, and side effects places youth with inflammatory bowel disease (IBD) at increased risk for emotional and behavioral problems and adverse disease outcomes. Implementation of psychosocial screening into clinical practice remains a challenge. This study examines the clinical utility of health-related quality of life (HRQOL) screening in predicting disease outcome and healthcare utilization. One hundred twelve youth of 7 to 18 years diagnosed with IBD and their parents. Youth completed standardized measures of HRQOL and depression. Parents completed a proxy report of HRQOL. Pediatric gastroenterologists provided the Physician Global Assessment. Families were recruited from a pediatric gastroenterology clinic. Retrospective chart reviews examined disease outcome and healthcare utilization for 12 months after baseline measurement. Linear regressions, controlling for demographic and disease parameters, revealed that baseline measurement of youth and parent proxy-reported HRQOL predicted the number of IBD-related hospital admissions, gastroenterology clinic visits, emergency department visits, psychology clinic visits, telephone contacts, and pain management referrals over the next 12 months. Disease outcome was not significant. Lower HRQOL was predictive of increased healthcare utilization among youth with IBD. Regular HRQOL screening may be the impetus to providing better case management and allocating resources based on ongoing care needs and costs. Proactive interventions focused on patients with poor HRQOL may be an efficient approach to saving on healthcare costs and resource utilization.
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ISSN:1078-0998
1536-4844
DOI:10.1097/MIB.0b013e3182a82b15