1. Role of Quality of Life as Endpoint for Inflammatory Bowel Disease Treatment
- Author
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Cristina Calviño-Suarez, Manuel Barreiro-de Acosta, Iria Bastón-Rey, and Rocío Ferreiro-Iglesias
- Subjects
Crohn’s disease ,medicine.medical_specialty ,Adolescent ,Health, Toxicology and Mutagenesis ,Review ,Disease ,Inflammatory bowel disease ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,medicine ,Humans ,Intensive care medicine ,ulcerative colitis ,Crohn's disease ,business.industry ,Public Health, Environmental and Occupational Health ,Inflammatory Bowel Diseases ,medicine.disease ,Ulcerative colitis ,digestive system diseases ,Clinical trial ,quality of life ,030220 oncology & carcinogenesis ,Medicine ,Biomarker (medicine) ,Colitis, Ulcerative ,030211 gastroenterology & hepatology ,Patient-reported outcome ,business - Abstract
Inflammatory bowel diseases (IBDs) are chronic disabling conditions, characterized by an unpredictable course with flare-ups and periods of remission, that frequently affect young people and require lifelong medical follow-up and treatment. For years, the main endpoints of IBD treatment had been clinical remission and response, followed by biomarker normalization and mucosal healing. In the last decades, different therapies have been proved to be effective to treat IBD and the use of patient reported outcome (PRO) have become more relevant. Therefore, health-related quality of life (HRQoL) that has been defined as the value assigned to the duration of life influenced by physical and mental health, has been suggested as an important endpoint for IBD management since multiple studies have shown that IBD impairs it, both physically and psychologically. Thus, HRQoL has been included as an outcome in numerous studies evaluating different IBD therapies, both clinical trials and real-life studies. It has been assessed by using both generic and specific disease tools, and most treatments used in clinical practice have been demonstrated to improve HRQoL. The relevance of HRQoL as an endpoint for new drugs is going to increase and its management and improvement will also improve the prognosis of IBD patients.
- Published
- 2021