Disease Activity Patterns Recorded Using a Mobile Monitoring System Are Associated with Clinical Outcomes of Patients with Crohn’s Disease

Background Usefulness of a mobile monitoring system for Crohn’s disease (CD) has not been evaluated. We aimed to determine whether disease activity patterns depicted using a web-based symptom diary for CD could indicate disease clinical outcomes. Methods Patients with CD from tertiary hospitals were prospectively invited to record their symptoms using a smartphone at least once a week. Disease activity patterns for at least 2 months were statistically classified into good and poor groups based on two factors in two consecutive time frames; the degree of score variation (maximum–minimum) in each frame and the trend (upward, stationary, or downward) of patterns indicated by the difference in the mean activity scores between two time frames. Results Overall, 220 (82.7%) and 46 (17.3%) patients were included in good and poor groups, respectively. Poor group was significantly more associated with disease-related hospitalization (p = 0.004), unscheduled hospital visits (p = 0.005), and bowel surgery (p < 0.001) during the follow-up period than good group. In the multivariate analysis, poor patterns [odds ratio (OR) 2.62, p = 0.006], stricturing (OR 4.19, p < 0.001) or penetrating behavior (OR 2.27, p = 0.012), and young age at diagnosis (OR 1.06, p = 0.019) were independently associated with disease-related hospitalization. Poor patterns (OR 4.06, p = 0.006) and an ileal location (OR 5.79, p = 0.032) remained independent risk factors for unscheduled visits. Poor patterns (OR 15.2, p < 0.001) and stricturing behavior (OR 9.77, p = 0.004) were independent risk factors for bowel surgery. Conclusion The disease activity patterns depicted using a web-based symptom diary were useful indicators of poor clinical outcomes in patients with CD..

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:63

Enthalten in:

Digestive diseases and sciences - 63(2018), 9 vom: 19. Mai, Seite 2220-2230

Sprache:

Englisch

Beteiligte Personen:

Kim, Eun Soo [VerfasserIn]
Kim, Sung Kook [VerfasserIn]
Jang, Byung Ik [VerfasserIn]
Kim, Kyeong Ok [VerfasserIn]
Kim, Eun Young [VerfasserIn]
Lee, Yoo Jin [VerfasserIn]
Lee, Hyun Seok [VerfasserIn]
Kwak, Sang Gyu [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

BKL:

44.87$jGastroenterologie

Themen:

Crohn’s disease
Disease activity pattern
Smartphone

Anmerkungen:

© Springer Science+Business Media, LLC, part of Springer Nature 2018

doi:

10.1007/s10620-018-5110-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2112794191

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