肠易激综合征患者的种族与治疗偏好之间的关系

IF 1.4 Q2 MEDICINE, GENERAL & INTERNAL
Vered Richter, Efrat Broide, Tzippora Shalem, Daniel L Cohen, Tawfik Khoury, Atallah Mansour, Timna Naftali, Amir Mari
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引用次数: 0

摘要

背景和目的:肠易激综合征(IBS)是一项重大的医疗保健挑战,其特征是慢性胃肠道和肠外症状影响个体的健康。来自不同种族群体的患者的治疗偏好可能会有所不同,例如阿拉伯人和犹太以色列人,因此需要量身定制的方法。方法:采用双语(希伯来语/阿拉伯语)问卷,评估患者对治疗目标的偏好。在以色列IBS Facebook群组以及两家医院的胃肠病学诊所进行了在线管理。结果:研究纳入267例肠易激综合征患者(91例阿拉伯人,176例犹太人)。人口统计分析显示,两组患者中女性的比例都较高,其中犹太人的比例明显高于阿拉伯人(分别为84%和64.8%)。结论:本研究强调了种族对患者治疗目标的影响。了解患者的偏好可以为每个IBS患者量身定制个性化的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Ethnicity and Treatment Preferences in Patients with Irritable Bowel Syndrome.

Background and aims: Irritable bowel syndrome (IBS) poses a significant healthcare challenge, characterized by chronic gastrointestinal and extraintestinal symptoms impacting individuals' well-being. Treatment preferences may vary among patients from different ethnic groups, such as Arab and Jewish Israelis, necessitating tailored approaches.

Methods: A bilingual (Hebrew/Arabic) questionnaire assessing patients' preferences regarding treatment goals was developed. It was administered online in Israeli IBS Facebook groups, as well as in two hospital gastroenterology clinics.

Results: The study included 267 IBS patients (91 Arabs and 176 Jews). Demographic analysis revealed a higher proportion of females in both groups, with a significantly greater percentage among Jews compared to Arabs (84% versus 64.8%, respectively, P<0.001). The median age was 32 years for both Arabs and Jews (interquartile ranges of 26-42 and 24-62, respectively). Arabs exhibited higher rates of mixed-type IBS and constipation, while Jews had a higher prevalence of predominant diarrhea IBS. Arabs reported more bloating, higher rates of IBS-related comorbidities, and more medication usage. When asked to rate the importance of treatment goals, both populations preferred improvement in abdominal pain, bloating, and regular defecation, while assigning lower importance to improving difficulty in mental and/or physical aspects of intercourse, as well as arthralgia and myalgia. Arab patients assigned lower importance scores to various symptoms compared to their Jewish counterparts.

Conclusion: This study highlights the impact of ethnicity on patients' treatment goals. Understanding patients' preferences will enable tailoring an individual approach to each IBS patient.

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来源期刊
Rambam Maimonides Medical Journal
Rambam Maimonides Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
6.70%
发文量
55
审稿时长
8 weeks
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