Abstract：
OBJECTIVE: The association of inflammatory bowel disease (IBD) with other immune-mediated inflammatory diseases (IMIDs) in the same patient is well known. We aimed to evaluate the degree of knowledge that patients with IBD have regarding the coexistence of other IMIDs and to analyze the factors associated with the concordance between self-reported and confirmed medical information.
METHODS: Patients with IBD at a tertiary hospital answered a questionnaire on the presence of 54 IMIDs (self-reported diagnosis), and their IMID diagnosis was confirmed in their medical records (reference diagnosis). Agreement between the self-reported IMID and the IMID according to medical records was evaluated. The association between concordance and different predictors was evaluated using logistic regression models.
RESULTS: A total of 1,620 patients were included. Six hundred and twenty-six (39%) patients were diagnosed with at least one IMID, and 177 (11%) with two or more. Overall agreement between patients´ self-report and medical records was k:0.61. When we grouped IMIDs according to affected organs or systems, agreement on rheumatic IMIDs was moderate (k:0.58), whereas agreement on cutaneous (k:0.66), endocrine (k: 0.74) and ocular (k:0.73) IMIDs was substantial. Among patients who had IMIDs, the factor associated with greater concordance was female gender, while lower concordance was associated with a lower educational level and the fact that the IMID had been diagnosed at the same time or later than IBD.
CONCLUSIONS: The knowledge that patients with IBD have regarding the coexistence of other IMIDs is poor, especially in rheumatic IMIDs.
METHODS: Patients with IBD at a tertiary hospital answered a questionnaire on the presence of 54 IMIDs (self-reported diagnosis), and their IMID diagnosis was confirmed in their medical records (reference diagnosis). Agreement between the self-reported IMID and the IMID according to medical records was evaluated. The association between concordance and different predictors was evaluated using logistic regression models.
RESULTS: A total of 1,620 patients were included. Six hundred and twenty-six (39%) patients were diagnosed with at least one IMID, and 177 (11%) with two or more. Overall agreement between patients´ self-report and medical records was k:0.61. When we grouped IMIDs according to affected organs or systems, agreement on rheumatic IMIDs was moderate (k:0.58), whereas agreement on cutaneous (k:0.66), endocrine (k: 0.74) and ocular (k:0.73) IMIDs was substantial. Among patients who had IMIDs, the factor associated with greater concordance was female gender, while lower concordance was associated with a lower educational level and the fact that the IMID had been diagnosed at the same time or later than IBD.
CONCLUSIONS: The knowledge that patients with IBD have regarding the coexistence of other IMIDs is poor, especially in rheumatic IMIDs.
摘要：
目的：在同一患者中，炎症性肠病（IBD）与其他免疫介导的炎症性疾病（IMID）的相关性是众所周知的。我们旨在评估IBD患者对其他IMID共存的了解程度，并分析与自我报告和确认医疗信息之间一致性相关的因素。
方法：三级医院的IBD患者回答了关于存在54个IMID（自我报告诊断）的问卷，他们的IMID诊断在他们的医疗记录中得到证实(参考诊断).评估了自我报告的IMID与根据医疗记录的IMID之间的协议。使用逻辑回归模型评估一致性与不同预测因子之间的关联。
结果：共纳入1,620例患者。六百二十六（39％）患者被诊断出至少一种IMID，和177（11％）两个或更多。患者自我报告和医疗记录之间的总体一致性为k:0.61。当我们根据受影响的器官或系统对IMID进行分组时，关于风湿性IMID的协议是中等的(k：0.58)，而皮肤协议(k：0.66)，内分泌（k：0.74）和眼（k：0.73）IMID是实质性的。在患有IMID的患者中，与更大的一致性相关的因素是女性，而较低的一致性与较低的教育水平以及IMID同时或晚于IBD被诊断的事实相关。
结论：IBD患者对其他IMID共存的认识不足，尤其是在风湿性IMID中。
方法：三级医院的IBD患者回答了关于存在54个IMID（自我报告诊断）的问卷，他们的IMID诊断在他们的医疗记录中得到证实(参考诊断).评估了自我报告的IMID与根据医疗记录的IMID之间的协议。使用逻辑回归模型评估一致性与不同预测因子之间的关联。
结果：共纳入1,620例患者。六百二十六（39％）患者被诊断出至少一种IMID，和177（11％）两个或更多。患者自我报告和医疗记录之间的总体一致性为k:0.61。当我们根据受影响的器官或系统对IMID进行分组时，关于风湿性IMID的协议是中等的(k：0.58)，而皮肤协议(k：0.66)，内分泌（k：0.74）和眼（k：0.73）IMID是实质性的。在患有IMID的患者中，与更大的一致性相关的因素是女性，而较低的一致性与较低的教育水平以及IMID同时或晚于IBD被诊断的事实相关。
结论：IBD患者对其他IMID共存的认识不足，尤其是在风湿性IMID中。
