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Your search keyword '"Mottet, Christian"' showing total 3 results
Start Over Author "Mottet, Christian" Journal scandinavian journal of gastroenterology
3 results on '"Mottet, Christian"'

1. Patients' information-seeking activity is associated with treatment compliance in inflammatory bowel disease patients

Author

Pittet Valérie, Rogler Gerhard, Mottet Christian, Froehlich Florian, Michetti Pierre, de Saussure Philippe, Burnand Bernard, Vader John-Paul, Swiss IBD Cohort Study Group, University of Zurich, and Pittet, Valérie

Subjects
Adult, Male, medicine.medical_specialty, General Practice, Information Seeking Behavior, 610 Medicine & health, Disease, Inflammatory bowel disease, Medication Adherence, Young Adult, Treatment compliance, Surveys and Questionnaires, Internal medicine, Humans, Medicine, 2715 Gastroenterology, Crohn's disease, business.industry, Information seeking, Gastroenterology, Odds ratio, Middle Aged, Inflammatory Bowel Diseases, medicine.disease, Ulcerative colitis, 3. Good health, Cross-Sectional Studies, 10219 Clinic for Gastroenterology and Hepatology, 10036 Medical Clinic, Physical therapy, Female, business, Switzerland, Cohort study
Abstract

BACKGROUND Despite the chronic and relapsing nature of inflammatory bowel diseases (IBD) at least 30 to 45 of the patients are noncompliant to treatment. IBD patients often seek information about their disease. AIM To examine the association between information seeking activity and treatment compliance among IBD patients. To compare information sources and concerns between compliant and noncompliant patients. METHODS We used data from the Swiss IBD cohort study and from a qualitative survey conducted to assess information sources and concerns. Crude and adjusted odds ratios (OR) for noncompliance were calculated. Differences in the proportions of information sources and concerns were compared between compliant and noncompliant patients. RESULTS A total of 512 patients were included. About 18 (n = 99) of patients were reported to be noncompliant to drug treatment and two thirds (n = 353) were information seekers. The OR for noncompliance among information seekers was 2.44 (95CI: 1.34 4.41) after adjustment for confounders and major risk factors. General practitioners were 15.2 more often consulted (p = 0.019) among compliant patients as were books and television (+13.1; p = 0.048) whereas no difference in proportions was observed for sources such as internet or gastroenterologists. Information on tips for disease management were 14.2 more often sought among noncompliant patients (p = 0.028). No difference was observed for concerns on research and development on IBD or therapies. CONCLUSION In Switzerland IBD patients noncompliant to treatment were more often seeking disease related information than compliant patients. Daily management of symptoms and disease seemed to be an important concern of those patients.

Published
2014
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3. Appropriateness of early management of newly diagnosed Crohn's disease in a European population-based cohort*.

Author

Juillerat, Pascal, Pittet, Valérie, Mottet, Christian, Felley, Christian, Gonvers, Jean-Jacques, Vader, John-Paul, Burnand, Bernard, Froehlich, Florian, Wolters, Frank L., Stockbrügger, Reinhold W., and Michetti, Pierre

Subjects
INFLAMMATORY bowel disease treatment, INFLAMMATORY bowel diseases, INTESTINAL diseases, DIAGNOSIS, PATIENTS
Abstract

Objective. The European Panel on the Appropriateness of Crohn's disease Therapy (EPACT) has developed appropriateness criteria. We have applied these criteria retrospectively to the population-based inception cohort of Crohn's disease (CD) patients of the European Collaborative Study Group on Inflammatory Bowel Disease (EC-IBD). Material and methods. A total of 426 diagnosed CD patients from 13 European centers were enrolled at the time of diagnosis (first flare, naive patients). We used the EPACT definitions to identify 247 patients with active luminal CD. We then assessed the appropriateness of the initial drug prescription according to the EPACT criteria. Results. Among the cohort patients 163 suffered from mild-to-moderate CD and 84 from severe CD. Among the mild-to-moderate disease group, 96 patients (59%) received an appropriate treatment, whereas for 66 patients (40%) the treatment was uncertain and in one case (1%) inappropriate. Among the severe disease group, 86% were treated medically and 14% required surgery. 59 (70%) were appropriately treated, whereas for one patient (1%) the procedure was considered uncertain and for 24 patients (29%) inappropriate. Conclusion. Initial treatment was appropriate in the majority of cases for non-complicated luminal CD. Inappropriate or uncertain treatment was given in a significant minority of patients, with an increased potential risk of adverse events. [ABSTRACT FROM AUTHOR]

Published
2010
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