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Katsoula A, Axiaris G, Mpitouli A, Palatianou M, Christidou A, Dimitriadis N, Nakos A, Pastras P, Kourkoulis P, Karatzas P, Moutzoukis M, Zlatinoudis C, Philippidis A, Kourikou A, Kokkotis G, Gklavas A, Machaira A, Mantaka A, Talimtzi P, Anagnostopoulou E, Koutroubakis IE, Papaconstantinou I, Bamias G, Manolakopoulos S, Mathou N, Paraskeva K, Protopappas A, Tsironi E, Katsanos KH, Christodoulou DK, Papatheodoridis G, Michalopoulos G, Theocharis G, Triantos C, Pachiadakis I, Soufleris K, Viazis N, Mantzaris GJ, Tribonias G, Tzouvala M, Theodoropoulou A, Karmiris K, Zampeli E, Michopoulos S, Haidich AB, Giouleme O. The Inflammatory Bowel Disease-Disk Tool for Assessing Disability in Inflammatory Bowel Disease Patients: Validation of the Greek Version. J Clin Med 2023; 12:jcm12083023. [PMID: 37109360 PMCID: PMC10143768 DOI: 10.3390/jcm12083023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 04/05/2023] [Accepted: 04/19/2023] [Indexed: 04/29/2023] Open
Abstract
BACKGROUND The Inflammatory Bowel Disease-Disk (IBD-Disk) is a physician-administered tool that evaluates the functional status of patients with Inflammatory Bowel Disease (IBD). The aim of our study was to validate the content of the IBD-Disk in a Greek cohort of IBD patients. METHODS Two questionnaires [the IBD Disk and the IBD-Disability Index (IBD-DI)] were translated into Greek and administered to IBD patients at baseline visit, after 4 weeks and 6 months. Validation of the IBD Disk included measuring of concurrent validity, reproducibility, and internal consistency. RESULTS A total of 300 patients were included at baseline and 269 at follow-up. There was a good correlation between the total scores of the IBD-Disk and IBD-DI at baseline (Pearson correlation 0.87, p < 0.001). Reproducibility of the total IBD-Disk score was very good [intra-class correlation coefficient (ICC), 95% confidence interval (CI) 0.89 (0.86-0.91)]. Cronbach's coefficient alpha for all items achieved 0.90 (95%CI 0.88-0.92), demonstrating a very good homogeneity of the IBD-Disk items. Female gender and extraintestinal manifestations were significantly associated with a higher IBD-Disk total score. CONCLUSIONS The Greek version of the IBD-Disk proved to be a reliable and valid tool in detecting and assessing IBD-related disability in a Greek cohort of IBD patients.
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Affiliation(s)
- Anastasia Katsoula
- Department of Gastroenterology and Hepatology, 2nd Propedeutic Department of Internal Medicine, Medical School, Aristotle University, 54124 Thessaloniki, Greece
| | - Georgios Axiaris
- Department of Gastroenterology, Alexandra General Hospital, 11528 Athens, Greece
| | - Afroditi Mpitouli
- Department of Gastroenterology, Venizeleio General Hospital, 71409 Heraklion, Greece
| | - Maria Palatianou
- Department of Gastroenterology, General Hospital of Nikaia-Piraeus "Agios Panteleimon", General Hospital Ditikis Attikis "Agia Varvara", 12351 Athens, Greece
| | - Angeliki Christidou
- Department of Gastroenterology, GHA 'Evaggelismos-Polykliniki', 10676 Athens, Greece
| | - Nikolaos Dimitriadis
- Department of Gastroenterology, Theagenio Anticancer Hospital of Thessaloniki, 54639 Thessaloniki, Greece
| | - Andreas Nakos
- Department of Gastroenterology and Hepatology, 424 Military General Hospital, 54124 Thessaloniki, Greece
| | - Ploutarchos Pastras
- GI-Unit, Department of Internal Medicine, University Hospital of Patras, 26504 Patras, Greece
| | | | - Pantelis Karatzas
- Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", 11527 Athina, Greece
| | - Miltiadis Moutzoukis
- Department of Gastroenterology, University Hospital of Ioannina Medical School, 45500 Ioannina, Greece
| | | | - Athanasios Philippidis
- Gastroenterology and Hepatology Division of the First Propedeutic Department of Internal Medicine, AHEPA University Hospital, 54636 Thessaloniki, Greece
| | - Anastasia Kourikou
- Gastroenterology-Liver Unit, Second Department of Internal Medicine, Hippokratio General Hospital, National and Kapodistrian University of Athens, 54643 Athens, Greece
| | - Georgios Kokkotis
- GI-Unit, 3rd Academic Department of Internal Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Antonios Gklavas
- Department of Surgery, Aretaieion University Hospital, 11528 Athens, Greece
| | - Angeliki Machaira
- Department of Gastroenterology, University Hospital of Heraklion, 71500 Heraklion, Greece
| | - Aikaterini Mantaka
- Department of Gastroenterology, General Hospital of Chania "Agios Georgios", 73300 Chania, Greece
| | - Persefoni Talimtzi
- Laboratory of Hygiene, Social-Preventive Medicine and Medical Statistics, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | | | - Ioannis E Koutroubakis
- Department of Gastroenterology, University Hospital of Heraklion, 71500 Heraklion, Greece
| | | | - Georgios Bamias
- GI-Unit, 3rd Academic Department of Internal Medicine, Sotiria Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Spilios Manolakopoulos
- Gastroenterology-Liver Unit, Second Department of Internal Medicine, Hippokratio General Hospital, National and Kapodistrian University of Athens, 54643 Athens, Greece
| | - Nicoletta Mathou
- Department of Gastroenterology, "Konstantopoulio-Patission" General Hospital, 14233 Nea Ionia, Greece
| | - Konstantina Paraskeva
- Department of Gastroenterology, "Konstantopoulio-Patission" General Hospital, 14233 Nea Ionia, Greece
| | - Andreas Protopappas
- Gastroenterology and Hepatology Division of the First Propedeutic Department of Internal Medicine, AHEPA University Hospital, 54636 Thessaloniki, Greece
| | - Eftychia Tsironi
- Department of Gastroenterology, Metaxa Memorial General Hospital, 18537 Piraeus, Greece
| | - Konstantinos H Katsanos
- Department of Gastroenterology, University Hospital of Ioannina Medical School, 45500 Ioannina, Greece
| | - Dimitrios K Christodoulou
- Department of Gastroenterology, University Hospital of Ioannina Medical School, 45500 Ioannina, Greece
| | - Georgios Papatheodoridis
- Department of Gastroenterology, Medical School of National and Kapodistrian University of Athens, General Hospital of Athens "Laiko", 11527 Athina, Greece
| | | | - Georgios Theocharis
- GI-Unit, Department of Internal Medicine, University Hospital of Patras, 26504 Patras, Greece
| | - Christos Triantos
- GI-Unit, Department of Internal Medicine, University Hospital of Patras, 26504 Patras, Greece
| | - Ioannis Pachiadakis
- Department of Gastroenterology and Hepatology, 424 Military General Hospital, 54124 Thessaloniki, Greece
| | - Konstantinos Soufleris
- Department of Gastroenterology, Theagenio Anticancer Hospital of Thessaloniki, 54639 Thessaloniki, Greece
| | - Nikolaos Viazis
- Department of Gastroenterology, GHA 'Evaggelismos-Polykliniki', 10676 Athens, Greece
| | | | - Georgios Tribonias
- Department of Gastroenterology, General Hospital of Nikaia-Piraeus "Agios Panteleimon", General Hospital Ditikis Attikis "Agia Varvara", 12351 Athens, Greece
| | - Maria Tzouvala
- Department of Gastroenterology, General Hospital of Nikaia-Piraeus "Agios Panteleimon", General Hospital Ditikis Attikis "Agia Varvara", 12351 Athens, Greece
| | | | - Konstantinos Karmiris
- Department of Gastroenterology, Venizeleio General Hospital, 71409 Heraklion, Greece
| | - Evanthia Zampeli
- Department of Gastroenterology, Alexandra General Hospital, 11528 Athens, Greece
| | - Spyridon Michopoulos
- Department of Gastroenterology, Alexandra General Hospital, 11528 Athens, Greece
| | - Anna-Bettina Haidich
- Laboratory of Hygiene, Social-Preventive Medicine and Medical Statistics, Faculty of Medicine, School of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece
| | - Olga Giouleme
- Department of Gastroenterology and Hepatology, 2nd Propedeutic Department of Internal Medicine, Medical School, Aristotle University, 54124 Thessaloniki, Greece
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