Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey

Background and Aims: Eosinophilic esophagitis (EoE) is associated with impaired health-related quality of life (HRQoL) and stigma perceptions. Therefore, we examined the real-world impact of EoE on the daily life and ability to function in adolescents (caregiver-reported) and adults with EoE in the...

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Main Authors: Benjamin D. Gold, Bridgett Goodwin, Kimberly Davis, Carolyn Sweeney, Maria Reynolds, Jeanne Jiang, Tao Fan, Mena Boules, Szu-Ta Chen, David A. Katzka
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:Gastro Hep Advances
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772572324001109
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author Benjamin D. Gold
Bridgett Goodwin
Kimberly Davis
Carolyn Sweeney
Maria Reynolds
Jeanne Jiang
Tao Fan
Mena Boules
Szu-Ta Chen
David A. Katzka
author_facet Benjamin D. Gold
Bridgett Goodwin
Kimberly Davis
Carolyn Sweeney
Maria Reynolds
Jeanne Jiang
Tao Fan
Mena Boules
Szu-Ta Chen
David A. Katzka
author_sort Benjamin D. Gold
collection DOAJ
description Background and Aims: Eosinophilic esophagitis (EoE) is associated with impaired health-related quality of life (HRQoL) and stigma perceptions. Therefore, we examined the real-world impact of EoE on the daily life and ability to function in adolescents (caregiver-reported) and adults with EoE in the United States of America in a noninterventional, cross-sectional, web-based survey. Methods: HRQoL was assessed using the Short Form Health Survey (domains: vitality and social functioning) and the European Health Interview Survey (domain: sleep). Scores for the survey responses were on a scale of 0 to 100; higher scores indicated better performance in the HRQoL domain. Anxiety and depression were assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) short forms. Higher PROMIS scores indicated higher levels of anxiety and depression; a mean score of 50.0 was representative of the general population (individuals without EoE). The sources and impact of EoE-associated perceived stigma were also examined. Results: Overall, 211 caregivers and 184 adults completed the survey. HRQoL scores were slightly higher for adolescents than adults with EoE (adolescent and adult scores, respectively: vitality, 50.3 and 36.1; social functioning, 64.0 and 62.4; and sleep, 55.7 and 52.0). Anxiety scores (adolescent and adult scores, respectively: 54.8 and 59.7) and depression scores (54.5 and 56.3) were higher in those with EoE than in the general population. Most participants reported experiencing perceived stigma, which was most commonly from family, friends, classmates, or health-care professionals. Conclusion: Patients with EoE had poor HRQoL, which was demonstrated by the high EoE-associated emotional and psychological burdens and perceived stigma they experience.
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spelling doaj-art-4e3322444ce3461ba575b9a8c7b437052025-08-20T02:07:01ZengElsevierGastro Hep Advances2772-57232024-01-01381087109710.1016/j.gastha.2024.07.015Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based SurveyBenjamin D. Gold0Bridgett Goodwin1Kimberly Davis2Carolyn Sweeney3Maria Reynolds4Jeanne Jiang5Tao Fan6Mena Boules7Szu-Ta Chen8David A. Katzka9GI Care for Kids, Children’s Center for Digestive Healthcare, LLC, Atlanta, Georgia; Correspondence: Address correspondence to: Benjamin D. Gold, MD, GI Care for Kids, LLC, 993-D Johnson Ferry Road, NE Suite 440, Atlanta, GA 30342.Takeda Development Center Americas, Inc, Cambridge, MassachusettsRTI Health Solutions, Research Triangle Park, North CarolinaRTI Health Solutions, Research Triangle Park, North CarolinaRTI Health Solutions, Research Triangle Park, North CarolinaTakeda Pharmaceuticals USA, Inc, Lexington, MassachusettsTakeda Pharmaceuticals USA, Inc, Lexington, MassachusettsTakeda Pharmaceuticals USA, Inc, Lexington, MassachusettsTakeda Development Center Americas, Inc, Cambridge, MassachusettsDivision of Digestive and Liver Diseases, New York-Presbyterian/Columbia University Irving Medical Center, New York City, New YorkBackground and Aims: Eosinophilic esophagitis (EoE) is associated with impaired health-related quality of life (HRQoL) and stigma perceptions. Therefore, we examined the real-world impact of EoE on the daily life and ability to function in adolescents (caregiver-reported) and adults with EoE in the United States of America in a noninterventional, cross-sectional, web-based survey. Methods: HRQoL was assessed using the Short Form Health Survey (domains: vitality and social functioning) and the European Health Interview Survey (domain: sleep). Scores for the survey responses were on a scale of 0 to 100; higher scores indicated better performance in the HRQoL domain. Anxiety and depression were assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) short forms. Higher PROMIS scores indicated higher levels of anxiety and depression; a mean score of 50.0 was representative of the general population (individuals without EoE). The sources and impact of EoE-associated perceived stigma were also examined. Results: Overall, 211 caregivers and 184 adults completed the survey. HRQoL scores were slightly higher for adolescents than adults with EoE (adolescent and adult scores, respectively: vitality, 50.3 and 36.1; social functioning, 64.0 and 62.4; and sleep, 55.7 and 52.0). Anxiety scores (adolescent and adult scores, respectively: 54.8 and 59.7) and depression scores (54.5 and 56.3) were higher in those with EoE than in the general population. Most participants reported experiencing perceived stigma, which was most commonly from family, friends, classmates, or health-care professionals. Conclusion: Patients with EoE had poor HRQoL, which was demonstrated by the high EoE-associated emotional and psychological burdens and perceived stigma they experience.http://www.sciencedirect.com/science/article/pii/S2772572324001109Eosinophilic EsophagitisHealth-Related Quality of LifeAnxietyDepressionPerceived Stigma
spellingShingle Benjamin D. Gold
Bridgett Goodwin
Kimberly Davis
Carolyn Sweeney
Maria Reynolds
Jeanne Jiang
Tao Fan
Mena Boules
Szu-Ta Chen
David A. Katzka
Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
Gastro Hep Advances
Eosinophilic Esophagitis
Health-Related Quality of Life
Anxiety
Depression
Perceived Stigma
title Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
title_full Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
title_fullStr Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
title_full_unstemmed Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
title_short Health-Related Quality of Life and Perceived Stigma in Eosinophilic Esophagitis: A Real-World, US, Web-Based Survey
title_sort health related quality of life and perceived stigma in eosinophilic esophagitis a real world us web based survey
topic Eosinophilic Esophagitis
Health-Related Quality of Life
Anxiety
Depression
Perceived Stigma
url http://www.sciencedirect.com/science/article/pii/S2772572324001109
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