The child’s perception on monitoring inflammatory bowel disease activity

To determine the perception of children with inflammatory bowel disease (IBD) regarding monitoring tests, we first compared the reported discomfort and patient perspective during gastro-intestinal (GI)-endoscopy, magnetic resonance entrography (MRE), and ultrasound (US) and, in a second comparison,...

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Bibliographic Details
Published in:European journal of pediatrics 2022-03, Vol.181 (3), p.1143-1149
Main Authors: van Wassenaer, Elsa A., van der Klift, Renée R., Staphorst, Mira S., van der Lee, Johanna H., Benninga, Marc A., Koot, Bart G. P.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Children
Cross-Sectional Studies
Endoscopy
Female
Humans
Inflammatory bowel disease
Inflammatory bowel diseases
Inflammatory Bowel Diseases - diagnosis
Intestine
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Original
Original Article
Pediatrics
Perception
Phlebotomy
Sampling
Ultrasonography - methods
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Summary:To determine the perception of children with inflammatory bowel disease (IBD) regarding monitoring tests, we first compared the reported discomfort and patient perspective during gastro-intestinal (GI)-endoscopy, magnetic resonance entrography (MRE), and ultrasound (US) and, in a second comparison, patient preference on non-invasive tests (venipuncture, sampling stool and US). A cross-sectional study in children 8–18 years undergoing an US, MRE, and GI-endoscopy for diagnosis or follow-up of IBD. After each procedure, the children filled out the Discomfort during research procedures questionnaire (DISCO-RC). Items of the DISCO-RC are as follows: nervousness, annoyance, pain, fright, boredom, and tiredness. Answers range from “not” (= 0 points) to “extremely” (= 4 points) (range total score: 0–24). Differences between the procedures were assessed with Friedman test, with subsequent Wilcoxon signed-rank test. The children were also asked which non-invasive test they preferred not to undergo regularly (venipuncture, stool-sampling, or US). Answers were analyzed with χ 2 -test. Forty-nine patients (27 (55%) female, median age 15 (range 9–17)) were included. The children reported to be most nervous, frightened, and tired after GI-endoscopy (median: 1, 1, 2 points, respectively), equally annoyed by MRE and GI-endoscopy (median 1 point), and equally bored by MRE and US. GI-endoscopy was ranked as most discomfortable, followed by MRE and US (total DISCO-RC scores: 7 vs. 5 vs. 2, p  
ISSN:0340-6199
1432-1076
DOI:10.1007/s00431-021-04315-5