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基于互联网的数据纳入一项欧洲炎症性肠病患者人群协作随访研究:所用方法描述及影响应答率因素分析

Internet-based data inclusion in a population-based European collaborative follow-up study of inflammatory bowel disease patients: description of methods used and analysis of factors influencing response rates.

作者信息

Wolters Frank L, van Zeijl Gilbert, Sijbrandij Jildou, Wessels Frederik, O'Morain Colm, Limonard Charles, Russel Maurice G, Stockbrugger Reinhold W

机构信息

Department of Gastroenterology and Hepatology, PO box 5800, 6202 AZ Maastricht, The Netherlands.

出版信息

World J Gastroenterol. 2005 Dec 7;11(45):7152-8. doi: 10.3748/wjg.v11.i45.7152.

Abstract

AIM

To describe an Internet-based data acquisition facility for a European 10-year clinical follow-up study project of a population-based cohort of inflammatory bowel disease (IBD) patients and to investigate the influence of demographic and disease related patient characteristics on response rates.

METHODS

Thirteen years ago, the European Collaborative study group of IBD (EC-IBD) initiated a population-based prospective inception cohort of 2 201 uniformly diagnosed IBD patients within 20 well-described geographical areas in 11 European countries and Israel. For the 10-year follow-up of this cohort, an electronic patient questionnaire (ePQ) and electronic physician per patient follow-up form (ePpPFU) were designed as two separate data collecting instruments and made available through an Internet-based website. Independent demographic and clinical determinants of ePQ participation were analyzed using multivariate logistic regression.

RESULTS

In 958 (316 CD and 642 UC) out of a total number of 1 505 (64%) available IBD patients, originating from 13 participating centers from nine different countries, both ePQ and ePpPFU were completed. Patients older than 40 years at ePQ completion (OR: 1.53 (95%CI: 1.14-2.05)) and those with active disease during the 3 mo previous to ePQ completion (OR: 3.32 (95%CI: 1.57-7.03)) were significantly more likely to respond.

CONCLUSION

An Internet-based data acquisition tool appeared successful in sustaining a unique Western-European and Israelian multi-center 10-year clinical follow-up study project in patients afflicted with IBD.

摘要

目的

描述一个基于互联网的数据采集工具,用于一项针对欧洲炎症性肠病(IBD)患者人群的10年临床随访研究项目,并调查人口统计学和疾病相关患者特征对回复率的影响。

方法

13年前,欧洲IBD协作研究组(EC-IBD)在11个欧洲国家和以色列的20个详细描述的地理区域内,启动了一项基于人群的前瞻性起始队列研究,纳入2201例诊断一致的IBD患者。对于该队列的10年随访,设计了电子患者问卷(ePQ)和每位患者的电子医生随访表(ePpPFU)作为两种独立的数据收集工具,并通过一个基于互联网的网站提供。使用多变量逻辑回归分析ePQ参与的独立人口统计学和临床决定因素。

结果

在来自9个不同国家的13个参与中心的1505例(64%)可用IBD患者中,有958例(316例克罗恩病和642例溃疡性结肠炎)完成了ePQ和ePpPFU。在完成ePQ时年龄大于40岁的患者(比值比:1.53(95%可信区间:1.14-2.05))以及在完成ePQ前3个月内患有活动性疾病的患者(比值比:3.32(95%可信区间:1.57-7.03))回复的可能性显著更高。

结论

一个基于互联网的数据采集工具似乎成功地维持了一项针对IBD患者的独特的西欧和以色列多中心10年临床随访研究项目。

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