Department of Hepatogastroenterology, Claude Huriez Hospital, Centre Hospitalier Universitaire de Lille, Lille, France.
Inflamm Bowel Dis. 2010 Jan;16(1):15-22. doi: 10.1002/ibd.21010.
The inflammatory bowel diseases (IBDs) are associated with a reduced quality of life. The impact of IBD on disability remains largely unknown. With the International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization (WHO), we can now rely on a globally agreed-upon framework and system for classifying the typical spectrum of problems in the functioning of persons with a specific disease given the environmental context in which they live. The aim of this article is to outline the methods to be utilized to develop ICF Core Sets for IBD. The project is a cooperation between the ICF Research Branch of the WHO, the IPNIC group, the International Society of Physical Rehabilitation Medicine (ISPRM), and the International Organization on Inflammatory Bowel Disease (IOIBD). Four worldwide studies will be conducted from 2009 to 2010. ICF categories relevant for IBD will be identified by systematic literature review of outcomes and measures used in IBD research, semistructured patient interviews, Internet-based expert survey, and cross-sectional study for clinical applicability. The final definition of ICF Core Sets for IBD will be determined at a Consensus Conference. Field testing will then be used to validate the ICF Core Sets. ICF Core Sets are being designed to provide useful standards for research and clinical practice. This tool will enable research that improves understanding of functioning, disability, and health in IBD, and may lead to interventions to improve and maintain functioning and minimize disability among IBD patients throughout the world.
炎症性肠病(IBD)会降低生活质量。IBD 对残疾的影响在很大程度上尚未可知。有了世界卫生组织(WHO)的国际功能、残疾和健康分类(ICF),我们现在可以依靠一个全球公认的框架和系统,根据患者生活的环境背景,对特定疾病患者功能障碍的典型问题进行分类。本文旨在概述制定 IBD ICF 核心组的方法。该项目是世界卫生组织 ICF 研究分支机构、IPNIC 小组、国际物理康复医学学会(ISPRM)和国际炎症性肠病组织(IOIBD)之间的合作。从 2009 年到 2010 年,将进行四项全球性研究。通过对 IBD 研究中使用的结果和措施进行系统文献回顾、半结构化患者访谈、基于互联网的专家调查以及临床适用性横断面研究,确定与 IBD 相关的 ICF 类别。将在共识会议上确定 IBD ICF 核心组的最终定义。然后将进行现场测试以验证 ICF 核心组。设计 ICF 核心组是为了为研究和临床实践提供有用的标准。该工具将促进对 IBD 中功能、残疾和健康的理解的研究,并可能导致干预措施的出现,以改善和维持 IBD 患者的功能,并最大限度地减少他们的残疾。