{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:42:52Z","timestamp":1792806172648,"version":"4.5.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T00:00:00Z","timestamp":1792713600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Colorectal Dis"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>When surgery is indicated in patients with inflammatory bowel disease (IBD), timely intervention may reduce the risk of further complications. This study aimed to assess health-related quality of life (HRQoL) in relation to waiting time for IBD surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional, register-based study assessed HRQoL using the EQ-5D-5L questionnaire. Patients with IBD who had undergone surgery or were awaiting surgery between 2017 and 2023 at Sahlgrenska University Hospital, Gothenburg, Sweden, were identified and invited to participate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 214 patients were included in the study (33.6% women, mean age 44.3\u2009\u00b1\u200916.9\u00a0years). Sixty percent had undergone surgery, while the remainder were awaiting surgery. The mean EQ VAS was 64.9, and the lowest scores were observed in patients waiting for surgery for over a year, compared to Swedish age-matched population norms, with a mean EQ VAS of 87.0. Using the Swedish value set, the mean EQ-5D-5L index was higher among patients waiting for surgery\u2009&lt;\u20093\u00a0months compared with those waiting 12\u201324\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.017) and\u2009&gt;\u200924\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). It was also higher among patients waiting 3\u20136\u00a0months compared with those waiting 12\u201324\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.036) and\u2009&gt;\u200924\u00a0months (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Prolonged waiting time for IBD surgery was associated with impaired HRQoL, particularly among patients who had waited more than 1 year. While causal inferences cannot be drawn from this cross-sectional study, the findings support incorporating patient-reported HRQoL into prioritisation of patients awaiting IBD surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>The study has been registered in clinicaltrials.gov (NCT: 2022-05975-01).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00384-026-05258-9","type":"journal-article","created":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:56:33Z","timestamp":1792756593000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Waiting time for surgery and health-related quality of life in patients with inflammatory bowel disease"],"prefix":"10.1007","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3745-7162","authenticated-orcid":false,"given":"Hanna","family":"de la Croix","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena","family":"\u00c5berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Fledsberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Bengtsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Hermanson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,23]]},"reference":[{"issue":"11","key":"5258_CR1","doi-asserted-by":"publisher","first-page":"961","DOI":"10.1111\/codi.13904","volume":"19","author":"C Buskens","year":"2017","unstructured":"Buskens C, Bemelman W (2017) Waiting time in IBD surgery. Colorectal Dis 19(11):961. https:\/\/doi.org\/10.1111\/codi.13904","journal-title":"Colorectal Dis"},{"issue":"4","key":"5258_CR2","doi-asserted-by":"publisher","first-page":"1271","DOI":"10.1007\/s13304-024-01893-5","volume":"76","author":"E de Bock","year":"2024","unstructured":"de Bock E, Herman ES, Meij V, Burghgraef TA, Oldenburg B, Verheijen PM et al (2024) Postoperative outcomes of surgical delay in inflammatory bowel disease patients: a multicenter cohort study. Updates Surg 76(4):1271\u20137. https:\/\/doi.org\/10.1007\/s13304-024-01893-5","journal-title":"Updates Surg"},{"key":"5258_CR3","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1016\/j.ijsu.2020.05.022","volume":"79","author":"A Al-Jabir","year":"2020","unstructured":"Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C et al (2020) Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 1. Int J Surg 79:168\u2013179. https:\/\/doi.org\/10.1016\/j.ijsu.2020.05.022","journal-title":"Int J Surg"},{"key":"5258_CR4","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1016\/j.ijsu.2020.05.002","volume":"79","author":"A Al-Jabir","year":"2020","unstructured":"Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C et al (2020) Impact of the Coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation). Int J Surg 79:233\u201348. https:\/\/doi.org\/10.1016\/j.ijsu.2020.05.002","journal-title":"Int J Surg"},{"issue":"2","key":"5258_CR5","doi-asserted-by":"publisher","first-page":"277","DOI":"10.1093\/ecco-jcc\/jjz143","volume":"14","author":"KA Wasmann","year":"2020","unstructured":"Wasmann KA, Ibd study group Amsterdam Umc lAMC (2020) Complications while waiting for IBD surgery-short report. J Crohns Colitis 14(2):277\u2013280. https:\/\/doi.org\/10.1093\/ecco-jcc\/jjz143","journal-title":"J Crohns Colitis"},{"issue":"38","key":"5258_CR6","doi-asserted-by":"publisher","first-page":"5862","DOI":"10.3748\/wjg.v25.i38.5862","volume":"25","author":"RS Parra","year":"2019","unstructured":"Parra RS, Chebli JMF, Amarante H, Flores C, Parente JML, Ramos O et al (2019) Quality of life, work productivity impairment and healthcare resources in inflammatory bowel diseases in Brazil. World J Gastroenterol 25(38):5862\u20135882. https:\/\/doi.org\/10.3748\/wjg.v25.i38.5862","journal-title":"World J Gastroenterol"},{"key":"5258_CR7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2021-000670","author":"E de Bock","year":"2021","unstructured":"de Bock E, Filipe MD, Meij V, Oldenburg B, van Schaik FDM, Bastian OW et al (2021) Quality of life in patients with IBD during the COVID-19 pandemic in the Netherlands. BMJ Open Gastroenterol. https:\/\/doi.org\/10.1136\/bmjgast-2021-000670","journal-title":"BMJ Open Gastroenterol"},{"issue":"Suppl 3","key":"5258_CR8","doi-asserted-by":"publisher","first-page":"s1","DOI":"10.1136\/gutjnl-2019-318484","volume":"68","author":"CA Lamb","year":"2019","unstructured":"Lamb CA, Kennedy NA, Raine T, Hendy PA, Smith PJ, Limdi JK et al (2019) British Society of Gastroenterology consensus guidelines on the management of inflammatory bowel disease in adults. Gut 68(Suppl 3):s1\u2013s106. https:\/\/doi.org\/10.1136\/gutjnl-2019-318484","journal-title":"Gut"},{"key":"5258_CR9","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znaf149.065","author":"H de la Croix","year":"2025","unstructured":"de la Croix H, Bengtsson J, Fledsberg S, Park J, \u00c5berg H, Hermanson M (2025) Effects on delayed surgery in inflammatory bowel disease \u2013 a health economic analysis. Br J Surg. https:\/\/doi.org\/10.1093\/bjs\/znaf149.065","journal-title":"Br J Surg"},{"key":"5258_CR10","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1186\/1471-2458-7-164","volume":"7","author":"JP Oudhoff","year":"2007","unstructured":"Oudhoff JP, Timmermans DR, Knol DL, Bijnen AB, van der Wal G (2007) Waiting for elective general surgery: impact on health related quality of life and psychosocial consequences. BMC Public Health 7:164. https:\/\/doi.org\/10.1186\/1471-2458-7-164","journal-title":"BMC Public Health"},{"issue":"3","key":"5258_CR11","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1016\/j.jamcollsurg.2018.12.028","volume":"228","author":"E de Jager","year":"2019","unstructured":"de Jager E, Levine AA, Udyavar NR, Burstin HR, Bhulani N, Hoyt DB et al (2019) Disparities in surgical access: a systematic literature review, conceptual model, and evidence map. J Am Coll Surg 228(3):276\u2013298. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2018.12.028","journal-title":"J Am Coll Surg"},{"issue":"2","key":"5258_CR12","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1016\/j.jamcollsurg.2016.04.047","volume":"223","author":"MJ Torain","year":"2016","unstructured":"Torain MJ, Maragh-Bass AC, Dankwa-Mullen I, Hisam B, Kodadek LM, Lilley EJ et al (2016) Surgical disparities: a comprehensive review and new conceptual framework. J Am Coll Surg 223(2):408\u2013418. https:\/\/doi.org\/10.1016\/j.jamcollsurg.2016.04.047","journal-title":"J Am Coll Surg"},{"issue":"1","key":"5258_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s41687-024-00709-9","volume":"8","author":"J Latteur","year":"2024","unstructured":"Latteur J, Ernstsson O, Nilsson E, J\u00e4ghult S, Heintz E (2024) Construct validity of EQ-5D-5L among patients with inflammatory bowel disease-a study based on real-world data from the Swedish Inflammatory Bowel Disease Registry. J Patient Rep Outcomes 8(1):39. https:\/\/doi.org\/10.1186\/s41687-024-00709-9","journal-title":"J Patient Rep Outcomes"},{"issue":"8","key":"5258_CR14","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1016\/j.crohns.2012.07.030","volume":"7","author":"E McDermott","year":"2013","unstructured":"McDermott E, Keegan D, Byrne K, Doherty GA, Mulcahy HE (2013) The Short Health Scale: a valid and reliable measure of health related quality of life in English speaking inflammatory bowel disease patients. J Crohns Colitis 7(8):616\u201321. https:\/\/doi.org\/10.1016\/j.crohns.2012.07.030","journal-title":"J Crohns Colitis"},{"issue":"9","key":"5258_CR15","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.1080\/00365521.2019.1660799","volume":"54","author":"JF Ludvigsson","year":"2019","unstructured":"Ludvigsson JF, Andersson M, Bengtsson J, Eberhardson M, Fagerberg UL, Grip O et al (2019) Swedish inflammatory bowel disease register (SWIBREG) - a nationwide quality register. Scand J Gastroenterol 54(9):1089\u20131101. https:\/\/doi.org\/10.1080\/00365521.2019.1660799","journal-title":"Scand J Gastroenterol"},{"issue":"9596","key":"5258_CR16","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","volume":"370","author":"E von Elm","year":"2007","unstructured":"von Elm E, Altman DG, Egger M, Pocock SJ, Gotzsche PC, Vandenbroucke JP et al (2007) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 370(9596):1453\u20131457. https:\/\/doi.org\/10.1016\/S0140-6736(07)61602-X","journal-title":"Lancet"},{"key":"5258_CR17","unstructured":"Statistics Sweden (SCB) Ekvivalensskalor i inkomstf\u00f6rdelningsstatistik [Equivalence scales in income distributionstatistics]. https:\/\/www.scb.se\/publikation\/54478. Accessed\u00a0Oct\u00a017 2026"},{"issue":"2","key":"5258_CR18","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s40258-017-0310-5","volume":"15","author":"NJ Devlin","year":"2017","unstructured":"Devlin NJ, Brooks R (2017) EQ-5D and the EuroQol group: past, present and future. Appl Health Econ Health Policy 15(2):127\u2013137. https:\/\/doi.org\/10.1007\/s40258-017-0310-5","journal-title":"Appl Health Econ Health Policy"},{"issue":"2","key":"5258_CR19","doi-asserted-by":"publisher","first-page":"431","DOI":"10.1007\/s11136-013-0496-4","volume":"23","author":"K Burstr\u00f6m","year":"2014","unstructured":"Burstr\u00f6m K, Sun S, Gerdtham UG, Henriksson M, Johannesson M, Levin L et al (2014) Swedish experience-based value sets for EQ-5D health states. Qual Life Res 23(2):431\u2013442. https:\/\/doi.org\/10.1007\/s11136-013-0496-4","journal-title":"Qual Life Res"},{"issue":"1","key":"5258_CR20","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1016\/j.jval.2018.05.010","volume":"22","author":"E Stolk","year":"2019","unstructured":"Stolk E, Ludwig K, Rand K, van Hout B, Ramos-Go\u00f1i JM (2019) Overview, update, and lessons learned from the International EQ-5D-5L valuation work: version 2 of the EQ-5D-5L valuation protocol. Value Health 22(1):23\u201330. https:\/\/doi.org\/10.1016\/j.jval.2018.05.010","journal-title":"Value Health"},{"issue":"1","key":"5258_CR21","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-022-02083-w","volume":"20","author":"S Sun","year":"2022","unstructured":"Sun S, Chuang LH, Sahl\u00e9n KG, Lindholm L, Norstr\u00f6m F (2022) Estimating a social value set for EQ-5D-5L in Sweden. Health Qual Life Outcomes 20(1):167. https:\/\/doi.org\/10.1186\/s12955-022-02083-w","journal-title":"Health Qual Life Outcomes"},{"issue":"7","key":"5258_CR22","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1023\/a:1013171831202","volume":"10","author":"K Burstr\u00f6m","year":"2001","unstructured":"Burstr\u00f6m K, Johannesson M, Diderichsen F (2001) Swedish population health-related quality of life results using the EQ-5D. Qual Life Res 10(7):621\u201335. https:\/\/doi.org\/10.1023\/a:1013171831202","journal-title":"Qual Life Res"},{"issue":"10","key":"5258_CR23","doi-asserted-by":"publisher","first-page":"1196","DOI":"10.1080\/00365520600610618","volume":"41","author":"H Hjortswang","year":"2006","unstructured":"Hjortswang H, Jarnerot G, Curman B, Sandberg-Gertzen H, Tysk C, Blomberg B et al (2006) The Short Health Scale: a valid measure of subjective health in ulcerative colitis. Scand J Gastroenterol 41(10):1196\u20131203. https:\/\/doi.org\/10.1080\/00365520600610618","journal-title":"Scand J Gastroenterol"},{"issue":"1","key":"5258_CR24","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1002\/ibd.20255","volume":"14","author":"H Stjernman","year":"2008","unstructured":"Stjernman H, Gr\u00e4nn\u00f6 C, J\u00e4rnerot G, Ockander L, Tysk C, Blomberg B et al (2008) Short health scale: a valid, reliable, and responsive instrument for subjective health assessment in Crohn\u2019s disease. Inflamm Bowel Dis 14(1):47\u201352. https:\/\/doi.org\/10.1002\/ibd.20255","journal-title":"Inflamm Bowel Dis"},{"issue":"5","key":"5258_CR25","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1001\/archsurg.136.5.521","volume":"136","author":"RC Thirlby","year":"2001","unstructured":"Thirlby RC, Sobrino MA, Randall JB (2001) The long-term benefit of surgery on health-related quality of life in patients with inflammatory bowel disease. Arch Surg 136(5):521\u2013527. https:\/\/doi.org\/10.1001\/archsurg.136.5.521","journal-title":"Arch Surg"},{"key":"5258_CR26","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20166576","author":"P Bernabeu Juan","year":"2023","unstructured":"Bernabeu Juan P, Cabezos Sirvent P, Sempere Robles L, van-der Hofstadt Gomis A, Rodriguez Marin J, van-der Hofstadt Roman CJ (2023) Differences in the quality of life of patients recently diagnosed with Crohn\u2019s disease and ulcerative colitis. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph20166576","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"5258_CR27","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1097\/dcr.0000000000001775","volume":"64","author":"C Nordenvall","year":"2021","unstructured":"Nordenvall C, Westberg K, S\u00f6derling J, Everhov \u00c5H, Halfvarson J, Ludvigsson JF et al (2021) Restorative surgery is more common in ulcerative colitis patients with a high income: a population-based study. Dis Colon Rectum 64(3):301\u2013312. https:\/\/doi.org\/10.1097\/dcr.0000000000001775","journal-title":"Dis Colon Rectum"},{"issue":"1","key":"5258_CR28","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1002\/bjs.10652","volume":"105","author":"KJ Lundstrom","year":"2018","unstructured":"Lundstrom KJ, Holmberg H, Montgomery A, Nordin P (2018) Patient-reported rates of chronic pain and recurrence after groin hernia repair. Br J Surg 105(1):106\u2013112. https:\/\/doi.org\/10.1002\/bjs.10652","journal-title":"Br J Surg"}],"container-title":["International Journal of Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-026-05258-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-026-05258-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00384-026-05258-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:02:08Z","timestamp":1792803728000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00384-026-05258-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,23]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["5258"],"URL":"https:\/\/doi.org\/10.1007\/s00384-026-05258-9","relation":{},"ISSN":["1432-1262"],"issn-type":[{"value":"1432-1262","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,23]]},"assertion":[{"value":"12 May 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Ethical approval was obtained by the Swedish Ethical Review Authority (Dnr 2022-05975-01) prior to data extraction.","order":1,"name":"Ethics","label":"Ethics approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This is a questionnaire study. Patients were given written information and gave an oral or written informed consent before answering the questionnaire.","order":2,"name":"Ethics","label":"Consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"170"}}