{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T01:35:04Z","timestamp":1793410504179,"version":"4.5.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,2,6]],"date-time":"2021-02-06T00:00:00Z","timestamp":1612569600000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Many patients with inflammatory bowel disease (IBD) are referred to surgeons when medical treatments are ineffective, signifying poor disease control. We aimed to assess the association of IBD diagnosis with physical and mental health upon presentation to a colorectal surgeon.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We included all new patients presenting to colorectal surgery clinic over 1.5 years. During registration, patients completed the PROMIS Global-10, a validated outcome measure assessing physical and mental health. We grouped patients by diagnosis: IBD, anorectal, benign colorectal, and malignancy. Details on IBD patients were obtained via chart review. We evaluated the interaction between PROMIS scores and diagnosis through ANOVA analysis and post hoc Tukey\u2013Kramer pairwise comparison. We estimated the strength of association of age, sex, and visit diagnosis with poor physical and mental health (PROMIS: \u22121 SD) through logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eight hundred ninety-seven patients were included. The cohort was as follows: IBD (99) (Crohn = 73; ulcerative colitis = 26), anorectal (378), benign colorectal (224), and malignancy (196). The mean age of patients was 56 (\u00b117) years. Fifty-seven percent were female. The IBD group was youngest (P &amp;lt; 0.001). IBD had significantly lower PROMIS scores on pairwise comparison; anorectal had the highest scores. Controlling for age and sex, the IBD group had 4.1\u00d7 odds of poor physical health (95% confidence interval 2.46\u20136.76) and 2.9\u00d7 odds of poor mental health (95% confidence interval 1.66\u20135.00).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with IBD, specifically Crohn disease, have worse physical and mental health on presentation to a colorectal surgeon compared to patients presenting with other colorectal diagnoses. These patients considering surgery might benefit from added support during the perioperative period.<\/jats:p><\/jats:sec>","DOI":"10.1093\/crocol\/otaa096","type":"journal-article","created":{"date-parts":[[2020,12,19]],"date-time":"2020-12-19T08:04:49Z","timestamp":1608365089000},"source":"Crossref","is-referenced-by-count":4,"title":["Poor Baseline Health of IBD Patients at Presentation to a Surgeon: Results From a Patient-Reported Outcomes Database"],"prefix":"10.1093","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4491-9599","authenticated-orcid":false,"given":"Olivia A","family":"Sacks","sequence":"first","affiliation":[{"name":"Geisel School of Medicine at Dartmouth , Hanover, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenaya L","family":"Goldwag","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dartmouth-Hitchcock Medical Center , Lebanon, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A","family":"Eid","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dartmouth-Hitchcock Medical Center , Lebanon, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Surgery, Dartmouth-Hitchcock Medical Center , Lebanon, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trenika J","family":"Williams","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth , Hanover, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srinivas J","family":"Ivatury","sequence":"additional","affiliation":[{"name":"Geisel School of Medicine at Dartmouth , Hanover, New Hampshire, USA"},{"name":"Department of Surgery, Dartmouth-Hitchcock Medical Center , Lebanon, New Hampshire, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,6]]},"reference":[{"key":"2023030923253498500_","doi-asserted-by":"crossref","first-page":"35","DOI":"10.3949\/ccjm.59.1.35","article-title":"Quality of life assessment by patients with inflammatory bowel disease","volume":"59","author":"Farmer","year":"1992","journal-title":"Cleve Clin J Med."},{"key":"2023030923253498500_","doi-asserted-by":"crossref","first-page":"e13647","DOI":"10.1111\/nmo.13647","article-title":"Factors associated with depression in people with inflammatory bowel disease: the relationship between active disease and biases in neurocognitive processing","volume":"31","author":"Wilkinson","year":"2019","journal-title":"Neurogastroenterol Motil."},{"key":"2023030923253498500_","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1053\/j.gastro.2018.01.027","article-title":"Bi-directionality of brain-gut interactions in patients with inflammatory 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