{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T19:03:43Z","timestamp":1777489423615,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim was to explore the subjective health expectations (sHE) of patients with Crohn's disease (CD) for both the near future and the elderly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross\u2010sectional survey was performed in four gastroenterology centres in Hungary. Consecutive outpatients with CD with age \u2265\u00a018 were recruited. Socio\u2010demographic and disease characteristics were recorded and the Crohn's Disease Activity Index (CDAI), Perianal Disease Activity Index, Patients' Global Assessment (PGA) and current pain visual analogue scale (VAS) were assessed. Subjective life expectancy (sLE) was explored and compared to statistical life expectancy. Current health and sHE for 1\u00a0year ahead and for ages 60\/70\/80\/90 were assessed using the descriptive system of the EQ\u20105D\u20103L.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 206 patients (54.9% men) with a mean age of 34.7 (SD 10.5\u00a0years) and disease duration of 10.5 (SD 6.3) years were studied. The CDAI score was 110.5 (SD 77.0) and 66% were treated by biologic drugs. Mean current EQ\u20105D\u20103L score was 0.80 (SD 0.17) and patients expected a 0.05 (SD 0.15) improvement within a year (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.05). For ages 60\/70\/80\/90, a mean EQ\u20105D\u20103L score of 0.59, 0.38, 0.10 and \u22120.12 respectively was provisioned. Age, current health status, sLE, PGA and pain VAS showed significant correlation with both 1\u2010year and older age sHE (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.05). Long\u2010term sHE and sLE were negatively affected by the presence of extraintestinal manifestations but not by previous CD\u2010related surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with CD expect severe deterioration in health in later life. Given that unrealistic sHE may affect patients' current quality of life and health behaviour, we encourage physicians to explore and consider CD patients' sHE in clinical care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15357","type":"journal-article","created":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T18:56:39Z","timestamp":1600714599000},"page":"105-113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Subjective expectations regarding longevity and future health: a cross\u2010sectional survey among patients with Crohn's disease"],"prefix":"10.1111","volume":"23","author":[{"given":"M.","family":"P\u00e9ntek","sequence":"first","affiliation":[{"name":"Department of Health Economics Corvinus University of Budapest Budapest Hungary"},{"name":"University Research and Innovation Center \u00d3buda University Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Gul\u00e1csi","sequence":"additional","affiliation":[{"name":"University Research and Innovation Center \u00d3buda University Budapest Hungary"},{"name":"Corvinus Institute of Advanced Studies Corvinus University of Budapest Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Hersz\u00e9nyi","sequence":"additional","affiliation":[{"name":"Medical Centre Hungarian Defence Forces Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Banai","sequence":"additional","affiliation":[{"name":"Medical Centre Hungarian Defence Forces Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Palatka","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology Department of Internal Medicine University of Debrecen Debrecen Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. 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