• Patient Prefer Adher · Jan 2023

    Perception and Attitude of Lebanese IBD Patients During the COVID-19 Pandemic.

    • Elio Mikhael, Yaacoub Khalife, Cesar Yaghi, Bernard Khoury, Stephanie Khazaka, Christèle Khoueiry, Karl Safar, Raymond B Sayegh, Khalil Honein, and Rita Slim.
    • Department of Gastro-Enterology and Hepatology, Saint-Joseph University, Beirut, Lebanon.
    • Patient Prefer Adher. 2023 Jan 1; 17: 196719751967-1975.

    ObjectiveThe emergence of the COVID pandemic affected daily living and healthcare access of IBD patients, due to delays of elective procedures and in-hospital treatments. Our aim is to determine the repercussions of the pandemic on the daily habits of IBD patients and on their compliance to follow-up and treatment.MethodsThis was a cross-sectional observational study. A questionnaire was administered in between 2020 and 2022 to IBD patients in a tertiary center in Lebanon. The outcomes measured were patient perceptions regarding COVID and how it affected their treatment.ResultsA total of 201 answers were included in the analysis with male predominance. Two-thirds had Crohn's disease. Near 80% were afraid of being infected by COVID-19 and 87.6% were afraid of physical contact. 91.5% reduced their daily habits and 96.0% have used personal protective equipment. 47.3% of the patients report that there are factors that reduced their worries, the most common factor being contacting their physician (61.0%). The main source of information was the treating physician (37.8%). A quarter of patients think that their condition predisposed to COVID-19 infection and about two-thirds believe that immunosuppressive therapy did so. The same amount reported concern regarding visiting the hospital. 27.4% preferred telemedicine and 44.8% preferred over-The-phone consultation to an in-person visit. Three-quarters were in favor of vaccination. 59.6% delayed their in-center treatment, which was associated with a reduction in daily life activities. 13.9% wanted to discontinue their treatment, which was associated with smoking, cardiovascular, and rheumatological comorbidities, but only 4% did so.ConclusionThe pandemic had significant repercussions on the everyday life of IBD patients, with some preferring to consult via telemedicine and others considering stopping their treatment.© 2023 Mikhael et al.

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