Impact on Health-Related Quality of Life in Adults with Eosinophilic Gastritis and Gastroenteritis: A Qualitative Assessment

Dig Dis Sci. 2018 May;63(5):1148-1157. doi: 10.1007/s10620-018-4978-7. Epub 2018 Feb 23.

Abstract

Background: Eosinophilic gastritis (EG) and eosinophilic gastroenteritis (EGE) are chronic immune-mediated conditions of the digestive tract, which affect the stomach only, or the stomach and small intestines, respectively. Though these disorders are uncommon, they are being increasingly recognized and diagnosed. While health-related quality of life (HRQOL) has been evaluated in other eosinophilic gastrointestinal diseases, this study is the first to describe HRQOL impacts unique to EG/EGE.

Aims: This study aims to qualitatively describe experiences of adults diagnosed with EG and EGE. We aim to identify impacts on HRQOL in this population in order to inform clinical care and assessment.

Methods: Seven patients diagnosed with EG or EGE participated in semi-structured interviews assessing common domains of HRQOL.

Results: Four distinct themes emerged from qualitative analyses, which represent impacts to HRQOL: the psychological impact of the diagnosis, impact on social relationships, financial impact, and impact on the body. These generally improved over time and with effective treatment.

Conclusions: This study demonstrated that patients with EG/EGE experience impacts to HRQOL, some of which differ from HRQOL of other eosinophilic gastrointestinal diseases. These results support the development of a disease-specific measure, or adaptation of an existing measure, to assess HRQOL in EG/EGE.

Keywords: Eosinophilic gastritis; Eosinophilic gastroenteritis; Health-related quality of life; Patient-reported outcomes.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Enteritis* / diagnosis
  • Enteritis* / physiopathology
  • Enteritis* / psychology
  • Eosinophilia* / diagnosis
  • Eosinophilia* / physiopathology
  • Eosinophilia* / psychology
  • Female
  • Gastritis* / diagnosis
  • Gastritis* / physiopathology
  • Gastritis* / psychology
  • Health Status Indicators
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Patient Reported Outcome Measures
  • Qualitative Research
  • Quality of Life* / psychology
  • Young Adult

Supplementary concepts

  • Eosinophilic enteropathy