Turkish Journal of Gastroenterology
Original Article

Improvement of Work Productivity and Quality of Life with Anti-Tumor Necrosis Factor Treatment Used in Crohn’s Disease in Routine Clinical Practice in Turkey


Department of Gastroenterology, Ankara University Faculty of Medicine, Ibn-i Sina Hospital, Ankara, Turkey


Department of Gastroenterology, Bezmialem Vakif University Faculty of Medicine, Istanbul, Turkey


Department of Gastroenterology, Marmara University School of Medicine, Istanbul, Turkey


Department of Gastroenterology, Kocaeli University Faculty of Medicine, Izmit, Turkey


Department of Gastroenterology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey


Department of Gastroenterology, Izmir Katip Celebi University, Izmir, Turkey


Department of Gastroenterology, Acibadem Fulya Hospital, Istanbul, Turkey


Department of Gastroenterology, Ege University Medical School, Izmir, Turkey


Department of Gastroenterology, Mersin University Faculty of Medicine, Mersin, Turkey


Department of Gastroenterology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey


Department of Gastroenterology, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey


Department of Gastroenterology, Trakya University Faculty of Medicine, Edirne, Turkey


Department of Gastroenterology, Baskent University Faculty of Medicine, Konya, Turkey


Department of Gastroenterology, Hacettepe University School of Medicine, Ankara, Turkey

Turk J Gastroenterol 2022; 33: 406-413
DOI: 10.5152/tjg.2022.21868
Read: 1198 Downloads: 378 Published: 01 May 2022

Background: Patients with Crohn’s disease experience major deterioration in work productivity and quality of life. We aimed to provide the long-term effects of anti-tumor necrosis factor agents on work productivity and activity impairment and quality of life in patients with Crohn’s disease using the Inflammatory Bowel Disease Questionnaire and the Short-Form Health Survey-36.

Methods: Patients with Crohn’s disease and initiated an anti-tumor necrosis factor treatment were included and followed up for 12 months in this observational study.

Results: A total of 106 patients were included in this study, and 64.2% of the patients were males. Mean [± standard deviation] age was 36.8 [± 10.9] years. At baseline, mostly perianal fistulas [65.7%] were observed [n = 23]. Intestinal stenosis was detected in 34.9% of the patients [n = 37], and most of the stenosis was located in the ileum [70.6%] followed by the colon [20.6%]. Extraintestinal symp- toms were observed in 24 patients [22.6%]. Most frequent extraintestinal symptom was arthritis with 71.4% [n = 15]. Mean time from first symptom to initiation of anti-tumor necrosis factor treatment was 6.3 [± 5.0] years. Improvements in work productivity and activ- ity impairment scores throughout 12 months were −24.1% [P = .003] for work time missed, −18.0% [P = .006] for impairment at work, −8.5% [P = .160] for overall work impairment, and −17.0% [P < .001] for daily activity impairment. Similarly, significant improvements [P < .001] were detected in all components of the Inflammatory Bowel Disease Questionnaire when compared to baseline. Statistically sig- nificant improvements [P < .05] were detected for all components of Short-Form Health Survey-36 except for mental health [P = .095].

Conclusion: Our study indicates the significant improvement in work productivity and activity impairment and quality of life of patients with Crohn’s disease who receive long-term anti-tumor necrosis factor treatment.

Cite this article as: Toruner M, Basaranoglu M, Atug O, et al. Improvement of work productivity and quality of life with anti-tumor necrosis factor treatment used in crohn’s disease in routine clinical practice in turkey. Turk J Gastroenterol. 2022;33(5):406-413.

EISSN 2148-5607