P410 Extraintestinal manifestations and quality of life in patients with ulcerative colitis: 1-year data from ICONIC
S. Ghosh*1, F. Casellas2, C. O’Shea3, M. Leonard3, J. Petersson4, L. Peyrin-Biroulet5
1University of Birmingham, Birmingham, UK, 2Crohn-Colitis Care Unit (UACC), Hospital Universitari Vall, Vall d'Hebron, Spain, 3AbbVie Ltd., Dublin, Ireland, 4AbbVie Inc., North Chicago, Illinois, USA, 5University of Lorraine, Nancy, France
In addition to their primary disease, ulcerative colitis (UC) patients may concomitantly suffer from extraintestinal manifestations (EIMs), increasing overall disease-related burden. Impact of EIM-augmented burden to patients is poorly understood. ICONIC is the largest ongoing, prospective, multicountry (
Adults with early UC (diagnosed ≤36 months) were enrolled irrespective of disease severity or treatment. EIM presence and impact at baseline and over 1 year were assessed, focussing on health-related quality of life (HRQoL) measures: Short Inflammatory Bowel Disease Questionnaire (SIBDQ) and anxiety/depression (Patient Health Questionnaire-9 [PHQ9]). Patients were stratified by physician-assessed baseline disease severity (severe, moderate, mild, in remission). Regional differences in EIM burden and associated site services supporting EIM management were also evaluated. Observed data using descriptive statistics are presented; statistical comparison was performed using Fischer’s exact test.
Of 1794 patients with evaluable 1-year data, 14.1% (
New-onset EIMs are common in UC, even after 1 year disease course. EIM presence is associated with poorer HRQoL. Despite regional EIM differences, overall EIM impact on HRQoL was similar across the global study population. EIM-augmented patient burden is a concern in UC, and, with >40% sites lacking MDTs and >60% sites lacking