Review Article

Mesalazine for People with Diverticular Disease: A Systematic Review of Randomized Controlled Trials

Table 3

Quality of life assessment of people enrolled in randomized trials comparing mesalazine with control interventions for diverticular disease.

Study, year (reference)Quality-of-life instrumentValidation of the instrumentTime of assessmentMethod of ReportingDomains reportedResults

Comparato et al., 2007a [24]Medical Outcome Study (MOS) 36-Item Short-Form Health Survey (SF-36, Italian version 1.6) questionnaireBaseline and 6 monthsMean change of each domain score between baseline and 6 months in the mesalazine and rifaximin group.
Difference of the mean scores of each domain at baseline and 6 months between the two groups.
Physical health:In the mesalazine group there was a significant improvement of physical functioning (p=0.05), role limitation-physical (p=0.034), general health (p=0.01), and social functioning (p<0.01) at 6 months.
In the rifaximin group there was a significant improvement of role limitation-physical (p=0.04) and social functioning (p=0.03) at 6 months.
There was no statistically significant difference of SF-36 mean scores between the two groups at baseline. There was a higher improvement of physical functioning (p<0.05) and general health (p=0.01) in the mesalazine than rifaximin group at 6 months.
 Physical functioning
 Role limitation-physical
 Bodily
  pain
 General health
Mental health:
 Role limitation-emotional
 Vitality
 Mental health
 Social functioning
Parente et al., 2013 [28]Therapy Impact Questionnaire (TIQ), quality-of-life sub-NoBaseline and every 3 months until 24 monthsDifference of the mean quality-of-life sub-scores at baseline and 24 months between mesalazine and placebo group.Sleeping problem
Physical status interfering with sexual activity
Problem in out-door activities
Problem in social activities Problem in in-house activities different from house works
Problem in daily work activities
Problem in free-time activities
There was no statistically significant difference of the total quality-of-life sub-score between the mesalazine and placebo group at baseline and 24 months.
PREVENT1, 2014 [31](1) EuroQol five dimensions questionnaire (EQ-5D)
(2) Health Utilities Index Version
Mark 2 (HUI2) questionnaire
Baseline and 16, 52, 78, 104 weeksDifference of the total EQ-5D and HUI2 scores at baseline and 104 weeks across study arms (mesalazine 1200mg, mesalazine 2400mg, mesalazine 4800mg, placebo).EQ-5D questionnaire:There was no statistically significant difference of the total EQ-5D and HUI2 scores at baseline and 104 weeks across study arms.
 Mobility
 Self-care
 Usual activities
 Pain/discomfort
 Anxiety/depression
HUI2 questionnaire:
 Sensation
 Cognition
 Mobility
 Self-care
 Emotion
 Pain
 Fertility
PREVENT2, 2014 [31](1) EuroQol five dimensions questionnaire (EQ-5D)
(2) Health Utilities Index Version
Mark 2 (HUI2) questionnaire
Baseline and 16, 52, 78, 104 weeksDifference of the total EQ-5D and HUI2 scores at baseline and 104 weeks across study arms (mesalazine 1200mg, mesalazine 2400mg, mesalazine 4800mg, placebo).EQ-5D questionnaire:There was no statistically significant difference of the total EQ-5D and HUI2 scores at baseline and 104 weeks across study arms.
 Mobility
 Self-care
 Usual activities
 Pain/discomfort
 Anxiety/depression
HUI2 questionnaire:
 Sensation
 Cognition
 Mobility
 Self-care
 Emotion
 Pain
 Fertility

EQ-5D, EuroQol five dimensions; HUI2, Health Utilities Index Version Mark 2.
validated to measure generic health outcomes in all therapeutic areas.
-item questionnaire: the sum of items 1-4 defines the physical condition subscore, while the sum of items 5-11 defines the quality-of-life subscore.