Cohort Profile Update: The Swiss Eosinophilic Esophagitis Cohort Study (SEECS).

El-Khoury, Jeanine Wakim; Safroneeva, Ekaterina; Saner, Catherine; Rossel, Jean-Benoit; Trelle, Sven; Zwahlen, Marcel; Biedermann, Luc; Kreienbuehl, Andrea; Greuter, Thomas; Schreiner, Philipp; Netzer, Peter; Franke, Annett; Brand, Stephan; Hasler, Chantal; Aepli, Patrick; Burri, Emanuel; Weber, Achim; Sempoux, Christine; Biral, Ruggero; Jochum, Wolfram; ... (2024). Cohort Profile Update: The Swiss Eosinophilic Esophagitis Cohort Study (SEECS). Inflammatory intestinal diseases, 9(1), pp. 165-173. 10.1159/000539713

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INTRODUCTION

The Swiss Eosinophilic Esophagitis Cohort Study (SEECS) is a national cohort that was established in 2015 with the aim of improving quality of care of affected adults with eosinophilic esophagitis (EoE). Between 2020 and 2022, paper questionnaires were gradually replaced by fully electronic data capture using Research Electronic Data Capture (REDCap®) software. We aim to provide an update of the SEECS 8 years after its launch.

METHODS

The SEECS prospectively includes adults (≥18 years of age) with EoE as well as patients with gastroesophageal reflux disease (GERD) and healthy control subjects (HC). Upon inclusion and follow-up (typically once every 12-18 months), patients and physicians complete REDCap® questionnaires, which are available in German, French, and English. Patient-reported outcomes (PROs) and biologic findings are assessed on the same day using validated instruments (EEsAI PRO for symptoms; EoE-QoL-A for QoL; EREFS for endoscopic activity; modified EoE-HSS for histologic activity). The SEECS biobank includes biosamples from patients with EoE, GERD, and HC.

RESULTS

As of July 2023, the SEECS included 778 patients (716 [92%] with EoE, 29 [3.8%] with GERD, and 33 [4.2%] HC; 559/778 [71.9%] were male). Mean age ± SD (years) at enrollment according to diagnosis was as follows: EoE 41.9 ± 12.9, GERD 53.6 ± 16.4, HC 51.7 ± 17.2. Concomitant GERD was found in 200 patients (27.9%) of the EoE cohort. Concomitant allergic disorders (asthma, rhinoconjunctivitis, eczema) were present in 500 EoE patients (74.4%). At inclusion, 686 (95.8%) of EoE patients were on ongoing treatment (orodispersible budesonide tablet [Jorveza®] in 281 patients [41%]; budesonide or fluticasone syrup or swallowed powder in 290 patients [42.3%]; proton-pump inhibitors in 162 patients [23.6%]; elimination diets in 103 patients [15%]; and esophageal dilation at last visit in 166 patients [24.2%]). A total of 8,698 biosamples were collected, of which 1,395 (16%) were used in the framework of translational research projects.

CONCLUSION

SEECS continuously grows and is operational using fully electronic data capture. SEECS offers up-to-date epidemiologic and real-world clinical efficacy data on EoE and promotes clinical and translational research.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Department of Clinical Research (DCR)
04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

UniBE Contributor:

Safroneeva, Ekaterina, Trelle, Sven, Zwahlen, Marcel

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

2296-9365

Language:

English

Submitter:

Pubmed Import

Date Deposited:

16 Aug 2024 08:42

Last Modified:

16 Aug 2024 08:42

Publisher DOI:

10.1159/000539713

PubMed ID:

39144837

Uncontrolled Keywords:

Adults Cohort Eosinophilic esophagitis

URI:

https://boris.unibe.ch/id/eprint/199741

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