SBS may create
psychosocial and RELATIONSHIP
challenges for patients
and their families1

SBS can negatively affect
interpersonal connections2

~1 IN 3 PATIENTS reported difficulty spending
time with family and friends

According to an independent analysis, Patients with SBS
who are dependent on PS report relationship difficulties and
hesitancy toward companionship3

SBS can restrict the lives of those living with it, often leading to:
Social withdrawal and isolation3,4 87% of patients reported an impact
on enjoyable activities
Concerns over intimacy1,3 Patients reported challenges
maintaining relationships

Patients may be reluctant to engage in activities or relationships due to concerns of stigma3

Patients living with SBS may feel confined
by their condition3

Proximity3

  • Patients may feel fear over unexpected bowel incidents
  • This uncertainty can restrict patients from making travel plans

Productivity1,2,5

  • Patients may have decreased opportunities for employment, or may be unable to return to work
  • Patients with SBS often suffer from decreased output and increased stress

A lack of continuity of care magnifies the feeling of isolation for patients with SBS and their caregivers6

SBS can be uncompromising for patients, and the demands required
of caregivers can be a detriment to their mental health1

Caregivers offer their time for the betterment of the patient, which can lead to personal difficulties.7
Unpaid cost of caring for
family members1,7
Time away from work
leading to lost earnings7
These factors can contribute to decreased productivity and increased stress for caregivers.1 As a result of the attention required to assist patients, caregivers often neglect their own health.1

Due to the need for proper patient support, there may be advocacy groups that can benefit your patients

PS=parenteral support; SBS=short bowel syndrome.
REFERENCES

1. Winkler MF, Smith CE. Clinical, social, and economic impacts of home parenteral nutrition dependence in short bowel syndrome. JPEN J Parenter Enteral Nutr. 2014;38(suppl 1):32S-37S. doi:10.1177/0148607113517717

2. Jeppesen PB, Shahraz S, Hopkins T, Worsfold A, Genestin E. Impact of intestinal failure and parenteral support on adult patients with short-bowel syndrome: a multinational, noninterventional, cross-sectional survey. JPEN J Parenter Enteral Nutr. 2022;46(7):1650-1659. doi:10.1002/jpen.2372

3. Data on file. SBS patient insights program: digital ethnography study report. Trinity, LLC. August 16, 2023. Accessed March 19, 2024.

4. Data on file. Qualitative interviews of patients with short bowel syndrome and healthcare providers identifying the unmet needs in SBS-IF.

5. Carlsson E, Bosaeus I, Nordgren S. Quality of life and concerns in patients with short bowel syndrome. Clin Nutr. 2003;22(5):445-452. doi:10.1016/s0261-5614(03)00042-6

6. Data on file. Apraglutide situation analysis. Ironwood Pharmaceuticals. October 2023. Accessed March 19, 2024.

7. Jeppesen PB, Chen K, Murphy R, Shahraz S, Goodwin B. Impact on caregivers of adult patients receiving parenteral support for short-bowel syndrome with intestinal failure: A multinational, cross-sectional survey. JPEN J Parenter Enteral Nutr. 2022;46(4):905-914. doi:10.1002/jpen.2248