Irritable bowel syndrome: Physicians' awareness and patients' experience

作     者：Linda Bjork Olafsdottir Hallgrímur Gudjonsson Heidur Hrund Jonsdottir Jon Steinar Jonsson Einar Bjornsson Bjarni Thjodleifsson 

作者机构：Department of Gastroenterology Landspitali Faculty of Medicine University of Iceland Hringbraut 101 Reykjavik Iceland The Social Science Research Institute University of Iceland Saemundargotu 2 101 Reykjavik Iceland Gardabaer Health Centre Gardatorgi 7 210 Gardabae Iceland 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2012年第18卷第28期

页      面：3715-3720页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by In part by the Medical Research Fund of the National Hospital of Iceland the Medical Research Fund of Wyeth, Iceland Actavis, Iceland AstraZeneca, Iceland GlaxoSmithKline, Iceland and the Icelandic College of Family Physicians 

主　　题：Irritable bowel syndrome Questionnaire study Diagnostic criteria Manning criteria Rome criteria Physician knowledge 

摘      要：AIM: To study if and how physicians use the irritable bowel syndrome (IBS) diagnostic criteria and to assess treatment strategies in IBS patients. METHODS: A questionnaire was sent to 191 physicians regarding IBS criteria, diagnostic methods and treatment. Furthermore, 94 patients who were diagnosed with IBS underwent telephone interview. RESULTS: A total of 80/191 (41.9%) physicians responded to the survey. Overall, 13 patients were diag-nosed monthly with IBS by specialists in gastroenterology (SGs) and 2.5 patients by general practitioners (GPs). All the SGs knew of the criteria to diagnose IBS, as did 46/70 (65.7%) GPs. Seventy-nine percent used the patient s history, 38% used a physical examination, and 38% exclusion of other diseases to diagnose IBS. Only 18/80 (22.5%) physicians used specific IBS criteria. Of the patients interviewed, 59/94 (62.8%) knew they had experienced IBS. Two out of five patients knew IBS and had seen a physician because of IBS symptoms. Half of those received a diagnosis of IBS. A total of 13% were satisfied with treatment. IBS affected daily activities in 43% of cases. CONCLUSION: Half of the patients with IBS who consulted a physician received a diagnosis. Awareness and knowledge of diagnostic criteria for IBS differ between SGs and GPs.