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.
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.
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
关键词
胃肠病
综合征
医生
诊断方法
BS标准
IBS
SGS
身体检查
Irritable bowel syndrome
Questionnaire study
Diagnostic criteria
Manning criteria
Rome criteria
Physician knowledge
