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Prevalence of irritable bowel syndrome according to different diagnostic criteria in a non-selected adult population.
Aliment Pharmacol Ther 2004; 20(3):339-45AP

Abstract

BACKGROUND

Prevalence of irritable bowel syndrome shows great variation among epidemiological studies, which may be due to different diagnostic criteria.

AIM

To assess prevalence of irritable bowel syndrome according to various diagnostic criteria and to study differences in symptom severity, psychopathology, and use of health care resources between subjects fulfilling different diagnostic criteria.

METHODS

A questionnaire was mailed to 5000 randomly selected adults. Presence of irritable bowel syndrome was assessed by four diagnostic criteria: Manning 2 (at least two Manning symptoms), Manning 3 (at least three Manning symptoms), Rome I and Rome II.

RESULTS

Response rate was 73%. Prevalence of irritable bowel syndrome by Manning 2, Manning 3, Rome I and Rome II criteria was 16.2%, 9.7%, 5.6%, and 5.1% respectively. Of those fulfilling Rome II criteria, 97% fulfilled Manning 2. Severe or very severe abdominal pain was reported by 27-30% of Manning-positive subjects, and 44% of Rome-positives. Prevalence of depression in Manning 2, and Rome II groups was 30.6 and 39.3%.

CONCLUSIONS

Prevalence of irritable bowel syndrome by Rome II criteria is considerably lower than by Manning criteria. Subjects fulfilling Rome criteria form a subgroup of Manning-positive subjects with more severe abdominal symptoms, more psychopathology, and more frequent use of the health care system.

Authors+Show Affiliations

Department of Medicine, Division of Gastroenterology, Helsinki University Central Hospital, Helsinki, Finland. markku.hillila@hus.fiNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15274671

Citation

Hillilä, M T., and M A. Färkkilä. "Prevalence of Irritable Bowel Syndrome According to Different Diagnostic Criteria in a Non-selected Adult Population." Alimentary Pharmacology & Therapeutics, vol. 20, no. 3, 2004, pp. 339-45.
Hillilä MT, Färkkilä MA. Prevalence of irritable bowel syndrome according to different diagnostic criteria in a non-selected adult population. Aliment Pharmacol Ther. 2004;20(3):339-45.
Hillilä, M. T., & Färkkilä, M. A. (2004). Prevalence of irritable bowel syndrome according to different diagnostic criteria in a non-selected adult population. Alimentary Pharmacology & Therapeutics, 20(3), pp. 339-45.
Hillilä MT, Färkkilä MA. Prevalence of Irritable Bowel Syndrome According to Different Diagnostic Criteria in a Non-selected Adult Population. Aliment Pharmacol Ther. 2004 Aug 1;20(3):339-45. PubMed PMID: 15274671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence of irritable bowel syndrome according to different diagnostic criteria in a non-selected adult population. AU - Hillilä,M T, AU - Färkkilä,M A, PY - 2004/7/28/pubmed PY - 2004/12/17/medline PY - 2004/7/28/entrez SP - 339 EP - 45 JF - Alimentary pharmacology & therapeutics JO - Aliment. Pharmacol. Ther. VL - 20 IS - 3 N2 - BACKGROUND: Prevalence of irritable bowel syndrome shows great variation among epidemiological studies, which may be due to different diagnostic criteria. AIM: To assess prevalence of irritable bowel syndrome according to various diagnostic criteria and to study differences in symptom severity, psychopathology, and use of health care resources between subjects fulfilling different diagnostic criteria. METHODS: A questionnaire was mailed to 5000 randomly selected adults. Presence of irritable bowel syndrome was assessed by four diagnostic criteria: Manning 2 (at least two Manning symptoms), Manning 3 (at least three Manning symptoms), Rome I and Rome II. RESULTS: Response rate was 73%. Prevalence of irritable bowel syndrome by Manning 2, Manning 3, Rome I and Rome II criteria was 16.2%, 9.7%, 5.6%, and 5.1% respectively. Of those fulfilling Rome II criteria, 97% fulfilled Manning 2. Severe or very severe abdominal pain was reported by 27-30% of Manning-positive subjects, and 44% of Rome-positives. Prevalence of depression in Manning 2, and Rome II groups was 30.6 and 39.3%. CONCLUSIONS: Prevalence of irritable bowel syndrome by Rome II criteria is considerably lower than by Manning criteria. Subjects fulfilling Rome criteria form a subgroup of Manning-positive subjects with more severe abdominal symptoms, more psychopathology, and more frequent use of the health care system. SN - 0269-2813 UR - https://www.unboundmedicine.com/medline/citation/15274671/Prevalence_of_irritable_bowel_syndrome_according_to_different_diagnostic_criteria_in_a_non_selected_adult_population_ L2 - https://doi.org/10.1111/j.1365-2036.2004.02034.x DB - PRIME DP - Unbound Medicine ER -