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Patients with irritable bowel syndrome in primary care appear not to be heavy healthcare utilizers.

Abstract

BACKGROUND

Irritable bowel syndrome is a frequently diagnosed gastrointestinal condition in general practice. Managing this chronic condition requires a co-ordinated effort between patient and doctor.

AIM

To explore the patterns of treatment and healthcare utilization of irritable bowel syndrome cases in a Swedish primary care setting.

METHODS

All cases with a registered diagnosis of irritable bowel syndrome were identified retrospectively for a 5-year period through computerized medical records at three primary healthcare centres in Sweden. Documentation of diagnosis, healthcare visits, treatments, investigations, medications, referrals, laboratory tests, mental and demographic data were retrieved from the records.

RESULTS

Of all 723 irritable bowel syndrome patients identified, only 37% had a follow-up appointment to their General Practitioner during the study period. For 80%, the General Practitioner initiated some treatment during the initial consultation and 75% were prescribed medication. Fibre and bulking laxatives and acid-suppressive drugs were the most common medication. Almost a quarter was referred for complementary investigations at hospital, only 8.9% of the irritable bowel syndrome patients were referred to a specialist investigation. Laboratory investigations varied and were ordered more frequently (P = 0.05) for men.

CONCLUSIONS

Irritable bowel syndrome patients appear not to be heavy utilizers of primary care and, of those who attend, the majority are managed by their General Practitioner.

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  • Authors+Show Affiliations

    ,

    Department of Health and Society, General Practice and Primary Care, Faculty of Health Sciences, Linköping University, Linköping, Sweden. ashfa@ihs.liu.se

    , , ,

    Source

    Alimentary pharmacology & therapeutics 23:6 2006 Mar 15 pg 807-14

    MeSH

    Adolescent
    Adult
    Age Distribution
    Aged
    Child
    Child, Preschool
    Endoscopy, Gastrointestinal
    Family Practice
    Female
    Gastrointestinal Agents
    Humans
    Infant
    Irritable Bowel Syndrome
    Male
    Middle Aged
    Patient Acceptance of Health Care
    Primary Health Care
    Referral and Consultation
    Retrospective Studies
    Sex Distribution
    Sweden

    Pub Type(s)

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

    Language

    eng

    PubMed ID

    16556183

    Citation

    Faresjö, A, et al. "Patients With Irritable Bowel Syndrome in Primary Care Appear Not to Be Heavy Healthcare Utilizers." Alimentary Pharmacology & Therapeutics, vol. 23, no. 6, 2006, pp. 807-14.
    Faresjö A, Grodzinsky E, Foldevi M, et al. Patients with irritable bowel syndrome in primary care appear not to be heavy healthcare utilizers. Aliment Pharmacol Ther. 2006;23(6):807-14.
    Faresjö, A., Grodzinsky, E., Foldevi, M., Johansson, S., & Wallander, M. A. (2006). Patients with irritable bowel syndrome in primary care appear not to be heavy healthcare utilizers. Alimentary Pharmacology & Therapeutics, 23(6), pp. 807-14.
    Faresjö A, et al. Patients With Irritable Bowel Syndrome in Primary Care Appear Not to Be Heavy Healthcare Utilizers. Aliment Pharmacol Ther. 2006 Mar 15;23(6):807-14. PubMed PMID: 16556183.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Patients with irritable bowel syndrome in primary care appear not to be heavy healthcare utilizers. AU - Faresjö,A, AU - Grodzinsky,E, AU - Foldevi,M, AU - Johansson,S, AU - Wallander,M-A, PY - 2006/3/25/pubmed PY - 2006/6/30/medline PY - 2006/3/25/entrez SP - 807 EP - 14 JF - Alimentary pharmacology & therapeutics JO - Aliment. Pharmacol. Ther. VL - 23 IS - 6 N2 - BACKGROUND: Irritable bowel syndrome is a frequently diagnosed gastrointestinal condition in general practice. Managing this chronic condition requires a co-ordinated effort between patient and doctor. AIM: To explore the patterns of treatment and healthcare utilization of irritable bowel syndrome cases in a Swedish primary care setting. METHODS: All cases with a registered diagnosis of irritable bowel syndrome were identified retrospectively for a 5-year period through computerized medical records at three primary healthcare centres in Sweden. Documentation of diagnosis, healthcare visits, treatments, investigations, medications, referrals, laboratory tests, mental and demographic data were retrieved from the records. RESULTS: Of all 723 irritable bowel syndrome patients identified, only 37% had a follow-up appointment to their General Practitioner during the study period. For 80%, the General Practitioner initiated some treatment during the initial consultation and 75% were prescribed medication. Fibre and bulking laxatives and acid-suppressive drugs were the most common medication. Almost a quarter was referred for complementary investigations at hospital, only 8.9% of the irritable bowel syndrome patients were referred to a specialist investigation. Laboratory investigations varied and were ordered more frequently (P = 0.05) for men. CONCLUSIONS: Irritable bowel syndrome patients appear not to be heavy utilizers of primary care and, of those who attend, the majority are managed by their General Practitioner. SN - 0269-2813 UR - https://www.unboundmedicine.com/medline/citation/16556183/Patients_with_irritable_bowel_syndrome_in_primary_care_appear_not_to_be_heavy_healthcare_utilizers_ L2 - https://doi.org/10.1111/j.1365-2036.2006.02815.x DB - PRIME DP - Unbound Medicine ER -