Tags

Type your tag names separated by a space and hit enter

Irritable bowel syndrome in office-based practice in the United States.

Abstract

United States estimates of the frequency of visits to physicians and patterns of medical care for the diagnosis of the irritable bowel syndrome were derived from the 1975, 1980-1981, and 1985 National Ambulatory Medical Care Surveys. These surveys of office-based physicians allow national estimates of various aspects of ambulatory care. The overall rate of visits with the diagnosis of irritable bowel syndrome in 1980-1981 and 1985 were 10.6 per thousand U.S. population. Women had 2.4 times the rate of visits by men and rates rose in both sexes until middle-age. Irritable bowel syndrome was the leading digestive disease diagnosis among gastroenterologists but only the seventh leading diagnosis among all physicians. Gastrointestinal symptoms, association with mental disorders, prescriptions, and disposition were also examined in patients with visits for irritable bowel syndrome. Among records with digestive tract symptoms and a first listed diagnosis of irritable bowel syndrome, stomach or abdominal pain was listed on only about one half of records and disorders of bowel function were listed on fewer than 40%. In 1975 and 1985, irritable bowel syndrome was noted approximately twice as often as other digestive diseases at visits with mental disorder symptoms and diagnosis, although mental disorder symptoms and diagnoses were noted at fewer than 15% of visits with irritable bowel syndrome. Medications were prescribed at approximately 75% of visits for irritable bowel syndrome; the most common were gastrointestinal medications followed by combination gastrointestinal-psychoactive medications. Subsequent appointments were scheduled following at least 50% of the visits of patients with irritable bowel syndrome.

Links

  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland.

    Source

    Gastroenterology 100:4 1991 Apr pg 998-1005

    MeSH

    Adolescent
    Adult
    Aged
    Colonic Diseases, Functional
    Diagnosis, Differential
    Female
    Humans
    Male
    Middle Aged
    Office Visits
    United States

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    2001837

    Citation

    Everhart, J E., and P F. Renault. "Irritable Bowel Syndrome in Office-based Practice in the United States." Gastroenterology, vol. 100, no. 4, 1991, pp. 998-1005.
    Everhart JE, Renault PF. Irritable bowel syndrome in office-based practice in the United States. Gastroenterology. 1991;100(4):998-1005.
    Everhart, J. E., & Renault, P. F. (1991). Irritable bowel syndrome in office-based practice in the United States. Gastroenterology, 100(4), pp. 998-1005.
    Everhart JE, Renault PF. Irritable Bowel Syndrome in Office-based Practice in the United States. Gastroenterology. 1991;100(4):998-1005. PubMed PMID: 2001837.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Irritable bowel syndrome in office-based practice in the United States. AU - Everhart,J E, AU - Renault,P F, PY - 1991/4/1/pubmed PY - 1991/4/1/medline PY - 1991/4/1/entrez SP - 998 EP - 1005 JF - Gastroenterology JO - Gastroenterology VL - 100 IS - 4 N2 - United States estimates of the frequency of visits to physicians and patterns of medical care for the diagnosis of the irritable bowel syndrome were derived from the 1975, 1980-1981, and 1985 National Ambulatory Medical Care Surveys. These surveys of office-based physicians allow national estimates of various aspects of ambulatory care. The overall rate of visits with the diagnosis of irritable bowel syndrome in 1980-1981 and 1985 were 10.6 per thousand U.S. population. Women had 2.4 times the rate of visits by men and rates rose in both sexes until middle-age. Irritable bowel syndrome was the leading digestive disease diagnosis among gastroenterologists but only the seventh leading diagnosis among all physicians. Gastrointestinal symptoms, association with mental disorders, prescriptions, and disposition were also examined in patients with visits for irritable bowel syndrome. Among records with digestive tract symptoms and a first listed diagnosis of irritable bowel syndrome, stomach or abdominal pain was listed on only about one half of records and disorders of bowel function were listed on fewer than 40%. In 1975 and 1985, irritable bowel syndrome was noted approximately twice as often as other digestive diseases at visits with mental disorder symptoms and diagnosis, although mental disorder symptoms and diagnoses were noted at fewer than 15% of visits with irritable bowel syndrome. Medications were prescribed at approximately 75% of visits for irritable bowel syndrome; the most common were gastrointestinal medications followed by combination gastrointestinal-psychoactive medications. Subsequent appointments were scheduled following at least 50% of the visits of patients with irritable bowel syndrome. SN - 0016-5085 UR - https://www.unboundmedicine.com/medline/citation/2001837/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/0016-5085(91)90275-P DB - PRIME DP - Unbound Medicine ER -