• Je něco špatně v tomto záznamu ?

Perceptions and Practices of Primary Care Providers in Europe and the US in the Diagnosis and Treatment of Irritable Bowel Syndrome: A Multinational Survey

JJ. Heidelbaugh, AP. Hungin, OS. Palsson, F. Anastasiou, L. Agreus, P. Fracasso, HI. Maaroos, JR. Matic, JM. Mendive, B. Seifert, DA. Drossman

. 2025 ; 37 (2) : e14967. [pub] 20241120

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc25010095

BACKGROUND: The knowledge and proficiency of primary care practitioners (PCPs) in diagnosing and managing irritable bowel syndrome (IBS) remain generally low and variable internationally. This variability is partly due to a lack of familiarity with the Rome Foundation diagnostic criteria and treatment guidelines for this condition. METHODS: We conducted an electronic survey of PCPs in the United States and nine European countries to assess their understanding of IBS pathophysiology; the use of Rome IV criteria in diagnosis, knowledge of and frequency in prescribing various recommended treatments; and the likelihood of referring patients with suspected IBS to subspecialists. RESULTS: Most PCPs in the United States and Europe perceive IBS as a diagnosis of exclusion rather than a definitive diagnosis. They also believe IBS is underdiagnosed in primary care and challenging to diagnose confidently. The majority of PCPs consider diet as a crucial component of IBS management. Notably, US PCPs reported greater confidence than their European counterparts in recommending dietary interventions such as increased dietary fiber, a low FODMAP diet, and gluten restriction. Conversely, both groups exhibited moderate to high confidence in recommending over-the-counter treatments. European PCPs showed greater confidence in treating IBS with antispasmodics and secretagogues, while US PCPs expressed greater confidence in prescribing neuromodulators. Additionally, US PCPs were more likely to refer patients with suspected IBS to a gastroenterologist, whereas both US and European PCPs showed similar referral patterns to dietitians and referred very few patients to mental health providers. Both US and European PCPs reported that IBS is moderately to extremely difficult to treat effectively and emphasized the importance of a strong and longitudinal doctor-patient relationship in managing the condition. CONCLUSION: Despite the Rome Foundation recommendations and criteria to support a positive diagnosis of IBS, most PCPs still rely on exclusionary investigations such as endoscopy and a serologic workup, while a significant percentage suggest referring patients to gastroenterologists.

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc25010095
003      
CZ-PrNML
005      
20250429134843.0
007      
ta
008      
250415s2025 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1111/nmo.14967 $2 doi
035    __
$a (PubMed)39568286
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Heidelbaugh, Joel J $u Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
245    10
$a Perceptions and Practices of Primary Care Providers in Europe and the US in the Diagnosis and Treatment of Irritable Bowel Syndrome: A Multinational Survey / $c JJ. Heidelbaugh, AP. Hungin, OS. Palsson, F. Anastasiou, L. Agreus, P. Fracasso, HI. Maaroos, JR. Matic, JM. Mendive, B. Seifert, DA. Drossman
520    9_
$a BACKGROUND: The knowledge and proficiency of primary care practitioners (PCPs) in diagnosing and managing irritable bowel syndrome (IBS) remain generally low and variable internationally. This variability is partly due to a lack of familiarity with the Rome Foundation diagnostic criteria and treatment guidelines for this condition. METHODS: We conducted an electronic survey of PCPs in the United States and nine European countries to assess their understanding of IBS pathophysiology; the use of Rome IV criteria in diagnosis, knowledge of and frequency in prescribing various recommended treatments; and the likelihood of referring patients with suspected IBS to subspecialists. RESULTS: Most PCPs in the United States and Europe perceive IBS as a diagnosis of exclusion rather than a definitive diagnosis. They also believe IBS is underdiagnosed in primary care and challenging to diagnose confidently. The majority of PCPs consider diet as a crucial component of IBS management. Notably, US PCPs reported greater confidence than their European counterparts in recommending dietary interventions such as increased dietary fiber, a low FODMAP diet, and gluten restriction. Conversely, both groups exhibited moderate to high confidence in recommending over-the-counter treatments. European PCPs showed greater confidence in treating IBS with antispasmodics and secretagogues, while US PCPs expressed greater confidence in prescribing neuromodulators. Additionally, US PCPs were more likely to refer patients with suspected IBS to a gastroenterologist, whereas both US and European PCPs showed similar referral patterns to dietitians and referred very few patients to mental health providers. Both US and European PCPs reported that IBS is moderately to extremely difficult to treat effectively and emphasized the importance of a strong and longitudinal doctor-patient relationship in managing the condition. CONCLUSION: Despite the Rome Foundation recommendations and criteria to support a positive diagnosis of IBS, most PCPs still rely on exclusionary investigations such as endoscopy and a serologic workup, while a significant percentage suggest referring patients to gastroenterologists.
650    12
$a syndrom dráždivého tračníku $x diagnóza $x terapie $7 D043183
650    _2
$a lidé $7 D006801
650    12
$a lékařská praxe - způsoby provádění $x statistika a číselné údaje $7 D010818
650    _2
$a lékaři primární péče $7 D058007
650    _2
$a průzkumy a dotazníky $7 D011795
650    _2
$a primární zdravotní péče $7 D011320
650    _2
$a mužské pohlaví $7 D008297
650    _2
$a ženské pohlaví $7 D005260
650    _2
$a postoj zdravotnického personálu $7 D001291
651    _2
$a Evropa $7 D005060
651    _2
$a Spojené státy americké $7 D014481
655    _2
$a časopisecké články $7 D016428
700    1_
$a Hungin, A Pali $u Primary Care and General Practice, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
700    1_
$a Palsson, Olafur S $u Division of Gastroenterology and Hepatology, Center for Functional Gastrointestinal and Motility Disorders, University of North Carolina, Chapel Hill, North Carolina, USA $1 https://orcid.org/0000000244803708
700    1_
$a Anastasiou, Foteini $u 4th Local Primary Care Team (TOMY), Municipality Practice, Academic Practice of Heraklion, Crete, Greece
700    1_
$a Agreus, Lars $u Division of Family Medicine and Primary Care, Karolinska Institutet, Stockholm, Sweden
700    1_
$a Fracasso, Pierluigi $u Italian Group for Primary Care Gastroenterology, Rome, Italy
700    1_
$a Maaroos, Heidi-Ingrid $u Faculty of Medicine, University of Tartu, Tartu, Estonia
700    1_
$a Matic, Jalena Rakik $u Health Center Zagreb West, Family Medicine Practice, Zagreb, Croatia
700    1_
$a Mendive, Juan M $u La Mina Primary Health Care Academic Centre, Catalan Health Institute (ICS), training Unit of Family Medicine, University of Barcelona, Barcelona, Spain
700    1_
$a Seifert, Bohumil $u Institute of General Practice, First Faculty of Medicine, Charles University, Prague, Czech Republic
700    1_
$a Drossman, Douglas A $u Center for Education and Practice of Biopsychosocial Care, Drossman Gastroenterology, Center for Functional Gastrointestinal and Motility Disorders at the University of North Carolina, hapel Hill, North Carolina, USA $u The Rome Foundation, Raleigh, North Carolina, USA
773    0_
$w MED00005047 $t Neurogastroenterology and motility $x 1365-2982 $g Roč. 37, č. 2 (2025), s. e14967
856    41
$u https://pubmed.ncbi.nlm.nih.gov/39568286 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y - $z 0
990    __
$a 20250415 $b ABA008
991    __
$a 20250429134838 $b ABA008
999    __
$a ok $b bmc $g 2311453 $s 1247176
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2025 $b 37 $c 2 $d e14967 $e 20241120 $i 1365-2982 $m Neurogastroenterology and motility $n Neurogastroenterol Motil $x MED00005047
LZP    __
$a Pubmed-20250415

Najít záznam

Citační ukazatele

Možnosti archivace