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.
- MeSH
- Physicians, Primary Care MeSH
- Practice Patterns, Physicians' * statistics & numerical data MeSH
- Humans MeSH
- Attitude of Health Personnel MeSH
- Primary Health Care MeSH
- Surveys and Questionnaires MeSH
- Irritable Bowel Syndrome * diagnosis therapy MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Europe MeSH
- United States MeSH
První vydání 219 stran : ilustrace ; 21 cm
Příručka, která se zaměřuje na poruchy příjmu potravy u dětí a na jejich zvládání. Určeno široké veřejnosti, rodičům.; Konečně v tom se svými malými dětmi nejste sami. V rukou držíte praktického průvodce pro rodiče dětí, které bojují s problémy při jídle – od vybíravosti, přes neochotu u jídla sedět, až po neschopnost jídlo rozžvýkat. Knížka nabízí srozumitelný a odborně podložený pohled na stravovací obtíže u dětí a poskytuje konkrétní rady, jak tyto problémy řešit. Vysvětluje, že odmítání jídla není rozmar ani vědomé rozhodnutí vašeho dítěte. Nabízí praktická řešení, jak podpořit dítě v překonání obtíží a vrátit celé rodině radost z každodenního společného stolování. Dočtete se: • Jak rozpoznat příčiny problémů s jídlem? • Jak nastavit vhodnou strukturu jídla? • Jak vytvořit bezpečnou a laskavou atmosféru u stolu? • Jak rozvíjet motorické a smyslové dovednosti spojené s jídlem?
- MeSH
- Child Behavior MeSH
- Feeding and Eating Disorders of Childhood * MeSH
- Parents MeSH
- Feeding Behavior MeSH
- Child Rearing MeSH
- Publication type
- Popular Work MeSH
- Handbook MeSH
- Conspectus
- Pediatrie
- NML Fields
- pediatrie
- psychiatrie
- zdravotní výchova
- MeSH
- History, 20th Century MeSH
- Music history MeSH
- Cookbooks as Topic * MeSH
- Feeding Behavior * MeSH
- Check Tag
- History, 20th Century MeSH
- Publication type
- Historical Article MeSH
- MeSH
- Red Meat MeSH
- Humans MeSH
- Fast Foods MeSH
- Feeding Behavior MeSH
- Nutrition Policy * MeSH
- Recommended Dietary Allowances * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- Geographicals
- Scandinavian and Nordic Countries MeSH
- MeSH
- Databases as Topic MeSH
- Diagnostic Equipment MeSH
- Energy Intake MeSH
- Nutrition Assessment * MeSH
- Health Resorts MeSH
- Humans MeSH
- Obesity epidemiology etiology prevention & control MeSH
- Health Promotion methods MeSH
- Malnutrition epidemiology etiology complications prevention & control MeSH
- Eating MeSH
- Feeding Behavior MeSH
- Nutrition Surveys * methods instrumentation MeSH
- Health Education methods MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- Keywords
- Mary's meals,
- MeSH
- History, 20th Century MeSH
- Child MeSH
- Charities history organization & administration MeSH
- Famine prevention & control MeSH
- Humans MeSH
- Nutritive Value MeSH
- Food MeSH
- Developing Countries MeSH
- Schools organization & administration MeSH
- Food Services * history MeSH
- Feeding Behavior MeSH
- Sustainable Growth MeSH
- Check Tag
- History, 20th Century MeSH
- Child MeSH
- Humans MeSH
- About
- Mary’s Meals
- MeSH
- History, 20th Century MeSH
- Motion Pictures * MeSH
- Food Services history MeSH
- Feeding Behavior * MeSH
- Check Tag
- History, 20th Century MeSH
- Publication type
- Essay MeSH
- Keywords
- STOB,
- MeSH
- Child MeSH
- Obesity Management methods MeSH
- Humans MeSH
- Pediatric Obesity * prevention & control therapy MeSH
- Family psychology MeSH
- Dietary Patterns psychology MeSH
- Feeding Behavior psychology MeSH
- Mindfulness methods MeSH
- Child Rearing MeSH
- Health Behavior MeSH
- Healthy Lifestyle MeSH
- Check Tag
- Child MeSH
- Humans MeSH
