W1379 Predictors of Satisfaction With Care Among Patients With Irritable Bowel Syndrome (IBS)
| Autor: | Yuming J. Hu, William F. Norton, Shrikant I. Bangdiwala, Carolyn B. Morris, Spencer D. Dorn, Douglas A. Drossman, Nancy J. Norton |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
education.field_of_study
medicine.medical_specialty Abdominal pain Hepatology Narcotic business.industry medicine.medical_treatment Population Gastroenterology medicine.disease Logistic regression Quality of life Internal medicine Health care medicine Anxiety medicine.symptom education business Irritable bowel syndrome |
| Zdroj: | Gastroenterology. 138:S-711 |
| ISSN: | 0016-5085 |
| DOI: | 10.1016/s0016-5085(10)63270-2 |
| Popis: | BACKGROUND: While treating irritable bowel syndrome (IBS) with narcotics is inadvisable (Grunkemeier DMS et al. Clin Gastroenterol Hep 2007), we have observed frequent narcotic use in this population. To better care for these individuals it is important to understand the reasons for their narcotic usage. METHODS: 1,787 adult patients with physician-diagnosed IBS who met Rome III criteria completed an internet-based questionnaire. This assessed:demographic characteristics, clinical features (subtype, duration, severity, most bothersome symptom), self-rated health and quality of life (IBS-QOL), psychological factors (anxiety and depression), health care utilization (number of physician visits for IBS in the last 6 months, hospitalizations in the last 2 years, and lifetime surgeries), satisfaction with care, and medications currently used (Drossman DA et al. J Clin Gastroenterol 2009). Bivariate analyses and then logistic regression analyses were performed to determine factors related to current use of narcotics (other than tincture of opium). RESULTS: A total of 325 (18.2%) patients reported currently using narcotics. On multivariate analyses (see Table) those who had more abdominal pain, lower self-rated health, more IBS related limitations, a greater number of prior hospitalizations and surgeries, and currently used anti-depressants, anxiolytics, and anti-acid medications were all more likely to use narcotics. However, the variance explained in the model was only 9.7%, using a pseudo-R-square approximation of variance. CONCLUSIONS: In this survey of IBS patients, we found that narcotics are commonly used and associatedwith several factors: 1) greater pain with poorer health status, 2) use of psychotropic and anti-acid medications and 3) higher hospitalizations and surgeries. The data also indicate that unmeasured factors to be determined likely explain the propensity for narcotic use. [Supported by NIH R24 DK067674 and International Foundation for Functional GI Disorders.] Logistic Regression Predicting Current Narcotic Use among Patients with IBS (n=1,787) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|