Health care utilization of individuals with Rome IV irritable bowel syndrome in the general population
| Autor: | Jóhann P Hreinsson, Hans Törnblom, Navkiran T. Tornkvist, William E. Whitehead, Olafur S. Palsson, Magnus Simren, Imran Aziz, Ami D. Sperber |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Canada medicine.medical_specialty Abdominal pain Population Health Services Accessibility Insurance Coverage Neurogastroenterology surgery Young Adult Bloating Quality of life health care utilization Surveys and Questionnaires Internal medicine medicine Humans Medical history education health care seeking behaviour Irritable bowel syndrome Aged irritable bowel syndrome education.field_of_study business.industry Age Factors Gastroenterology Odds ratio Middle Aged Patient Acceptance of Health Care medicine.disease United Kingdom United States Oncology gastrointestinal symptoms Case-Control Studies Original Article Female medicine.symptom drug utilization business Abdominal surgery |
| Zdroj: | United European Gastroenterology Journal |
| ISSN: | 2050-6414 2050-6406 |
| DOI: | 10.1002/ueg2.12153 |
| Popis: | Background Irritable bowel syndrome (IBS) is highly prevalent worldwide but mechanisms for healthcare seeking behaviours in this patient group are poorly understood. Objective To describe healthcare utilization and identify factors associated with seeking healthcare amongst IBS subjects in the general population. Methods An internet survey was completed by 6,300 individuals equally distributed between United States, United Kingdom and Canada. The Rome IV diagnostic questionnaire was used to identify subjects with IBS. Data on demographics, medical history, gastrointestinal (GI) and non‐GI symptoms, quality of life and health care consumption was collected. Results A total of 5,931 subjects were included; 274 (4.6%) IBS subjects and 5657 (95.3%) non‐IBS controls. IBS subjects reported more doctor consultations for both GI and other health problems as well as increased use of medication and rate of abdominal surgery (appendectomy excluded). Having healthcare insurance or access to free public healthcare (adjusted odds ratio (AOR) 4.49, 95% confidence interval (CI) 1.31–15.44), followed by high frequency of bloating (AOR 2.65, 95% CI 1.42–4.93) and increasing age (AOR 1.02, 95% CI 1.01–1.05) were found to be independently associated with being an IBS consulter while doctor‐diagnosed IBS subjects were more likely to be female and to report abdominal pain as their most bothersome GI symptom than other consulters with IBS. Conclusion IBS subjects have higher healthcare utilization than non‐IBS controls, medication use and abdominal surgery included. Furthermore, consulters with and without an IBS diagnosis differ in sex distribution and symptom profiles. Hence, awareness of the possibility of unnecessary medical and surgical treatment in IBS subjects and a sex‐related diagnostic bias by doctors is warranted. |
| Databáze: | OpenAIRE |
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