Effects of Rome IV Definitions of Functional Dyspepsia Subgroups in Secondary Care
| Autor: | Dirk Staessen, Florencia Carbone, Jan Tack, Philippe Vergauwe, Imke Masuy, Guy Van Roey, Joris Arts, Fabien Wuestenberghs, Karen Van den Houte, Ariane Gerkens, Pascale Latour, Nick Goelen, Philip Caenepeel, Hubert Piessevaux, Jolien Schol, Alain Vandenberghe, Philippe Maldague |
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| Přispěvatelé: | UCL - SSS/IREC/GAEN - Pôle d'Hépato-gastro-entérologie, UCL - (MGD) Service de gastro-entérologie, UCL - (SLuc) Service de gastro-entérologie |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Rome behavioral disciplines and activities Secondary Care Secondary care 03 medical and health sciences symbols.namesake 0302 clinical medicine Bloating Overlapping PDS-EPS Internal medicine Humans Medicine In patient Statistical analysis Dyspepsia Fisher's exact test Hepatology business.industry Dyspeptic Patients digestive oral and skin physiology Gastroenterology food and beverages Postprandial Burning Nausea Postprandial Period Rome iii humanities digestive system diseases Postprandial Pain Abdominal Pain Distress Gastroduodenal Questionnaire Postprandial 030220 oncology & carcinogenesis “Adapted” PDS Group symbols population characteristics Female 030211 gastroenterology & hepatology business |
| Zdroj: | Clinical gastroenterology and hepatology, Vol. 19, no. 8, p. 1620-1626 (2021) |
| Popis: | BACKGROUND & AIMS: Functional dyspepsia (FD) is subdivided into postprandial distress syndrome (PDS) and epigastric pain syndrome (EPS) according to the Rome III consensus. In clinical practice, there is a major overlap between these subgroups. The Rome IV criteria included postprandially occurring symptoms in the PDS subgroup. We aimed to analyze the effects of the Rome IV criteria, compared with Rome III, on FD subgroups in patients recruited from secondary care. METHODS: Patients with FD (n = 224; mean age, 43 ± 1 y; 77% women) were recruited from secondary-care units in Belgium and filled out symptom questionnaires, allowing subdivision according to Rome III and Rome IV criteria and identification of postprandial symptoms. Symptom patterns and demographics were compared between the subgroups. Statistical analysis was performed using the t test and the Fisher exact test. RESULTS: According to the Rome III criteria, 25% of participants had PDS, 8% had EPS, and 67% had an overlap. Postprandial fullness, early satiation, and bloating were present in significantly more patients in the PDS and overlap groups than the EPS group (P < .0001). A higher proportion of patients in the overlap group showed symptoms such as postprandial epigastric pain and nausea than in the EPS group (both P ≤ .02). With the Rome IV criteria, the overlap group was reduced to 35%; 57% of patients were considered to have PDS and 8% to have EPS. Postprandial pain was significantly more prevalent in the PDS than in the EPS group (P ≤ .002), and postprandial nausea was significantly more prevalent in the PDS group than the overlap group (P = .007). CONCLUSIONS: Compared with Rome III criteria, the Rome IV criteria significantly reduces the overlap between PDS and EPS groups. Studies are needed to determine if Rome IV subgroups are associated differently with psychological comorbidities and treatment responses. ispartof: Clin Gastroenterol Hepatol vol:19 issue:8 pages:1620-1626 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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