Costs of care for irritable bowel syndrome patients in a health maintenance organization

Levy, Rona L.; Korff, Michael Von; Whitehead, William E.; Stang, Paul; Saunders, Kathleen; Jhingran, Priti; Barghout, Victoria; Feld, Andrew D.

doi:10.1016/s0002-9270(01)03820-5

Cited by 89 publications

(88 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Both somatic and psychiatric comorbidity are well known clinical features of patients with IBS which are associated with increased use of health resources and a poor outcome. 17,[19][20][21] GPs recognize patients with IBS to be polysymptomatic and it has been suggested that noncolonic symptoms could result in a more accurate diagnosis of IBS. 17,22 However, although guidelines for IBS recommend a general therapeutic approach, they place little emphasis on comorbid somatic symptoms.…”

Section: Discussionmentioning

confidence: 99%

Comorbidity of irritable bowel syndrome in general practice: a striking feature with clinical implications

Vandvik

Wilhelmsen

Ihlebæk

et al. 2004

Aliment Pharmacol Ther

142

101

View full text Add to dashboard Cite

Summary Background : Somatic comorbid symptoms might identify irritable bowel syndrome patients with different aetiologies and needs of treatment. Aims : To measure comorbid symptoms in patients with irritable bowel syndrome in general practice, and to explore characteristics of patients with low, intermediate and high somatic comorbidity. Methods : Prospective study of 208 of 278 consecutive patients with irritable bowel syndrome (Rome II) in nine general practices. Questionnaires assessed 22 comorbid symptoms (subjective health complaint inventory), psychosocial factors including psychological distress (Symptom Check list‐10) and quality of life (Short form‐12). Subjective health complaint data from 1240 adults (controls) constituted a reference material. Patients with low, intermediate and high somatic comorbidity were identified by a somatic comorbidity score (17 subjective health complaint items). Health care seeking was assessed after 6–9 months. Results : Patients with irritable bowel syndrome (67% females, mean age 50, s.d. 16) reported 20 of 22 comorbid symptoms significantly more frequent than controls (odds ratios = 2–7, P < 0.001). The somatic comorbidity score correlated with psychological distress (R = 0.46, P < 0.001). Patients with high somatic comorbidity reported higher levels of mood disorder, health anxiety, neuroticism, adverse life events and reduced quality of life and increased health care seeking when compared to those with low and intermediate somatic comorbidity (P‐values < 0.05). Conclusions : Our findings support the hypothesis that structured assessment of comorbid somatic symptoms might identify subgroups with different aetiology and needs of treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Comorbidity of irritable bowel syndrome in general practice: a striking feature with clinical implications

Vandvik

Wilhelmsen

Ihlebæk

et al. 2004

Aliment Pharmacol Ther

142

101

View full text Add to dashboard Cite

show abstract

“…22 Notably, in studies comparing IBS or CC patients with controls without these FGIDs, costs were significantly higher in IBS or CC patients (Table 2). 17,[23][24][25][26][27][28] There are a number of possible reasons for this wide variation. Methodological differences such as definitions of IBS or CC, methods for identifying patients with these conditions, valuation years, regional cost differences, and different categories of service studied are likely factors.…”

Section: Studies Assessing Humanistic Burden Of Diseasementioning

confidence: 99%

A Systematic Review of the Economic and Humanistic Burden of Illness in Irritable Bowel Syndrome and Chronic Constipation

Nellesen

Yee²,

Chawla³

et al. 2013

JMCP

195

154

View full text Add to dashboard Cite

BACKGROUND: Irritable bowel syndrome (IBS) and chronic constipation (CC) are common functional gastrointestinal disorders affecting 14% and 20% of the U.S. population, respectively. Reviews of the evidence on the burden of illness associated with IBS and CC have not been comprehensive in scope and have not provided an assessment of the distribution of health care costs across categories of resource use.

show abstract

“…[4][5][6][7][8][9][10][11][12][13][14][15] The impact of irritable bowel syndrome on society in terms of direct medical expenses and indirect social costs is considerable. 16,17 For example, it is the leading diagnosis among digestive tract diseases in outpatient gastroenterology clinics. 18 Irritable bowel syndrome patients often have more gastrointestinal-related or even non-gastrointestinal related physician visits than people who do not meet the irritable bowel syndrome criteria.…”

Section: Introductionmentioning

confidence: 99%

Current patterns of irritable bowel syndrome in Taiwan: the Rome II questionnaire on a Chinese population

Chen

Lang

et al. 2003

Aliment Pharmacol Ther

120

View full text Add to dashboard Cite

SummaryBackground : Irritable bowel syndrome is a common condition seen in Western countries. In Asia, however, it is less known and even less studied.Aim : To determine the prevalence and social impact of irritable bowel syndrome as well as the health‐seeking behaviour of irritable bowel syndrome patients in TaiwanMethods : Using the modified Rome II questionnaire, a survey was carried out in a population receiving physical check‐up (n = 2865).Results : The prevalence of irritable bowel syndrome in Taiwan was 22.1% and 17.5% (κ = 0.73) according to the Rome II and I criteria, respectively. No gender difference was found between subjects with and without irritable bowel syndrome symptoms. Irritable bowel syndrome subjects were likely to undertake an excessive number of physician‐visits (P < 0.01). Such subjects were often absent from work/school, with more days of absenteeism than irritable bowel syndrome‐free subjects (P < 0.01). They also suffered obvious sleep disturbance (P < 0.01). Nearly half of the irritable bowel syndrome subjects were ‘consulters’, and they were more likely to have frequent physician‐visits, suffer from work/school absenteeism, and endure sleep disturbance and bowel symptoms than irritable bowel syndrome nonconsulters (P < 0.05).Conclusions : Irritable bowel syndrome is common in a Chinese population of Taiwan. Similar to irritable bowel syndrome in the West, it also involves significant social and medical burdens. However, in the irritable bowel syndrome subjects of Taiwan there is no gender difference, and more irritable bowel syndrome subjects will seek physician consultations, which may be due to Taiwan's easily accessible and affordable heath care facilities.

show abstract

Costs of care for irritable bowel syndrome patients in a health maintenance organization

Cited by 89 publications

References 24 publications

Comorbidity of irritable bowel syndrome in general practice: a striking feature with clinical implications

Comorbidity of irritable bowel syndrome in general practice: a striking feature with clinical implications

A Systematic Review of the Economic and Humanistic Burden of Illness in Irritable Bowel Syndrome and Chronic Constipation

Current patterns of irritable bowel syndrome in Taiwan: the Rome II questionnaire on a Chinese population

Contact Info

Product

Resources

About