El escrutinio diagnóstico limitado puede disminuir el impacto económico directo del síndrome de intestino irritable (SII)

Schmulson, Max

doi:10.4067/s0034-98872008001100005

Cited by 5 publications

(3 citation statements)

References 24 publications

(25 reference statements)

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“…El porcentaje de pacientes que consulta al médico es similar al descrito en otro estudio 28 ; llama la atención que la mayor parte de los exámenes realizados (endoscopia digestiva alta) y la terapia administrada (bloqueadores de la bomba de protones) guardan poca relación con los síntomas que probablemente los pacientes relataron a sus médicos tratantes, lo cual puede significar un importante impacto económico para las organizaciones locales de salud 40 .…”

Section: Impacto Médicounclassified

Prevalencia de síntomas de intestino irritable en población asistente a centros comerciales de Santiago de Chile

Madrid-Silva

Defilippi-Caffri

Landskron-Ramos

et al. 2013

Revista de Gastroenterología de México

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Section: Impacto Médicounclassified

Prevalencia de síntomas de intestino irritable en población asistente a centros comerciales de Santiago de Chile

Madrid-Silva

Defilippi-Caffri

Landskron-Ramos

et al. 2013

Revista de Gastroenterología de México

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“…127,144,161,168,175,197,198 Relatively little is known of the socioeconomic impact of IBS outside the west. In Mexico, patients with IBS consume considerable amounts of such medical resources as laboratory tests and imaging studies, especially in the private sector 199 Few studies have examined the evolution of symptoms over time, the integrity of the diagnosis (and thus the likelihood of other diagnoses being made), mortality or morbidity in long-term follow-up studies in nonwestern communities. A serious (and not very well described) impact of IBS relates to its potential to impair the patientdoctor relationship.…”

Section: Demographic Characteristics Of Ibs Patientsmentioning

confidence: 99%

A Global Perspective on Irritable Bowel Syndrome

Quigley

Abdel-Hamid

Barbara

et al. 2012

Journal of Clinical Gastroenterology

116

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Irritable bowel syndrome (IBS) is common in western Europe and North America, and many aspects of its epidemiology, risk factors, and natural history have been described in these regions. Recent data suggest, however, that IBS is also common in the rest of the world and there has been some evidence to suggest some differences in demographics and presenting features between IBS in the west and as it is experienced elsewhere. The World Gastroenterology Organization, therefore, established a Task Force comprising experts on the topic from all parts of the world to examine IBS from a global perspective. IBS does, indeed, seem to be common worldwide though with some significant variations in prevalence rates between regions and countries and there may well be some potentially interesting variations in presenting symptoms and sex distribution. The global map of IBS is far from complete; community-based prevalence data is not available from many areas. Furthermore, while some general trends are evident in terms of IBS impact and demographics, international comparisons are hampered by differences in diagnostic criteria, study location and methodology; several important unanswered questions have been identified that should form the basis for future collaborative research and have the potential to shed light on this challenging disorder.

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“…28 It is conspicuous that the majority of the tests done (upper gastrointestinal endoscopy) and the therapy administered (proton pump inhibitors) had little relation to the symptoms the patients most likely described to their attending physicians; this can have an important economic impact on local health organizations. 40 It is possible that, depending on the respective speciality of the attending physician, fewer diagnostic criteria of functional gastrointestinal disorders, in accordance with the symptoms reported by the patient, are employed. As a result, a greater difference between the question asked by the attending physician and the interpretation of the patient's response would be observed.…”

Section: Medical Impactmentioning

confidence: 99%

The prevalence of irritable bowel symptoms in a population of shopping mall visitors in Santiago de Chile

Madrid-Silva

Defilippi-Caffri

Landskron-Ramos

et al. 2013

Revista de Gastroenterología de México (English Edition)

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Background: Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder characterized by abdominal pain or discomfort that is associated with altered bowel habit. Both its prevalence and clinical characteristics vary throughout Latin America. A percentage of patients does not seek medical attention, therefore a reliable prevalence figure can only be established by interviewing non-selected populations. Aims: To study the prevalence and clinical characteristics of IBS symptoms in non-selected subjects in Santiago, Chile. Methods: A total of 437 shopping mall visitors above the age of 15 years (246 women) participated in the study by answering the Rome II validated questionnaire for IBS. The demographic and socioeconomic backgrounds, comorbidities, and a family history of IBS were registered. Results: A total of 64.1% subjects reported having gastrointestinal symptoms and 28.6% had symptoms suggestive of IBS. When the subjects with IBS symptoms were compared with the asymptomatic individuals, a predominance of women (65.6 vs 42.9, p < 0.001) and a greater cholecystectomy frequency (33.6 vs 12.9% p < 0.05) were observed in the former. The age of symptom onset was 30.4 years. An equal percentage of subjects (42.4%) presented with diarrhea and constipation and 15.2% presented with alternating IBS. Participants with a higher educational level reported a lower percentage of IBS (p < 0.05). A family history of the disease was present in 40% of the subjects with IBS, compared with 14.9% in the asymptomatic individuals (p < 0.05). Only 39.2% of the subjects had seen a physician for their symptoms and the treatment and tests ordered were inappropriate.A.M. Madrid-Silva et al. Conclusions:The prevalence of IBS symptoms in the population studied is one of the highest described. Therefore, health teams should have the necessary knowledge and skill required for its management. Síndrome de intestino irritable; Prevalencia; Población general; Santiago; Chile Prevalencia de síntomas de intestino irritable en población asistente a centros comerciales de Santiago de Chile ResumenAntecedentes: El síndrome de intestino irritable (SII) es un trastorno funcional digestivo caracterizado por dolor o malestar abdominal, asociado a alteraciones del hábito intestinal. Tanto prevalencia como características clínicas son variables en Latinoamerica. Un porcentaje de pacientes no consulta, la real prevalencia sólo puede establecerse encuestando población no seleccionada. Objetivos: Estudiar la prevalencia y características clínicas de síntomas de SII en sujetos no seleccionados de Santiago, Chile. Métodos: Participaron 437 mayores de 15 años (246 mujeres), asistentes a centros comerciales, quienes respondieron el cuestionario validado de Roma II para SII. Se registraron, antecedentes demográficos, socioeconómicos, comorbilidades y antecedentes familiares de SII. Resultados: Un 64,1% relató síntomas digestivos, 28,6% síntomas sugerentes de SII. Comparando sujetos con síntomas de SII con asintomáticos se observó en los primeros: predo...

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El escrutinio diagnóstico limitado puede disminuir el impacto económico directo del síndrome de intestino irritable (SII)

Cited by 5 publications

References 24 publications

Prevalencia de síntomas de intestino irritable en población asistente a centros comerciales de Santiago de Chile

Prevalencia de síntomas de intestino irritable en población asistente a centros comerciales de Santiago de Chile

A Global Perspective on Irritable Bowel Syndrome

The prevalence of irritable bowel symptoms in a population of shopping mall visitors in Santiago de Chile

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