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BMC Research Notes

, 1:127

First Online: 03 December 2008Received: 15 July 2008Accepted: 03 December 2008DOI: 10.1186-1756-0500-1-127

Cite this article as: Anastasiou, F., Mouzas, I.A., Moschandreas, J. et al. BMC Res Notes 2008 1: 127. doi:10.1186-1756-0500-1-127

Abstract

BackgroundIrritable Bowel Syndrome IBS is frequently diagnosed in primary care. Its diagnosis is based on diagnostic criteria but their use is limited in primary care.

We aimed to assess the diagnostic agreement between the older Manning-s and Rome II and the new Rome III criteria for the diagnosis of IBS in primary care in Greece.

MethodsMedical records of 5 Health Centers in rural Crete, Greece, were reviewed for a four-year period and patients with the diagnosis of IBS were invited to a structured interview. Kappa agreement of the Rome III criteria with the criteria of Manning and Rome II was estimated. One hundred and twenty three patients were eligible for interview and 67 54.5% participated. Forty-six 69% fulfilled the Manning, 3248% the Rome II, and 1624% the Rome III criteria. Twenty-seven 40% patients were identified as IBS according to the questionnaire for the identification of functional gastrointestinal diseases FGIDs. The agreement of Rome III with Manning criteria was poor kappa = 0.25. The agreement between the FGIDs questionnaire and the Manning, Rome II and Rome III criteria was: kappa = 0.30, 0.31 and 0.24 respectively. Moderate agreement was found between the Rome II and III criteria kappa = 0.51.

ConclusionQuestionnaires and criteria deriving from expert-s consensus meetings or tertiary hospitals are not easy to apply in rural primary care where symptoms are often underestimated by patients and complicated questions can be confusing.

AbbreviationsIBSIrritable Bowel Syndrome

IDGPIdentification of Dyspepsia in the General Population questionnaire

FGIDsIdentification of Functional Gastrointestinal Diseases questionnaire

GERDGastro Esophageal Reflux Disease

PHCPrimary Health Centre

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-1-127 contains supplementary material, which is available to authorized users.

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Autor: Foteini Anastasiou - Ioannis A Mouzas - Joanna Moschandreas - Elias Kouroumalis - Christos Lionis

Fuente: https://link.springer.com/







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