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Low prevalence of irritable bowel syndrome in primary health care in four Swedish counties.

Waehrens R, Ohlsson H, Sundquist J, Sundquist K, Zöller B - Scand J Prim Health Care (2013)

Bottom Line: Setting.Main outcome measures.IBS was most common in the 25-44 years age group (37% of IBS patients); 71% of IBS patients were female, and 81% of IBS patients visited their GP six or more times, compared with 46% of non-IBS patients.

View Article: PubMed Central - PubMed

Affiliation: Center for Primary Health Care Research, Lund University, Malmö, Sweden.

ABSTRACT

Objective: Few large-scale studies have examined the prevalence of irritable bowel syndrome (IBS) and the number of visits among IBS patients in a primary health care setting. The aim of this study was to assess the prevalence of IBS in primary health care in four Swedish counties. Another aim was to study the number of visits among the IBS patients.

Design: A register-based study. Setting. A primary health care database with information on patients from 71 primary health care centres in the Swedish counties of Stockholm, Uppsala, Värmland, and Gotland.

Subjects: The primary health care database contains individual-level data for 919,954 patients for the period 2001-2007. Main outcome measures. Prevalence of IBS diagnosis.

Results: 10,987 patients had a diagnosis of IBS, which corresponds to a prevalence of 1.2%. IBS was most common in the 25-44 years age group (37% of IBS patients); 71% of IBS patients were female, and 81% of IBS patients visited their GP six or more times, compared with 46% of non-IBS patients. However, 95% of the IBS patients visited their GP three times or fewer for IBS.

Conclusion and implications: The prevalence of IBS was low among Swedish primary health care patients. This might suggest that IBS patients are insufficiently diagnosed in Swedish primary health care.

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Age distribution of individuals with IBS (n = 10 987).
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Figure 1: Age distribution of individuals with IBS (n = 10 987).

Mentions: Of the 919 954 patients, 10 987 (overall prevalence 1.2%) had a diagnosis of IBS (see Table I). Of the IBS patients, 29% (n = 3 199) were male (see Table I). The age distribution for IBS patients is shown in Table I and Figure 1. The mean age of IBS patients at first diagnosis was 41.9 years (SD 18.7 years; range 0–95 years) and 57% of IBS patients were younger than 45 years. IBS patients visited their GP frequently: 81% of IBS patients visited their GP six or more times between 2001 and 2007, compared with 47% of non-IBS patients. Some 15% of IBS patients had been diagnosed with depression by their GP (see Table I).


Low prevalence of irritable bowel syndrome in primary health care in four Swedish counties.

Waehrens R, Ohlsson H, Sundquist J, Sundquist K, Zöller B - Scand J Prim Health Care (2013)

Age distribution of individuals with IBS (n = 10 987).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750433&req=5

Figure 1: Age distribution of individuals with IBS (n = 10 987).
Mentions: Of the 919 954 patients, 10 987 (overall prevalence 1.2%) had a diagnosis of IBS (see Table I). Of the IBS patients, 29% (n = 3 199) were male (see Table I). The age distribution for IBS patients is shown in Table I and Figure 1. The mean age of IBS patients at first diagnosis was 41.9 years (SD 18.7 years; range 0–95 years) and 57% of IBS patients were younger than 45 years. IBS patients visited their GP frequently: 81% of IBS patients visited their GP six or more times between 2001 and 2007, compared with 47% of non-IBS patients. Some 15% of IBS patients had been diagnosed with depression by their GP (see Table I).

Bottom Line: Setting.Main outcome measures.IBS was most common in the 25-44 years age group (37% of IBS patients); 71% of IBS patients were female, and 81% of IBS patients visited their GP six or more times, compared with 46% of non-IBS patients.

View Article: PubMed Central - PubMed

Affiliation: Center for Primary Health Care Research, Lund University, Malmö, Sweden.

ABSTRACT

Objective: Few large-scale studies have examined the prevalence of irritable bowel syndrome (IBS) and the number of visits among IBS patients in a primary health care setting. The aim of this study was to assess the prevalence of IBS in primary health care in four Swedish counties. Another aim was to study the number of visits among the IBS patients.

Design: A register-based study. Setting. A primary health care database with information on patients from 71 primary health care centres in the Swedish counties of Stockholm, Uppsala, Värmland, and Gotland.

Subjects: The primary health care database contains individual-level data for 919,954 patients for the period 2001-2007. Main outcome measures. Prevalence of IBS diagnosis.

Results: 10,987 patients had a diagnosis of IBS, which corresponds to a prevalence of 1.2%. IBS was most common in the 25-44 years age group (37% of IBS patients); 71% of IBS patients were female, and 81% of IBS patients visited their GP six or more times, compared with 46% of non-IBS patients. However, 95% of the IBS patients visited their GP three times or fewer for IBS.

Conclusion and implications: The prevalence of IBS was low among Swedish primary health care patients. This might suggest that IBS patients are insufficiently diagnosed in Swedish primary health care.

Show MeSH
Related in: MedlinePlus