Patients with irritable bowel syndrome in Swedish primary care

Faresjö, Åshild Olsen; Grodzinsky, Ewa; Johansson, Saga; Wallander, Mari‐Ann; Foldevi, Mats

doi:10.1080/13814780600872937

Cited by 8 publications

(15 citation statements)

References 17 publications

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“…A population-based case-control design was used for the LIPS [23,24,25,26]. The IBS cases were recruited from Swedish primary health care centres (PHC) on the basis of diagnoses stored in computerized medical records.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, we designed specific questions derived from regional and national surveys of welfare and health, life style and standard of living, sleep disturbance, and nutritional habits, as well as exercise regimens and the demands of and degree of control at work. Development of the questionnaire has been described elsewhere [23,24,25,26]. Results from these analyses of the LIPS population have been previously published [23,24,25,26].…”

Section: Questionnairementioning

confidence: 99%

“…Development of the questionnaire has been described elsewhere [23,24,25,26]. Results from these analyses of the LIPS population have been previously published [23,24,25,26]. The questionnaire also included specific questions about self-reported food and beverages that increased or decreased GI symptoms and complaints.…”

Section: Questionnairementioning

confidence: 99%

“…The severity of the disease could vary from mild or moderate to severe. The collection of baseline data from the IBS patients has been described elsewhere [24,25,26]. By using the local census population register N=4,500 controls in the age-group 18-65 years were randomly selected from the general population in same geographical area as the IBS cases.…”

Section: Study Populationmentioning

confidence: 99%

“…With regard to this, we have implemented a population-based case-control study addressing nutritional behaviour concerning food and beverages that reports giving GI symptoms and reports of changes in dietary habits due to GI-complaints among IBS patients. The study, entitled "The Linköping IBS Population Study" (LIPS), is conducted in primary care and includes a population-based control group [23,24,25,26].…”

Section: Introductionmentioning

confidence: 99%

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Sex differences in dietary coping with gastrointestinal symptoms

Faresjö¹,

Johansson

Faresjö³

et al. 2010

European Journal of Gastroenterology &Amp; Hepatology

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Aim Nutritional changes are often considered first line treatment in public health diseases which apply to many gastrointestinal disorders, since different food and beverages may modulate gastrointestinal (GI) motor and sensory functions, and provoke GI symptoms. The aim of this study was to examine dietary coping and possible changes of food and beverages intakes in relation to GI symptoms reported by identified IBS patients compared to healthy controls and if any gender differences were seen in these respects.Methods A population-based case-control design was used. Three primary health care centres in the city of Linköping in Sweden. The IBS cases were recruited from the studied primary health care centres based on diagnoses from computerized medical records. The controls were randomly selected from the general population in the same region. A questionnaire was used with specific questions about self-reported food and beverages increase or decrease of GI symptoms and self-reported changes in dietary habits.Results Female IBS-cases appear to be more willing to change dietary habits due to their GI-problems than males. Effects of these nutritional behaviour changes were reported for almost all participants that had made dietary adjustments. Fatty food, certain vegetables, dairy products and egg were significantly more reported to cause GI complaints among IBS-cases compared to their controls.Conclusions Female IBS-cases reported more changes in their dietary habits due to GI-problems than males with the disease. The majority of both females and males that changed their dietary habits due to GI problems experienced symptoms improvement.

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Section: Methodsmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Study Populationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Sex differences in dietary coping with gastrointestinal symptoms

Faresjö¹,

Johansson

Faresjö³

et al. 2010

European Journal of Gastroenterology &Amp; Hepatology

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The effects of on-screen, point of care computer reminders on processes and outcomes of care

Shojania

Jennings²,

Mayhew

et al. 2009

Cochrane Database of Systematic Reviews

362

339

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Background The opportunity to improve care by delivering decision support to clinicians at the point of care represents one of the main incentives for implementing sophisticated clinical information systems. Previous reviews of computer reminder and decision support systems have reported mixed effects, possibly because they did not distinguish point of care computer reminders from e-mail alerts, computer-generated paper reminders, and other modes of delivering ‘computer reminders’. Objectives To evaluate the effects on processes and outcomes of care attributable to on-screen computer reminders delivered to clinicians at the point of care. Search methods We searched the Cochrane EPOC Group Trials register, MEDLINE, EMBASE and CINAHL and CENTRAL to July 2008, and scanned bibliographies from key articles. Selection criteria Studies of a reminder delivered via a computer system routinely used by clinicians, with a randomised or quasi-randomised design and reporting at least one outcome involving a clinical endpoint or adherence to a recommended process of care. Data collection and analysis Two authors independently screened studies for eligibility and abstracted data. For each study, we calculated the median improvement in adherence to target processes of care and also identified the outcome with the largest such improvement. We then calculated the median absolute improvement in process adherence across all studies using both the median outcome from each study and the best outcome. Main results Twenty-eight studies (reporting a total of thirty-two comparisons) were included. Computer reminders achieved a median improvement in process adherence of 4.2% (interquartile range (IQR): 0.8% to 18.8%) across all reported process outcomes, 3.3% (IQR: 0.5% to 10.6%) for medication ordering, 3.8% (IQR: 0.5% to 6.6%) for vaccinations, and 3.8% (IQR: 0.4% to 16.3%) for test ordering. In a sensitivity analysis using the best outcome from each study, the median improvement was 5.6% (IQR: 2.0% to 19.2%) across all process measures and 6.2% (IQR: 3.0% to 28.0%) across measures of medication ordering. In the eight comparisons that reported dichotomous clinical endpoints, intervention patients experienced a median absolute improvement of 2.5% (IQR: 1.3% to 4.2%). Blood pressure was the most commonly reported clinical endpoint, with intervention patients experiencing a median reduction in their systolic blood pressure of 1.0 mmHg (IQR: 2.3 mmHg reduction to 2.0 mmHg increase). Authors’ conclusions Point of care computer reminders generally achieve small to modest improvements in provider behaviour. A minority of interventions showed larger effects, but no specific reminder or contextual features were significantly associated with effect magnitude. Further research must identify design features and contextual factors consistently associated with larger improvements in provider behaviour if computer reminders are to succeed on more than a trial and error basis.

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Psychosocial factors at work and in every day life are associated with irritable bowel syndrome

et al. 2007

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The etiology of irritable bowel syndrome (IBS) tends to be complex and multi-factorial and there is still a lack of understanding of how different psychosocial factors are associated with the syndrome. Our aim was to examine the occurrence of psychosocial and behavioural factors among patients diagnosed with IBS in primary care. The study had an epidemiological population-based case-control design comparing 347 IBS cases to 1041 age and sex matched controls from the general population. A survey was directed to cases and controls based on validated questions asking for mood status, job strain, family history of IBS, and sleeping habits as well as education, nutritional and exercise habits and medication. In multivariate analyses, independent associations were found between IBS and lack of influence on work planning, a family history of IBS, anxiety, and sleeping disturbances. Important factors associated with IBS diagnosis among females were anxiety as well as family history of IBS and lack of co-determination at work. For males, only lack of influence on working pace and family history of IBS remained independently associated with an IBS diagnosis. The causal associations of the complex risk factor panorama for IBS warrants further study. This study indicates that there should be a special focus on investigating the psychosocial working conditions and their associations to IBS.

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Patients with irritable bowel syndrome in Swedish primary care

Cited by 8 publications

References 17 publications

Sex differences in dietary coping with gastrointestinal symptoms

Sex differences in dietary coping with gastrointestinal symptoms

The effects of on-screen, point of care computer reminders on processes and outcomes of care

Psychosocial factors at work and in every day life are associated with irritable bowel syndrome

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