Patients with irritable bowel syndrome in primary care appear not to be heavy healthcare utilizers

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

doi:10.1111/j.1365-2036.2006.02815.x

Cited by 14 publications

(26 citation statements)

References 23 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%

“…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%

“…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%

“…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: Study Populationmentioning

confidence: 99%

Section: Questionnairementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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 total number of individuals aged 18 to 65 years for the control group (N = 4500) was selected proportionally, based on the size of the actual population living in each of the 3 primary health care areas. 17,18 In 2003, a questionnaire was mailed to the 5000 individuals included in the study (500 patients with FD and 4500 controls). Of these, 25 patients with FD and 73 controls had an unknown address or had died, and the study then comprised 4902 individuals (475 patients with FD and 4427 controls).…”

Section: Data Collectionmentioning

confidence: 99%

Functional dyspepsia affects women more than men in daily life: A case-control study in primary care

Welén

Faresjö

2008

Gender Medicine

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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 primary care appear not to be heavy healthcare utilizers

Abstract: SUMMARY BackgroundIrritable bowel syndrome is a frequently diagnosed gastrointestinal condition in general practice. Managing this chronic condition requires a co-ordinated effort between patient and doctor.

Cited by 14 publications

References 23 publications

Sex differences in dietary coping with gastrointestinal symptoms

Sex differences in dietary coping with gastrointestinal symptoms

Functional dyspepsia affects women more than men in daily life: A case-control study in primary care

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

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