IRRITABLE-BOWEL-SYNDROME IN OFFICE-BASED PRACTICE IN THE UNITED-STATES
IRRITABLE-BOWEL-SYNDROME IN OFFICE-BASED PRACTICE IN THE UNITED-STATES
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DOI：
10.1016/0016-5085(91)90275-p
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发表时间：
1991-04-01
期刊：
影响因子：
29.4
通讯作者：
RENAULT, PF
中科院分区：
文献类型：
--
作者：
EVERHART, JE;RENAULT, PF
美国对诊断肠易激综合征的医生就诊频率和医疗护理模式的估计来自1975年、1980-1981年和1985年全国门诊医疗护理调查。这些调查的办公室为基础的医生允许全国估计的各个方面的门诊护理。在1980-1981年和1985年，诊断为肠易激综合征的总就诊率为10.6/1000美国人口。妇女的就诊率是男子的2.4倍，而且男女的就诊率一直上升到中年。肠易激综合征是胃肠病学家诊断的主要消化系统疾病，但在所有医生中仅排在第七位。胃肠道症状，与精神障碍，处方和处置的关系也在肠易激综合征患者中进行了检查。在有消化道症状和首次列出的肠易激综合征诊断的记录中，胃或腹痛仅列在约一半的记录中，肠功能障碍列在不到40%的记录中。在1975年和1985年，肠易激综合征在精神障碍症状和诊断的就诊中大约是其他消化系统疾病的两倍，尽管精神障碍症状和诊断在肠易激综合征的就诊中不到15%。在约75%的肠易激综合征访视中处方药物;最常见的是胃肠道药物，其次是胃肠道-精神活性药物联合用药。随后的预约安排在至少50%的肠易激综合征患者就诊后。
United States estimates of the frequency of visits to physicians and patterns of medical care for the diagnosis of the irritable bowel syndrome were derived from the 1975, 1980–1981, and 1985 National Ambulatory Medical Care Surveys. These surveys of office-based physicians allow national estimates of various aspects of ambulatory care. The overall rate of visits with the diagnosis of irritable bowel syndrome in 1980–1981 and 1985 were 10.6 per thousand U.S. population. Women had 2.4 times the rate of visits by men and rates rose in both sexes until middle-age. Irritable bowel syndrome was the leading digestive disease diagnosis among gastroenterologists but only the seventh leading diagnosis among all physicians. Gastrointestinal symptoms, association with mental disorders, prescriptions, and disposition were also examined in patients with visits for irritable bowel syndrome. Among records with digestive tract symptoms and a first listed diagnosis of irritable bowel syndrome, stomach or abdominal pain was listed on only about one half of records and disorders of bowel function were listed on fewer than 40%. In 1975 and 1985, irritable bowel syndrome was noted approximately twice as often as other digestive diseases at visits with mental disorder symptoms and diagnoses, although mental disorder symptoms and diagnoses were noted at fewer than 15% of visits with irritable bowel syndrome. Medications were prescribed at approximately 75% of visits for irritable bowel syndrome; the most common were gastrointestinal medications followed by combination gastrointestinal-psychoactive medications. Subsequent appointments were scheduled following at least 50% of the visits of patients with irritable bowel syndrome.