Evidence map›Paper›PMID 10885081›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners1999

Patients with irritable bowel syndrome: health status and use of health care services.

G A Donker, M Foets, P Spreeuwenberg

Open access · greenAbstract readComparative Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Loneliness and Mental Health: The Mediating Effect of Perceived Social Support.International journal of environmental research and public health · 2021
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Irritable bowel syndrome.Clinical drug investigation · 2007
    Review
  9. Article
  10. Psychologic Therapies for Irritable Bowel Syndrome.Current treatment options in gastroenterology · 2001
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

G A DonkerNetherlands Institute of Primary Healthcare (NIVEL), Utrecht, The Netherlands.
M Foets
P Spreeuwenberg
Netherlands Institute for Health Services Research · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reason for consulting a physician is more related to illness behaviour than to the severity of complaints. Yet, little is known about the course of complaints, the health care seeking behaviour, and psychosocial factors influencing these items in patients with irritable bowel syndrome (IBS) attending the general practitioner (GP).

aimTo study health status, lifestyle, and use of health care services of patients with IBS in order to indicate problem areas accessible for intervention strategies.

methodStructured interviews of 53 patients with IBS aged 15 years and older compared with a general population of 12,975 in the same age range, all drawn from the Dutch National survey of Morbidity and Intervention in General Practice.

resultsPatients with IBS revealed a lower grade of education (P < 0.001), poorer health (P < 0.001), a higher mean complaint score (8.3 versus 4.0, P < 0.001), a higher score on the General Health Questionnaire (P < 0.001), a higher score on the biographic problem list (BIOPRO, 2.3 versus 1.4, P < 0.001), and more absence from work (32% versus 18% in two months, P < 0.01). Patients with IBS consulted the family physician (1.6 versus 0.8 in three months, P < 0.001), the physical therapist (30% versus 15% in one year, P < 0.001), and the alternative therapist (32% versus 15% in five years, P < 0.001) more often than those without.

conclusionsThe study shows an excess of comorbidity, psychosocial problems, use of health care services, and absence owing to disease in patients with IBS. Special guidelines and training of GPs to apply a more integral approach may reduce the cost of health care and may lead to a more favourable course in patients with IBS.

Indexed as

AdolescentAdultAgedColonic Diseases, FunctionalComplementary TherapiesFamily PracticeFemaleHealth BehaviorHealth ServicesHealth StatusHumansLife StyleMaleMiddle AgedNetherlandsPatient Acceptance of Health Care

Identifiers

PMID10885081
PMCPMC1313528
OpenAlexW1601500398

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.