Evidence map›Paper›PMID 31431234›Full record

ArticleDeutsches Arzteblatt international2019

The Prevalence, Comorbidity, Management and Costs of Irritable Bowel Syndrome.

Winfried Häuser, Ursula Marschall, Peter Layer, Thomas Grobe

Open access · bronzeAbstract read
In one paragraph

Article in Deutsches Arzteblatt international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Cost-of-Illness of Irritable Bowel Syndrome: A Systematic Review.Journal of gastroenterology and hepatology · 2026
    Pooled it
  2. Review
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  15. Co-occurrence of pain syndromes.Journal of neural transmission (Vienna, Austria : 1996) · 2020
    Review
  16. In Reply.Deutsches Arzteblatt international · 2019
    Article
  17. Anaerobic Cause.Deutsches Arzteblatt international · 2019
    Article
  18. "Psychogenic" is Not the Be-All and End-All.Deutsches Arzteblatt international · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 2 countries.

Winfried HäuserDepartment of Internal Medicine I, Saarland University Medical Center, and Department of Psychosomatic; Medicine and Psychotherapy, Technische Universität München; Kompetenzzentrum Medizin/Versorgungsforschung, BARMER, Wuppertal; Israelitisches Krankenhaus, Hamburg; Institute for Applied Quality Improvement and Research in Health Care, Göttingen.
Ursula Marschall
Peter Layer
Thomas Grobe
BARMER GEK · DEIsraelitisches Krankenhaus · DETechnical University of Munich · DEUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsufficient data are available on the administrative incidence and prevalence of irritable bowel syndrome (IBS) in Germany, as well as on its comorbidities, diagnostic evaluation, treatment, and costs.

methodsWe analyzed routine data from a statutory health insurance carrier with approximately eight million insurees. IBS was identified from the ICD-10 codes K58.0, K58.9, and F45.32 (outpatient care by a physician, outpatient and inpatient care in a hospital). The cumulative incidence for the year 2017 was determined by the exclusion of insurees who had carried the diagnosis of IBS in any of the preceding 12 years. The frequencies of comorbid diseases and of diagnostic and therapeutic measures were compared with those of persons in age- and sex- matched control groups without IBS.

resultsIn 2017, the administrative incidence of IBS was 0.36%, and its prevalence was 1.34%. Persons with IBS were often documented as having other gastrointes- tinal diseases, headache, back pain, and mental disorders. There was evidence for the insufficient use of ultrasound and colonoscopy and for the excessive use of computed tomography and magnetic resonance imaging for diagnostic evaluation. The costs of medical care for insurees with IBS in the year of their initial diagnosis were higher than those of other insurees without the diagnosis of IBD (€ 3770 vs. € 2788) and rose in each of the eight years preceding the initial diagnosis.

conclusionPatients with IBS in Germany are likely not receiving sufficient diag- nostic evaluation in conformity with the relevant guidelines. The high prevalence of comorbid mental disorders and other pain syndromes implies that the complaints of patients with IBS need to be more comprehensively evaluated and treated.

Indexed as

Health Care CostsIrritable Bowel SyndromeComorbidityGermanyHumansIncidencePrevalence

Identifiers

PMID31431234
PMCPMC6718888
OpenAlexW2954968724

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.