ArticleGut1997
Do patients with irritable bowel syndrome in primary care really differ from outpatients with irritable bowel syndrome?
Article in Gut, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
What it found
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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.
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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.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Meta-analysis: do irritable bowel syndrome symptoms vary between men and women?Alimentary pharmacology & therapeutics · 2010Pooled it
- British Society of Gastroenterology guidelines for the management of the irritable bowel syndrome.Gut · 2000Guideline
- Soluble or insoluble fibre in irritable bowel syndrome in primary care? Randomised placebo controlled trial.BMJ (Clinical research ed.) · 2009Trial
- Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS): a pilot study.BMC gastroenterology · 2009Trial
- Irritable bowel syndrome and Parkinson's disease risk: register-based studies.NPJ Parkinson's disease · 2021Article
- The usefulness of "analysisof burden of irritable bowel syndrome from national health insurance claims database" in the healthcare policy in Korea.Journal of neurogastroenterology and motility · 2014Article
- Marked elevations in pro-inflammatory polyunsaturated fatty acid metabolites in females with irritable bowel syndrome.Journal of lipid research · 2010Article
- Article
- New treatments for irritable bowel syndrome in women.Women's health (London, England) · 2008Review
- Relationship between rectal sensitivity, symptoms intensity and quality of life in patients with irritable bowel syndrome.Alimentary pharmacology & therapeutics · 2008Article
- Symptom interpretation and quality of life in patients with irritable bowel syndrome.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Irritable bowel syndrome: management of expectations and disease.The British journal of general practice : the journal of the Royal College of General Practitioners · 2004Article
- Management of irritable bowel syndrome.Postgraduate medical journal · 2003Review
- Article
- Patients with irritable bowel syndrome: health status and use of health care services.The British journal of general practice : the journal of the Royal College of General Practitioners · 1999Article
- Combined urinary and faecal incontinence.International urogynecology journal and pelvic floor dysfunctionReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle is known about the comparability of outpatients with irritable bowel syndrome (IBS) and patients with IBS in primary care with regard to severity of complaints, perceived limitations, other aspects of the complaints, and sex differences.
aimsTo compare outpatients with IBS with primary care patients with IBS. PATIENTS: One hundred and nine patients with IBS were recruited from general practices in Amsterdam and 86 patients with IBS were recruited from the outpatient clinic of the Department of Internal Medicine of the University Hospital in Nijmegen.
methodsEach patient completed a questionnaire on demographic variables, abdominal complaints, related complaints, and attributed causes of their abdominal complaints. The scores of the two groups were compared by univariate and multivariate analysis.
resultsThe outpatient group contained significantly more men, reported more severe abdominal pain, more frequent complaints, more interference with daily activities, and a higher degree of avoidance of activities (p < 0.01) than the primary care group. When each sex was analysed separately, these differences remained for female (p < 0.01) but not for male patients. Outpatients were more likely to attribute their complaints to somatic causes (p < 0.01), whereas primary care patients were more likely to attribute their complaints to stress (p < 0.01) or their agitated way of life (p < 0.05). Multivariate analysis showed that a high severity score, a large number of additional complaints, and a low score on the stress attribution were important determinants for being in the outpatient group.
conclusionsFemale outpatients consider their complaints to be more serious and interfering than do patients with IBS in primary care. Male outpatients were comparable to primary care patients with IBS. More research needs to be done into sex specific differences in IBS and into the factors that influence the decision to refer a patient with IBS.
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Registered trials
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.