scholarly journals Diagnosis of irritable bowel syndrome would be better made by gastroenterologists than primary care physicians

2010 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Mariette Bengtsson ◽  
Bodil Ohlsson
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Physicians ◽  
Irritable Bowel

Beliefs about management of irritable bowel syndrome in primary care: cross-sectional survey in one locality

2014 ◽  
Vol 16 (03) ◽  
pp. 263-269 ◽  
Author(s):  
Uday N. Shivaji ◽  
Alexander C. Ford
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Physicians ◽  
Evidence Synthesis ◽  
Peppermint Oil ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Soluble Fibre ◽  
Psychological Therapies ◽  
Irritable Bowel

AimTo examine beliefs about irritable bowel syndrome (IBS) management among primary care physicians.BackgroundThere have been considerable advances in evidence synthesis concerning management of IBS in the last five years, with guidelines for its management in primary care published by the National Institute for Health and Care Excellence (NICE).MethodsThis was a cross-sectional web-based questionnaire survey of 275 primary care physicians. We emailed a link to a SurveyMonkey questionnaire, containing 18 items, to all eligible primary care physicians registered with three clinical commissioning groups in Leeds, UK. Participants were given one month to respond, with a reminder sent out after two weeks.FindingsOne-hundred and two (37.1%) primary care physicians responded. Among responders, 70% believed IBS was a diagnosis of exclusion, and >80% checked coeliac serology often or always in suspected IBS. Between >50% and >70% believed soluble fibre, antispasmodics, peppermint oil, and psychological therapies were potentially efficacious therapies. The respondents were less convinced that antidepressants or probiotics were effective. Despite perceived efficacy of psychological therapies, 80% stated these were not easily available. Levels of use of soluble fibre, antispasmodics, and peppermint oil were in the range of 40% to >50%. Most primary care physicians obtained up-to-date evidence about IBS management from NICE guidelines. Most primary care physicians still believe IBS is a diagnosis of exclusion, and many are reluctant to use antidepressants or probiotics to treat IBS. More research studies addressing diagnosis and treatment of IBS based in primary are required.

The Irritable Bowel Syndrome

2019 ◽  
pp. 435-458
Author(s):  
Nuha Alammar ◽  
Gerard Mullin
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Physicians ◽  
Gastrointestinal Disorder ◽  
Therapeutic Strategies ◽  
Organic Disease ◽  
Bowel Movements ◽  
Disease Subtypes ◽  
Irritable Bowel ◽  
Rome Iv

The irritable bowel syndrome (IBS) is a chronic gastrointestinal disorder characterized by chronic nonspecific abdominal pain with altered bowel movements in the absence of known organic disease. IBS is diagnosed by the Rome IV criteria for functional GI disorders. Although research has shown several factors that might be contributing to IBS pathophysiology, there is no specific cause for this disorder identified yet. There are four disease subtypes found in equal proportions: diarrhea, constipation, mixed, and undefined (IBS-U). IBS is a prevalent disorder that primary care physicians evaluate in the clinic. In this chapter, the authors review the epidemiology and updated research regarding its pathophysiology, diagnostics, and integrative therapeutic strategies.

Comparison of irritable bowel syndrome (IBS) patients in gastroenterology and primary care clinics

2003 ◽  
Vol 124 (4) ◽  
pp. A14 ◽  
Author(s):  
Olafur S. Palsson ◽  
Andrew D. Feld ◽  
Rona L. Levy ◽  
Michael Von Korff ◽  
Victoria E. Barghout ◽  
...  
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Primary Care Clinics ◽  
Irritable Bowel

scholarly journals From substance to process: A meta-ethnographic review of how healthcare professionals and patients understand placebos and their effects in primary care

2018 ◽  
Vol 24 (3) ◽  
pp. 315-340 ◽  
Author(s):  
Doug I Hardman ◽  
Adam WA Geraghty ◽  
George Lewith ◽  
Mark Lown ◽  
Clelia Viecelli ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Healthcare Professionals ◽  
Clinical Validity ◽  
Placebo Effects ◽  
Literature Searches ◽  
Irritable Bowel ◽  
Systematic Literature Searches ◽  
Material Substances

Research suggests that a ‘placebo’ can improve conditions common in primary care including pain, depression and irritable bowel syndrome. However, disagreement persists over the definition and clinical relevance of placebo treatments. We conducted a meta-ethnographic, mixed-research systematic review to explore how healthcare professionals and patients understand placebos and their effects in primary care. We conducted systematic literature searches of five databases – augmented by reference chaining, key author searches and expert opinion – related to views on placebos, placebo effects and placebo use in primary care. From a total of 34 eligible quantitative, qualitative and mixed-methods articles reporting findings from 28 studies, 21 were related to healthcare professionals’ views, 11 were related to patients’ views and two were related to both groups. In the studies under review, healthcare professionals reported using placebos at markedly different frequencies. This was highly influenced by how placebos were defined in the studies. Both healthcare professionals and patients predominantly defined placebos as material substances such as ‘inert’ pills, despite this definition being inconsistent with current scientific thinking. However, healthcare professionals also, but less prevalently, defined placebos in a different way: as contextual processes. This better concurs with modern placebo definitions, which focus on context, ritual, meaning and enactivism. However, given the enduring ubiquity of substance definitions, for both healthcare professionals and patients, we question the practical, clinical validity of stretching the term ‘placebo’ towards its modern iteration. To produce ‘placebo effects’, therefore, primary healthcare professionals may be better off abandoning placebo terminology altogether.

Treatment of irritable bowel syndrome in primary care

BMJ ◽  
2008 ◽  
Vol 337 (nov13 3) ◽  
pp. a2213-a2213 ◽  
Author(s):  
R. Jones
Keyword(s):  
Primary Care ◽  
Irritable Bowel Syndrome ◽  
Irritable Bowel
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