Systematic evaluation of risk factors for diagnostic delay in inflammatory bowel

Details

Serval ID
serval:BIB_261ABBD9DE85
Type
Inproceedings: an article in a conference proceedings.
Publication sub-type
Poster: Summary – with images – on one page of the results of a researche project. The summaries of the poster must be entered in "Abstract" and not "Poster".
Collection
Publications
Institution
Title
Systematic evaluation of risk factors for diagnostic delay in inflammatory bowel
Title of the conference
6th Congress of the European Crohn's and Colitis Organisation
Author(s)
Schoepfer A., Spigaglia S., Rogler G., Pittet V., Michetti P., Felley C., Mottet C., Braegger C., Rogler D., Straumann A., Bauerfeind P., Fried M., Vavricka S.
Address
Dublin, Ireland, February 24-26, 2011
ISBN
1873-9946
ISSN-L
0021-9355
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
5
Series
Journal of Crohn's and Colitis
Pages
P345
Language
english
Abstract
Aim: The diagnosis of inflammatory bowel disease (IBD), comprising Crohn's disease (CD) and ulcerative colitis (UC), continues to present difficulties due to unspecific symptoms and limited test accuracies. We aimed to determine the diagnostic delay (time from first symptoms to IBD diagnosis) and to identify associated risk factors in a national cohort in Switzerland.¦Materials and Methods: A total of 1,591 IBD patients (932 CD, 625 UC, 34 indeterminate colitis) from the Swiss IBD cohort study (SIBDCS) were evaluated. The SIBDCS collects data on a large sample of IBD patients from hospitals and private practice across Switzerland through physician and patient questionnaires. The primary outcome measure was the diagnostic delay.¦Results: Diagnostic delay in CD patients was significantly longer compared to UC patients (median 9 vs. 4 months, P < 0.001). Seventy-five percent of CD patients were diagnosed within 24 months compared to 12 months for UC and 6 months for IC patients. Multivariate logistic regression identified age <40 years at diagnosis (OR 2.15, P = 0.010) and ileal disease (OR 1.69, P = 0.025) as independent risk factors for long diagnostic delay in CD (>24 months). A trend for long diagnostic delay (>12 months) was associated with NSAID intake (OR 1.75, P = 0.093) and male gender (OR 0.59, P = 0.079) in UC patients.¦Conclusions: Whereas the median delay for diagnosing CD, UC, and IC seems to be acceptable, there exists a long delay in a considerable proportion of CD patients. More public awareness work needs to be done in order to reduce patient's and doctor's delay in this target population.
Create date
22/03/2012 17:57
Last modification date
20/08/2019 13:04
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