Diagnostic criteria for irritable bowel syndrome: Utility and applicability in clinical practice

R. Lea, V. Hopkins, J. Hastleton, L. A. Houghton, P. J. Whorwell

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Background/Aims: Symptom-based criteria have been introduced to aid the diagnosis of irritable bowel syndrome (IBS). Although they have been widely adopted and have proved useful for research purposes by ensuring homogeneity of study populations, there is little information about their utility in routine clinical practice. It was the aim of this study to assess the applicability of the Manning, Rome I and Rome II criteria in the clinical setting and to ascertain how often hospital specialists and general practitioners (GPs) use them. Methods: Hundred secondary-care IBS patients were assessed for their conformity to these criteria. Forty-eight hospital specialists and 68 GPs were asked about their knowledge and utilization of these criteria. Results: Seventy-three percent of IBS patients met Rome II diagnostic criteria with 82 and 94% meeting Rome I and Manning, respectively. Approximately 80% of GPs had no knowledge of any of the specific criteria, and only 4% had ever used them. The majority of specialists had knowledge of the criteria, with 70% having used them. Conclusion: The Rome II criteria are remarkably insensitive and if rigidly applied in the clinical situation would lead to much diagnostic uncertainty. The current lack of interest in them, especially amongst GPs, is unlikely to change unless they can be considerably improved.

Original languageEnglish (US)
Pages (from-to)210-213
Number of pages4
JournalDigestion
Volume70
Issue number4
DOIs
StatePublished - 2004
Externally publishedYes

Fingerprint

Irritable Bowel Syndrome
General Practitioners
Secondary Care
Uncertainty
Research
Population

Keywords

  • Diagnostic criteria
  • Irritable bowel syndrome

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Lea, R., Hopkins, V., Hastleton, J., Houghton, L. A., & Whorwell, P. J. (2004). Diagnostic criteria for irritable bowel syndrome: Utility and applicability in clinical practice. Digestion, 70(4), 210-213. https://doi.org/10.1159/000082891

Diagnostic criteria for irritable bowel syndrome : Utility and applicability in clinical practice. / Lea, R.; Hopkins, V.; Hastleton, J.; Houghton, L. A.; Whorwell, P. J.

In: Digestion, Vol. 70, No. 4, 2004, p. 210-213.

Research output: Contribution to journalArticle

Lea, R, Hopkins, V, Hastleton, J, Houghton, LA & Whorwell, PJ 2004, 'Diagnostic criteria for irritable bowel syndrome: Utility and applicability in clinical practice', Digestion, vol. 70, no. 4, pp. 210-213. https://doi.org/10.1159/000082891
Lea, R. ; Hopkins, V. ; Hastleton, J. ; Houghton, L. A. ; Whorwell, P. J. / Diagnostic criteria for irritable bowel syndrome : Utility and applicability in clinical practice. In: Digestion. 2004 ; Vol. 70, No. 4. pp. 210-213.
@article{50d540ced97f449090f51ce9b53bd252,
title = "Diagnostic criteria for irritable bowel syndrome: Utility and applicability in clinical practice",
abstract = "Background/Aims: Symptom-based criteria have been introduced to aid the diagnosis of irritable bowel syndrome (IBS). Although they have been widely adopted and have proved useful for research purposes by ensuring homogeneity of study populations, there is little information about their utility in routine clinical practice. It was the aim of this study to assess the applicability of the Manning, Rome I and Rome II criteria in the clinical setting and to ascertain how often hospital specialists and general practitioners (GPs) use them. Methods: Hundred secondary-care IBS patients were assessed for their conformity to these criteria. Forty-eight hospital specialists and 68 GPs were asked about their knowledge and utilization of these criteria. Results: Seventy-three percent of IBS patients met Rome II diagnostic criteria with 82 and 94{\%} meeting Rome I and Manning, respectively. Approximately 80{\%} of GPs had no knowledge of any of the specific criteria, and only 4{\%} had ever used them. The majority of specialists had knowledge of the criteria, with 70{\%} having used them. Conclusion: The Rome II criteria are remarkably insensitive and if rigidly applied in the clinical situation would lead to much diagnostic uncertainty. The current lack of interest in them, especially amongst GPs, is unlikely to change unless they can be considerably improved.",
keywords = "Diagnostic criteria, Irritable bowel syndrome",
author = "R. Lea and V. Hopkins and J. Hastleton and Houghton, {L. A.} and Whorwell, {P. J.}",
year = "2004",
doi = "10.1159/000082891",
language = "English (US)",
volume = "70",
pages = "210--213",
journal = "Digestion",
issn = "0012-2823",
publisher = "S. Karger AG",
number = "4",

}

TY - JOUR

T1 - Diagnostic criteria for irritable bowel syndrome

T2 - Utility and applicability in clinical practice

AU - Lea, R.

AU - Hopkins, V.

AU - Hastleton, J.

AU - Houghton, L. A.

AU - Whorwell, P. J.

PY - 2004

Y1 - 2004

N2 - Background/Aims: Symptom-based criteria have been introduced to aid the diagnosis of irritable bowel syndrome (IBS). Although they have been widely adopted and have proved useful for research purposes by ensuring homogeneity of study populations, there is little information about their utility in routine clinical practice. It was the aim of this study to assess the applicability of the Manning, Rome I and Rome II criteria in the clinical setting and to ascertain how often hospital specialists and general practitioners (GPs) use them. Methods: Hundred secondary-care IBS patients were assessed for their conformity to these criteria. Forty-eight hospital specialists and 68 GPs were asked about their knowledge and utilization of these criteria. Results: Seventy-three percent of IBS patients met Rome II diagnostic criteria with 82 and 94% meeting Rome I and Manning, respectively. Approximately 80% of GPs had no knowledge of any of the specific criteria, and only 4% had ever used them. The majority of specialists had knowledge of the criteria, with 70% having used them. Conclusion: The Rome II criteria are remarkably insensitive and if rigidly applied in the clinical situation would lead to much diagnostic uncertainty. The current lack of interest in them, especially amongst GPs, is unlikely to change unless they can be considerably improved.

AB - Background/Aims: Symptom-based criteria have been introduced to aid the diagnosis of irritable bowel syndrome (IBS). Although they have been widely adopted and have proved useful for research purposes by ensuring homogeneity of study populations, there is little information about their utility in routine clinical practice. It was the aim of this study to assess the applicability of the Manning, Rome I and Rome II criteria in the clinical setting and to ascertain how often hospital specialists and general practitioners (GPs) use them. Methods: Hundred secondary-care IBS patients were assessed for their conformity to these criteria. Forty-eight hospital specialists and 68 GPs were asked about their knowledge and utilization of these criteria. Results: Seventy-three percent of IBS patients met Rome II diagnostic criteria with 82 and 94% meeting Rome I and Manning, respectively. Approximately 80% of GPs had no knowledge of any of the specific criteria, and only 4% had ever used them. The majority of specialists had knowledge of the criteria, with 70% having used them. Conclusion: The Rome II criteria are remarkably insensitive and if rigidly applied in the clinical situation would lead to much diagnostic uncertainty. The current lack of interest in them, especially amongst GPs, is unlikely to change unless they can be considerably improved.

KW - Diagnostic criteria

KW - Irritable bowel syndrome

UR - http://www.scopus.com/inward/record.url?scp=17144379711&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=17144379711&partnerID=8YFLogxK

U2 - 10.1159/000082891

DO - 10.1159/000082891

M3 - Article

C2 - 15627768

AN - SCOPUS:17144379711

VL - 70

SP - 210

EP - 213

JO - Digestion

JF - Digestion

SN - 0012-2823

IS - 4

ER -