Agreement Between IBS Diagnostic Criteria in Greece
Author Information
Author(s): Anastasiou Foteini, Mouzas Ioannis A, Moschandreas Joanna, Kouroumalis Elias, Lionis Christos
Primary Institution: University of Crete
Hypothesis
To assess the diagnostic agreement between older and new criteria for IBS in primary care in Greece.
Conclusion
International diagnostic criteria for IBS show low agreement in Greek primary care, with the newest criteria performing worse than expected.
Supporting Evidence
- The agreement of Rome III with Manning criteria was poor (kappa = 0.25).
- Moderate agreement was found between the Rome II and III criteria (kappa = 0.51).
- High co-morbidity with GERD like symptoms was noted in 46% of participants.
Takeaway
Doctors in rural Greece have a hard time using complicated IBS diagnosis rules, which makes it tough to figure out who really has IBS.
Methodology
Medical records were reviewed, and eligible IBS patients were invited for structured interviews to assess diagnostic agreement.
Potential Biases
Potential selection bias due to high numbers of excluded or non-participating patients.
Limitations
The study relied on retrospective data, had poor demographic data entries, and a long interval between diagnosis and interview.
Participant Demographics
Mostly women older than 70, with a median age of 71.
Statistical Information
P-Value
0.039
Confidence Interval
95% CI: 58%–80%
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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