Center for Primary Health Care Research, Lund University, Malmö, Sweden.
Scand J Prim Health Care. 2013 Sep;31(3):132-7. doi: 10.3109/02813432.2013.811949. Epub 2013 Aug 2.
Few large-scale studies have examined the prevalence of irritable bowel syndrome (IBS) and the number of visits among IBS patients in a primary health care setting. The aim of this study was to assess the prevalence of IBS in primary health care in four Swedish counties. Another aim was to study the number of visits among the IBS patients.
A register-based study. Setting. A primary health care database with information on patients from 71 primary health care centres in the Swedish counties of Stockholm, Uppsala, Värmland, and Gotland.
The primary health care database contains individual-level data for 919,954 patients for the period 2001-2007. Main outcome measures. Prevalence of IBS diagnosis.
10,987 patients had a diagnosis of IBS, which corresponds to a prevalence of 1.2%. IBS was most common in the 25-44 years age group (37% of IBS patients); 71% of IBS patients were female, and 81% of IBS patients visited their GP six or more times, compared with 46% of non-IBS patients. However, 95% of the IBS patients visited their GP three times or fewer for IBS.
The prevalence of IBS was low among Swedish primary health care patients. This might suggest that IBS patients are insufficiently diagnosed in Swedish primary health care.
鲜有大规模研究调查过在初级医疗保健环境中肠易激综合征（IBS）的流行率以及 IBS 患者的就诊次数。本研究旨在评估在瑞典四个县的初级医疗保健中 IBS 的流行率。另一个目的是研究 IBS 患者的就诊次数。
基于注册的研究。地点：包含来自瑞典斯德哥尔摩、乌普萨拉、瓦尔默兰和哥特兰四个县 71 个初级保健中心患者信息的初级保健数据库。
初级保健数据库包含了 2001-2007 年期间 919954 名患者的个体数据。主要观察指标：IBS 诊断的流行率。
10987 名患者被诊断为 IBS，其患病率为 1.2%。25-44 岁年龄组的 IBS 最常见（37%的 IBS 患者）；71%的 IBS 患者为女性，与非 IBS 患者的 46%相比，81%的 IBS 患者就诊 6 次或更多次，而 95%的 IBS 患者就诊 3 次或更少次治疗 IBS。
瑞典初级医疗保健患者中 IBS 的患病率较低。这可能表明瑞典初级医疗保健中 IBS 患者的诊断不足。
