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解决德国炎症性肠病的诊断延误问题。

Addressing diagnostic delays in inflammatory bowel diseases in Germany.

机构信息

Department of Clinical Laboratory, Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding 355200, Fujian Province, China.

Department of Gastroenterology, Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding 355200, Fujian Province, China.

出版信息

World J Gastroenterol. 2024 Nov 7;30(41):4484-4489. doi: 10.3748/wjg.v30.i41.4484.

DOI:10.3748/wjg.v30.i41.4484
PMID:39534412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11551667/
Abstract

Inflammatory bowel diseases (IBDs), including Crohn's disease (CD) and ulcerative colitis, are chronic inflammatory conditions of the gastrointestinal tract that necessitate timely diagnosis to prevent complications and improve patient outcomes. Despite advancements in medical knowledge and diagnostic techniques, significant diagnostic delays persist, particularly in CD. The study by Blüthner , published in the , elucidates the diagnostic delays experienced by German patients with IBD and identifies key risk factors contributing to these delays.

摘要

炎症性肠病(IBD),包括克罗恩病(CD)和溃疡性结肠炎,是一种胃肠道慢性炎症性疾病,需要及时诊断以预防并发症并改善患者预后。尽管医学知识和诊断技术有所进步,但仍存在显著的诊断延迟,尤其是在 CD 中。发表在 上的 Blüthner 等人的研究阐明了德国 IBD 患者经历的诊断延迟,并确定了导致这些延迟的关键风险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a80d/11551667/ff662767b09c/WJG-30-4484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a80d/11551667/ff662767b09c/WJG-30-4484-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a80d/11551667/ff662767b09c/WJG-30-4484-g001.jpg

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1
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本文引用的文献

1
Diagnostic delay in inflammatory bowel diseases in a German population.炎症性肠病的德国人群中的诊断延误。
World J Gastroenterol. 2024 Aug 7;30(29):3465-3478. doi: 10.3748/wjg.v30.i29.3465.
2
Sources of diagnostic delay for people with Crohn's disease and ulcerative colitis: Qualitative research study.炎症性肠病患者诊断延迟的原因:定性研究。
PLoS One. 2024 Jun 10;19(6):e0301672. doi: 10.1371/journal.pone.0301672. eCollection 2024.
3
EVOLUTION OF DIAGNOSTIC DELAY IN PEDIATRIC INFLAMMATORY BOWEL DISEASE AND THE IMPACT OF THE COVID-19 PANDEMIC.
儿童炎症性肠病诊断延迟的演变及 COVID-19 大流行的影响。
Arq Gastroenterol. 2023 Jan-Mar;60(1):91-97. doi: 10.1590/S0004-2803.202301000-12.
4
Diagnostic delay in adult inflammatory bowel disease: A systematic review.成人炎症性肠病的诊断延误:系统评价。
Indian J Gastroenterol. 2023 Feb;42(1):40-52. doi: 10.1007/s12664-022-01303-x. Epub 2023 Jan 30.
5
Diagnostic accuracy of pan-enteric capsule endoscopy and magnetic resonance enterocolonography in suspected Crohn's disease.经全肠胶囊内镜与磁共振肠造影术诊断疑似克罗恩病的准确性。
United European Gastroenterol J. 2022 Nov;10(9):973-982. doi: 10.1002/ueg2.12307. Epub 2022 Sep 7.
6
Therapeutic adherence recorded in the outpatient follow-up of inflammatory bowel diseases in a referral center: Damages of COVID-19.在一家转诊中心对炎症性肠病门诊随访中记录的治疗依从性:新型冠状病毒肺炎的损害
Dig Liver Dis. 2022 Oct;54(10):1449-1451. doi: 10.1016/j.dld.2022.07.016. Epub 2022 Aug 13.
7
Evolving role of endoscopy in inflammatory bowel disease: Going beyond diagnosis.内镜在炎症性肠病中的作用演变:超越诊断。
World J Gastroenterol. 2021 May 28;27(20):2521-2530. doi: 10.3748/wjg.v27.i20.2521.
8
Approach to the Management of Recently Diagnosed Inflammatory Bowel Disease Patients: A User's Guide for Adult and Pediatric Gastroenterologists.炎症性肠病初诊患者的处理方法:成人和儿科胃肠病学家的使用指南。
Gastroenterology. 2021 Jul;161(1):47-65. doi: 10.1053/j.gastro.2021.04.063. Epub 2021 Apr 30.
9
Non-invasive biomarkers as treatment targets: What do we all need to know?作为治疗靶点的非侵入性生物标志物:我们都需要了解什么?
J Gastroenterol Hepatol. 2021 Apr;36 Suppl 1:12-13. doi: 10.1111/jgh.15449.
10
Fatigue in patients with inflammatory bowel disease in Eastern China.中国东部炎症性肠病患者的疲劳状况
World J Gastroenterol. 2021 Mar 21;27(11):1076-1089. doi: 10.3748/wjg.v27.i11.1076.