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导致炎症性肠病诊断延迟的患者和医生因素:加强及时诊断

Patient and physician factors contributing to delays in inflammatory bowel diseases: Enhancing timely diagnosis.

作者信息

Minea Horia, Singeap Ana-Maria, Huiban Laura, Muzica Cristina Maria, Stanciu Carol, Trifan Anca

机构信息

Department of Gastroenterology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi 700115, Romania.

Institute of Gastroenterology and Hepatology, "St. Spiridon" University Hospital, Iasi 700111, Romania.

出版信息

World J Gastroenterol. 2025 Feb 14;31(6):100295. doi: 10.3748/wjg.v31.i6.100295.

Abstract

In this article, we comment on the article by Blüthner . The article provides a comprehensive analysis of the factors contributing to the late detection of Crohn's disease and ulcerative colitis within a German cohort. It highlights the consequences on patient outcomes, particularly disease progression and the increased risk of developing complications. The study identifies specific predictors associated with both patient-related and physician-related delays, offering a detailed exploration of the initial approach. Additionally, the article delves into the distinct patterns observed in the German population, stressing the unique aspects of diagnostic delays that may differ from those reported in other regions. This detailed examination offers valuable insights into the specific challenges faced within the German healthcare system and underscores the necessity of targeted interventions to facilitate early diagnosis. The importance of improved screening tools, patient education, and better healthcare infrastructure is emphasized as crucial steps toward improving patient care in inflammatory bowel disease.

摘要

在本文中,我们对布卢特纳的文章进行评论。该文章全面分析了德国队列中导致克罗恩病和溃疡性结肠炎诊断延迟的因素。它强调了对患者预后的影响,特别是疾病进展以及发生并发症风险的增加。该研究确定了与患者相关和医生相关延迟相关的特定预测因素,对初始诊断方法进行了详细探讨。此外,文章深入研究了德国人群中观察到的不同模式,强调了诊断延迟的独特方面,这些方面可能与其他地区报道的不同。这种详细的审查为德国医疗系统面临的具体挑战提供了有价值的见解,并强调了采取有针对性的干预措施以促进早期诊断的必要性。强调改进筛查工具、患者教育和更好的医疗基础设施的重要性,是改善炎症性肠病患者护理的关键步骤。

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