Table 10UK studies on health care use and costs for IBS patients

First authorYearCountrySettingStudy designPopulationFollow-upMeasures
Akehurst2002UK6 general practices in Trent (selected to be representative)Matched case-control study - cross- sectional survey with retrospective case note review161 patients with IBS known to GP (Rome I) & 213 matched controls (matching by age, sex & social characteristics)12 monthsNumber and cost of GP consultations (home and clinic), drugs, A&E attendances, OP visits and IP stays
Creed2001UK7 secondary and tertiary clinics in North EnglandCase series - cross- sectional survey with retrospective case note review257 patients with severe refractory IBS (Rome I)12 monthsIP stays, OP visits, day patient attandance, A&E, GP contacts, domiciliary care services, day rehabilitation centres, alternative therapies, prescription medicines and costs, patient costs, time off work and lost wages.
Wells1997UKVariousAnalysis of databases and cross-sectional survey of consultantsUK patients consulting with IBS symptoms (or coded as IBS, ICD 564.1)NoneNumber and cost of GP visits, use of medication, OP visits and IP stays per annum
Wilson2004UKCommunity (8 primary care practice lists)Cross-sectional survey398 people meeting Rome II criteria for IBS, identified from 4807 responders. 8646 questionnaires posted.NoneUse of health services in the previous six months including GP, practice nurse and secondary consultations, use of prescribed and OTC medication and alternative therapies.
Hahn1999US and UKPatient organisationsCross-sectional survey1000 members of patient organisations (500 US and 500 UK) with reported diagnosis of IBS from physician. 343 UK and 287 responded.NoneQoL (IBSQOL, SF-36), self- reported health resource use (ER visits, outpatient visits), time off work

From: Appendix G, Literature review of prognostic, resource use and quality of data

Cover of Irritable Bowel Syndrome in Adults
Irritable Bowel Syndrome in Adults: Diagnosis and Management of Irritable Bowel Syndrome in Primary Care [Internet].
NICE Clinical Guidelines, No. 61.
National Collaborating Centre for Nursing and Supportive Care (UK).
Copyright © 2008, Royal College of Nursing.

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