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Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS

Irritable bowel syndrome (IBS) guidelines are generally developed by experts, with the possibility of a translational gap in clinical medicine. The aim of our study was to assess an Italian group of general practitioners (GPs) for their awareness and use of criteria for the diagnosis and management...

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Autores principales: Bellini, Massimo, Tosetti, Cesare, Rettura, Francesco, Morganti, Riccardo, Lambiase, Christian, Bassotti, Gabrio, Visaggi, Pierfrancesco, Pancetti, Andrea, Benedetto, Edoardo, de Bortoli, Nicola, Usai-Satta, Paolo, De Bastiani, Rudi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267465/
https://www.ncbi.nlm.nih.gov/pubmed/35807145
http://dx.doi.org/10.3390/jcm11133861
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author Bellini, Massimo
Tosetti, Cesare
Rettura, Francesco
Morganti, Riccardo
Lambiase, Christian
Bassotti, Gabrio
Visaggi, Pierfrancesco
Pancetti, Andrea
Benedetto, Edoardo
de Bortoli, Nicola
Usai-Satta, Paolo
De Bastiani, Rudi
author_facet Bellini, Massimo
Tosetti, Cesare
Rettura, Francesco
Morganti, Riccardo
Lambiase, Christian
Bassotti, Gabrio
Visaggi, Pierfrancesco
Pancetti, Andrea
Benedetto, Edoardo
de Bortoli, Nicola
Usai-Satta, Paolo
De Bastiani, Rudi
author_sort Bellini, Massimo
collection PubMed
description Irritable bowel syndrome (IBS) guidelines are generally developed by experts, with the possibility of a translational gap in clinical medicine. The aim of our study was to assess an Italian group of general practitioners (GPs) for their awareness and use of criteria for the diagnosis and management of IBS. For this purpose, a survey was carried out involving 235 GPs, divided into two groups according to their years of activity: 65 “junior general practitioners” (JGPs) (≤10 years) and 170 “senior general practitioners” (SGPs) (>10 years). JGPs were more familiar with the Rome IV Criteria and Bristol Scale than SGPs. Abdominal pain, bowel movement frequency and bloating were the symptoms most frequently used to make a diagnosis. The most probable causes of IBS were reported to be abnormal gastrointestinal motility and psychological triggers. SGPs reported more frequently than JGPs that challenging management and patient’s request were motivations for a gastroenterological consultation. The practice of clinical medicine is still far from the guidelines provided by the specialists. Abdominal pain related to defecation and changes in bowel frequency are considered to be the more important symptoms for IBS diagnosis, but most GPs, both JGPs and SGPs, like to consider abdominal bloating as another useful symptom. Involving both gastroenterologists and GPs in developing shared guidelines would be highly desirable in order to improve IBS management strategies in everyday clinical practice.
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spelling pubmed-92674652022-07-09 Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS Bellini, Massimo Tosetti, Cesare Rettura, Francesco Morganti, Riccardo Lambiase, Christian Bassotti, Gabrio Visaggi, Pierfrancesco Pancetti, Andrea Benedetto, Edoardo de Bortoli, Nicola Usai-Satta, Paolo De Bastiani, Rudi J Clin Med Article Irritable bowel syndrome (IBS) guidelines are generally developed by experts, with the possibility of a translational gap in clinical medicine. The aim of our study was to assess an Italian group of general practitioners (GPs) for their awareness and use of criteria for the diagnosis and management of IBS. For this purpose, a survey was carried out involving 235 GPs, divided into two groups according to their years of activity: 65 “junior general practitioners” (JGPs) (≤10 years) and 170 “senior general practitioners” (SGPs) (>10 years). JGPs were more familiar with the Rome IV Criteria and Bristol Scale than SGPs. Abdominal pain, bowel movement frequency and bloating were the symptoms most frequently used to make a diagnosis. The most probable causes of IBS were reported to be abnormal gastrointestinal motility and psychological triggers. SGPs reported more frequently than JGPs that challenging management and patient’s request were motivations for a gastroenterological consultation. The practice of clinical medicine is still far from the guidelines provided by the specialists. Abdominal pain related to defecation and changes in bowel frequency are considered to be the more important symptoms for IBS diagnosis, but most GPs, both JGPs and SGPs, like to consider abdominal bloating as another useful symptom. Involving both gastroenterologists and GPs in developing shared guidelines would be highly desirable in order to improve IBS management strategies in everyday clinical practice. MDPI 2022-07-03 /pmc/articles/PMC9267465/ /pubmed/35807145 http://dx.doi.org/10.3390/jcm11133861 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bellini, Massimo
Tosetti, Cesare
Rettura, Francesco
Morganti, Riccardo
Lambiase, Christian
Bassotti, Gabrio
Visaggi, Pierfrancesco
Pancetti, Andrea
Benedetto, Edoardo
de Bortoli, Nicola
Usai-Satta, Paolo
De Bastiani, Rudi
Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title_full Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title_fullStr Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title_full_unstemmed Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title_short Translational Gap between Guidelines and Clinical Medicine: The Viewpoint of Italian General Practitioners in the Management of IBS
title_sort translational gap between guidelines and clinical medicine: the viewpoint of italian general practitioners in the management of ibs
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267465/
https://www.ncbi.nlm.nih.gov/pubmed/35807145
http://dx.doi.org/10.3390/jcm11133861
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