English, Article edition: Burden of Illness in Irritable Bowel Syndrome Comparing Rome I and Rome II Criteria Xavier Badia; Fermin Mearin; Agustin Balboa; ...

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Physical Description
  • article
Language
  • English

Edition details

Title
  • Burden of Illness in Irritable Bowel Syndrome Comparing Rome I and Rome II Criteria
Author
  • Xavier Badia
  • Fermin Mearin
  • Agustin Balboa
  • Eva Baro
  • Ellen Caldwell
  • Mercedes Cucala
  • Manuel Diaz-Rubio
  • Arturo Fueyo
  • Julio Ponce
  • Mentse Roset
  • Nicholas J. Talley
Physical Description
  • article
Notes
  • Objectives: To evaluate the burden of illness in irritable bowel syndrome (IBS), in terms of resource utilisation (direct and indirect) and health-related quality of life (HR-QOL), in individuals with IBS who meet Rome I and Rome II criteria. Methods: A cross-sectional study, carried out by personal interview, on a representative sample (n =​ 2000) of the Spanish population. Individuals with suspected IBS were identified via a screening question and subsequently given an epidemiological questionnaire to complete. The questionnaire collected information on IBS symptoms, resource utilisation, and HR-QOL [Medical Outcomes Study 36-item Short Form (SF-36)]. Results: Sixty-five individuals met Rome II criteria for IBS, while 146 individuals met exclusively Rome I criteria. Of Rome II individuals, 67.7% had consulted some type of healthcare professional in the previous 12 months, compared with only 41.8% of those individuals meeting exclusively Rome I criteria (p < 0.001). In the same vein, similar findings were observed (p < 0.01) for the variables: `diagnostic tests' (35.4 vs 17.1%); `drug consumption' (70.8 vs 45.2%); and `reduced performance in main activity' (60 vs 27.4%). Compared with the general population, the study sample reported significantly worse HR-QOL scores in four dimensions of the SF-36 (`bodily pain', `vitality', `social functioning' and `role-emotional'. Additionally, individuals meeting Rome II criteria reported worse HR-QOL scores than those individuals meeting exclusively Rome I criteria, especially in the `bodily pain' and `general health' dimensions. Conclusions: The burden of illness in IBS is important and correlated to the diagnostic criteria employed. Individuals who met Rome II criteria reported a higher level of resource utilisation and worse HR-QOL than individuals meeting exclusively Rome I criteria.
  • Irritable bowel syndrome, Pharmacoeconomics, Quality of life, Resource use
  • RePEc:wkh:phecon:v:20:y:2002:i:11:p:749-758
Language
  • English
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