Systematic evaluation of risk factors for diagnostic delay in inflammatory bowel

TitreSystematic evaluation of risk factors for diagnostic delay in inflammatory bowel
Publication TypeConference Paper
Year of Publication2011
AuthorsSchoepfer, A, Spigaglia, S, Rogler, G, Pittet, V, Michetti, P, Felley, C, Mottet, C, Braegger, C, Rogler, D, Straumann, A, Bauerfeind, P, Fried, M, Vavricka, S
Conference Name6th Congress of the European Crohn's and Colitis Organisation
Conference LocationDublin, Ireland, February 24-26, 2011
ISBN Number1873-9946
Accession Numberserval:BIB_261ABBD9DE85

Aim: The diagnosis of inflammatory bowel disease (IBD), comprising Crohn's disease (CD) and ulcerative colitis (UC), continues to present difficulties due to unspecific symptoms and limited test accuracies. We aimed to determine the diagnostic delay (time from first symptoms to IBD diagnosis) and to identify associated risk factors in a national cohort in Switzerland.
Materials and Methods: A total of 1,591 IBD patients (932 CD, 625 UC, 34 indeterminate colitis) from the Swiss IBD cohort study (SIBDCS) were evaluated. The SIBDCS collects data on a large sample of IBD patients from hospitals and private practice across Switzerland through physician and patient questionnaires. The primary outcome measure was the diagnostic delay.
Results: Diagnostic delay in CD patients was significantly longer compared to UC patients (median 9 vs. 4 months, P 24 months). A trend for long diagnostic delay (>12 months) was associated with NSAID intake (OR 1.75, P = 0.093) and male gender (OR 0.59, P = 0.079) in UC patients.
Conclusions: Whereas the median delay for diagnosing CD, UC, and IC seems to be acceptable, there exists a long delay in a considerable proportion of CD patients. More public awareness work needs to be done in order to reduce patient's and doctor's delay in this target population.


Citation Key / SERVAL ID5386
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