Türkiye’de birinci basamak saglik kurumlarinda irritabl barsak sendromu görülme sikligi*
The frequency of irritable bowel syndrome in primary care centers of Turkey
- Ana Sayfa
- Sayılar
- Türkiye’de birinci basamak saglik kurumlarinda irritabl barsak sendromu görülme sikligi*...
2Ankara Onkoloji Egitim ve Arastirma Hastanesi, Gastroenteroloji Klinigi, Ankara
3Türkiye Yüksek Ihtisas Hastanesi, Gastroenteroloji Klinigi, Ankara
4Baskent Üniversitesi Tip Fakültesi, Gastroenteroloji Bilim Dali, Ankara
5Türk Gastroenteroloji Vakfi, Ankara
6Novartis Ürünleri, Istanbul
Özet
Giris ve amaç: Bu çalisma Türkiye’de birinci basamak saglik kurumlari nda irritabl barsak sendromu (IBS) sikligini saptamak için yapilmistir. Gereç ve yöntem: Çalisma 2005 yilinda Türkiye’nin 32 farkli ilindeki birinci basamak saglik kurulusuna basvuran olgular arasindan rastgele seçilen 7520 olguda anket yapilarak gerçeklestirilmistir. Anket birinci basamakta çalisan hekimler tarafindan yapilmistir. Hastalar basvurudaki ana yakinmalarina göre gastrointestinal sistem (GIS) ve GIS disi olmak üzere iki guruba ayrildiktan sonra, her iki gurup içinden rastgele seçilen 2203 olguya anket yapilarak birinci basamakta IBS prevalansi arastirilmi stir. IBS tanisi Roma-II kriterlerine göre konulmustur. Bulgular: Çali smaya katilan 7520 hastanin 2157’si (%31,5) GIS semptomlari ile doktora basvururken, 5363’ü (%68,5) GIS disi yakinmalar ile doktora basvurmustur. GIS yakinmalari ile basvuran 2157 hasta arasindan rastgele seçilerek anket yapilan 1461 olgunun 598’inde (%41), GIS disi yakinmalar ile basvuran 5363 olgu arasindan rastgele anket yapilan 742 olgunun 141’inde (%19) IBS tanisi konulmustur. Sonuç: Bu çalisma ülkemizde fonksiyonel gastrointestinal hastaliklarin sik görüldügünü ve hastalari n yakinmalarinin devami nedeni ile birinci basamak hekimlerine sik basvurduklarini ortaya koymaktadir.
Abstract
Background/aim: The present study was done in order to determine the frequency of irritable bowel syndrome (IBS) in primary care centers of Turkey. Materials and methods: The study was carried out by applying questionnaire in a study population of 7520 patients who were randomly selected among those admitted to primary care centers in 32 different cities of Turkey in the year 2005. The questionnaire was applied by doctors working in the primary care centers. Patients were categorized in to two groups (gastrointestinal system (GIS) or non-GIS) depending on the main symptoms on admission. The prevalence of IBS in primary care centers was investigated by applying questionnaire to 2203 randomly selected patients from both of the groups. The diagnosis of IBS was based on the Rome- II criteria. Results: Among the 7520 patients participating in the study, 2157 (31.5%) were admitted with GIS symptoms and 5363 (41%) with non-GIS symptoms. Out of 2157 patients with GIS symptoms, questionnaire was performed in randomly selected 1461 patients and a diagnosis of IBS was reached in 598 (41%). Out of 5363 patients with non-GIS symptoms, questionnaire was performed in randomly selected 742 patients and a diagnosis of IBS was reached in 141 (19%). Conclusion: This study shows that functional GIS disorders are commonly seen in our country and the patients frequently admit to doctors in the primary care centers because of the persistence of their symptoms
