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Systematic Evaluation of Diagnostic Delay in Pediatric Inflammatory Bowel Disease


Schoepfer, Alain M; Vavricka, Stephan; Safroneeva, Ekaterina; Fournier, Nicolas; Manser, Christine; Frei, Pascal; Deltenre, Pierre; Rogler, Gerhard; Straumann, Alex; Ezri, Jessica; Nydegger, Andreas; Braegger, Christian (2017). Systematic Evaluation of Diagnostic Delay in Pediatric Inflammatory Bowel Disease. Journal of Pediatric Gastroenterology and Nutrition, 64(2):245-247.

Abstract

We evaluated the diagnostic delay (time from first symptoms to diagnosis) in 100 pediatric patients with Crohn disease (CD) and 75 patients with ulcerative colitis (UC). Median (interquartile range) diagnostic delay in patients with CD was 4 (2-8) (range 0-82) months compared with 2 (1-7) (range 0-52) months in patients with UC (P = 0.003). The time interval from first physician visit to inflammatory bowel disease diagnosis was longer in patients with CD and UC when compared to the time interval from symptom onset to first physician visit (CD: median 3 vs 1 months, P < 0.001; UC: median 2 vs 0 months, P < 0.001). No specific risk factors were identified for the length of diagnostic delay. Measures should be taken to reduce diagnostic delay.

Abstract

We evaluated the diagnostic delay (time from first symptoms to diagnosis) in 100 pediatric patients with Crohn disease (CD) and 75 patients with ulcerative colitis (UC). Median (interquartile range) diagnostic delay in patients with CD was 4 (2-8) (range 0-82) months compared with 2 (1-7) (range 0-52) months in patients with UC (P = 0.003). The time interval from first physician visit to inflammatory bowel disease diagnosis was longer in patients with CD and UC when compared to the time interval from symptom onset to first physician visit (CD: median 3 vs 1 months, P < 0.001; UC: median 2 vs 0 months, P < 0.001). No specific risk factors were identified for the length of diagnostic delay. Measures should be taken to reduce diagnostic delay.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Medical Clinic
04 Faculty of Medicine > University Hospital Zurich > Clinic for Gastroenterology and Hepatology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:February 2017
Deposited On:16 Jan 2018 14:16
Last Modified:31 Mar 2018 04:49
Publisher:Lippincott Williams & Wilkins
ISSN:0277-2116
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1097/MPG.0000000000001238
PubMed ID:27101540

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