Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors
A prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18–70 years who consulted for GE sy...
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| Veröffentlicht in: | Epidemiology and infection 2014-06, Vol.142 (6), p.1259-1268 |
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| creator | KOWALCYK, B. K. SMEETS, H. M. SUCCOP, P. A. DE WIT, N. J. HAVELAAR, A. H. |
| description | A prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18–70 years who consulted for GE symptoms from 1998 to 2009, met inclusion/exclusion criteria and had at least 1 year of follow-up data were included. Patients with non-GE consultations, matched by age, gender, consulting practice and time of visit, served as the reference group. At 1 year, 1·2% of GE patients (N = 2428) had been diagnosed with IBS compared to 0·3% of the reference group (N = 2354). GE patients had increased risk of IBS [RR 4·85, 95% confidence interval (CI) 2·02–11·63]. For GE patients, concomitant cramps and history of psycho-social consultations were significantly associated with increased risk. GE patients had increased risk of IBS up to 5 years post-exposure (RR 5·40, 95% CI 2·60–11·24), suggesting there may be other contributing factors. |
| doi_str_mv | 10.1017/S0950268813001891 |
| format | Article |
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K. ; SMEETS, H. M. ; SUCCOP, P. A. ; DE WIT, N. J. ; HAVELAAR, A. H.</creator><creatorcontrib>KOWALCYK, B. K. ; SMEETS, H. M. ; SUCCOP, P. A. ; DE WIT, N. J. ; HAVELAAR, A. H.</creatorcontrib><description>A prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18–70 years who consulted for GE symptoms from 1998 to 2009, met inclusion/exclusion criteria and had at least 1 year of follow-up data were included. Patients with non-GE consultations, matched by age, gender, consulting practice and time of visit, served as the reference group. At 1 year, 1·2% of GE patients (N = 2428) had been diagnosed with IBS compared to 0·3% of the reference group (N = 2354). GE patients had increased risk of IBS [RR 4·85, 95% confidence interval (CI) 2·02–11·63]. For GE patients, concomitant cramps and history of psycho-social consultations were significantly associated with increased risk. GE patients had increased risk of IBS up to 5 years post-exposure (RR 5·40, 95% CI 2·60–11·24), suggesting there may be other contributing factors.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268813001891</identifier><identifier>PMID: 23941625</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Abdomen ; Adolescent ; Adult ; Aged ; Biological and medical sciences ; Campylobacter ; Codes ; Cohort analysis ; Cohort Studies ; Disease risk ; Epidemiology ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenteritis ; Gastroenteritis - complications ; Gastroenteritis - epidemiology ; Gastroenterology ; Gastrointestinal ; Gender ; Humans ; Infections ; Irritable bowel syndrome ; Irritable Bowel Syndrome - epidemiology ; Irritable Bowel Syndrome - etiology ; Male ; Medical prognosis ; Microbiology ; Middle Aged ; Original Papers ; Predisposing factors ; Primary care ; Psychological aspects ; Risk ; Risk Factors ; Salmonella ; Survival analysis ; Symptoms ; Time Factors ; Weight loss ; Young Adult</subject><ispartof>Epidemiology and infection, 2014-06, Vol.142 (6), p.1259-1268</ispartof><rights>Copyright © Cambridge University Press 2013</rights><rights>Cambridge University Press 2014</rights><rights>2015 INIST-CNRS</rights><rights>Cambridge University Press 2013 2013 Cambridge University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c556t-c8f9eb8d88333f7d5e6c000a4dd3cb85606127a6464177b9d867b42c94699d6c3</citedby><cites>FETCH-LOGICAL-c556t-c8f9eb8d88333f7d5e6c000a4dd3cb85606127a6464177b9d867b42c94699d6c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24475888$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24475888$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,728,781,785,804,886,27926,27927,53793,53795,58019,58252</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28392893$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23941625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>KOWALCYK, B. K.</creatorcontrib><creatorcontrib>SMEETS, H. M.</creatorcontrib><creatorcontrib>SUCCOP, P. A.</creatorcontrib><creatorcontrib>DE WIT, N. J.</creatorcontrib><creatorcontrib>HAVELAAR, A. H.</creatorcontrib><title>Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>A prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18–70 years who consulted for GE symptoms from 1998 to 2009, met inclusion/exclusion criteria and had at least 1 year of follow-up data were included. Patients with non-GE consultations, matched by age, gender, consulting practice and time of visit, served as the reference group. At 1 year, 1·2% of GE patients (N = 2428) had been diagnosed with IBS compared to 0·3% of the reference group (N = 2354). GE patients had increased risk of IBS [RR 4·85, 95% confidence interval (CI) 2·02–11·63]. For GE patients, concomitant cramps and history of psycho-social consultations were significantly associated with increased risk. GE patients had increased risk of IBS up to 5 years post-exposure (RR 5·40, 95% CI 2·60–11·24), suggesting there may be other contributing factors.</description><subject>Abdomen</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Campylobacter</subject><subject>Codes</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Disease risk</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. 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K.</au><au>SMEETS, H. M.</au><au>SUCCOP, P. A.</au><au>DE WIT, N. J.</au><au>HAVELAAR, A. H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>142</volume><issue>6</issue><spage>1259</spage><epage>1268</epage><pages>1259-1268</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>A prospective cohort study using electronic medical records was undertaken to estimate the relative risk (RR) of irritable bowel syndrome (IBS) following acute gastroenteritis (GE) in primary-care patients in The Netherlands and explore risk factors. Patients aged 18–70 years who consulted for GE symptoms from 1998 to 2009, met inclusion/exclusion criteria and had at least 1 year of follow-up data were included. Patients with non-GE consultations, matched by age, gender, consulting practice and time of visit, served as the reference group. At 1 year, 1·2% of GE patients (N = 2428) had been diagnosed with IBS compared to 0·3% of the reference group (N = 2354). GE patients had increased risk of IBS [RR 4·85, 95% confidence interval (CI) 2·02–11·63]. For GE patients, concomitant cramps and history of psycho-social consultations were significantly associated with increased risk. GE patients had increased risk of IBS up to 5 years post-exposure (RR 5·40, 95% CI 2·60–11·24), suggesting there may be other contributing factors.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>23941625</pmid><doi>10.1017/S0950268813001891</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Epidemiology and infection, 2014-06, Vol.142 (6), p.1259-1268 |
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| source | MEDLINE; JSTOR Archive Collection A-Z Listing; PubMed Central |
| subjects | Abdomen Adolescent Adult Aged Biological and medical sciences Campylobacter Codes Cohort analysis Cohort Studies Disease risk Epidemiology Female Fundamental and applied biological sciences. Psychology Gastroenteritis Gastroenteritis - complications Gastroenteritis - epidemiology Gastroenterology Gastrointestinal Gender Humans Infections Irritable bowel syndrome Irritable Bowel Syndrome - epidemiology Irritable Bowel Syndrome - etiology Male Medical prognosis Microbiology Middle Aged Original Papers Predisposing factors Primary care Psychological aspects Risk Risk Factors Salmonella Survival analysis Symptoms Time Factors Weight loss Young Adult |
| title | Relative risk of irritable bowel syndrome following acute gastroenteritis and associated risk factors |
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