Detailed Information

Cited 38 time in webofscience Cited 41 time in scopus
Metadata Downloads

Diagnostic delay in inflammatory bowel disease increases the risk of intestinal surgery

Authors
Lee, Dong-wonKoo, Ja SeolChoe, Jung WanSuh, Sang JunKim, Seung YoungHyun, Jong JinJung, Sung WooJung, Young KulYim, Hyung JoonLee, Sang Woo
Issue Date
Sep-2017
Publisher
BAISHIDENG PUBLISHING GROUP INC
Keywords
Diagnostic delay; Intestinal surgery; Inflammatory bowel disease; Crohn' s disease; Ulcerative colitis
Citation
WORLD JOURNAL OF GASTROENTEROLOGY, v.23, no.35, pp.6474 - 6481
Indexed
SCIE
SCOPUS
Journal Title
WORLD JOURNAL OF GASTROENTEROLOGY
Volume
23
Number
35
Start Page
6474
End Page
6481
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/4626
DOI
10.3748/wjg.v23.i35.6474
ISSN
1007-9327
Abstract
AIM To investigate the factors affecting diagnostic delay and outcomes of diagnostic delay in inflammatory bowel disease (IBD) METHODS We retrospectively studied 165 patients with Crohn's disease (CD) and 130 patients with ulcerative colitis (UC) who were diagnosed and had follow up durations > 6 mo at Korea University Ansan Hospital from January 2000 to December 2015. A diagnostic delay was defined as the time interval between the first symptom onset and IBD diagnosis in which the 76th to 100th percentiles of patients were diagnosed. RESULTS The median diagnostic time interval was 6.2 and 2.4 mo in the patients with CD and UC, respectively. Among the initial symptoms, perianal discomfort before diagnosis (OR = 10.2, 95% CI: 1.93-54.3, P = 0.006) was associated with diagnostic delays in patients with CD; however, no clinical factor was associated with diagnostic delays in patients with UC. Diagnostic delays, stricturing type, and penetrating type were associated with increased intestinal surgery risks in CD (OR = 2.54, 95% CI: 1.06-6.09; OR = 4.44, 95% CI: 1.67-11.8; OR = 3.79, 95% CI: 1.14-12.6, respectively). In UC, a diagnostic delay was the only factor associated increased intestinal surgery risks (OR = 6.81, 95% CI: 1.12-41.4). CONCLUSION A diagnostic delay was associated with poor outcomes, such as increased intestinal surgery risks in patients with CD and UC.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Jung, Sung Woo photo

Jung, Sung Woo
Ansan Hospital (Department of Gastroenterology and Hepatology, Ansan Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE