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과민성 장증후군의 진단기준간의 비교 및 평가

Other Titles
 A comparison and validity of various diagnostic criteria of irritable bowel syndrome 
 지상원  ;  박효진  ;  이상인  ;  박인서  ;  이정일  ;  오혜영 
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지), Vol.8(1) : 21-30, 2002 
Journal Title
 Korean Journal of Neurogastroenterology and Motility (대한소화관운동학회지) 
Issue Date
Irritable bowel syndrome ; Rome criteria ; Manning criteria
There has been some discordance in the prevalence of irritable bowel syndrome (IBS) probably due to different diagnostic criteria used by different study groups. The aims of this study was to determine the degree of agreement between different standard definitions and to test the validity of applying these different standards in epidemiological investigations of IBS among Korean population. Methods: We recruited 1,038 patients who visited Yongdong Severance Hosipital for medical checkup and gave out the prepared questionnaires. Based on the returned questionnaires, degree of agreement between Manning, Rome I, and Rome II criteria was investigated by percent agreement and calculating κ statics. Furthermore, clinical characteristics in different definition groups and patients of self-reported IBS were investigated and compared. Results: Complete questionnaires were returned by 928 out of 1,038 subjects. The percent agreements ranged from 80.7 to 96.7 percent and κ values ranged from 0.20 to 0.59. Best agreement occurred between Manning and Rome I criteria. Many subjects diagnosed as not having IBS by various diagnostic criteria of IBS thought themselves as having IBS. More sizable number of patients were suspected to have structural gastrointestinal diseases in IBS patients diagnosed by Manning, Rome I, and Rome II criteria compared with self-reported IBS subjects. Conclusions: It could be suspected that results of epidemiological investigations might be different according to standard definitions applied on each studies. Furthermore, some modifications of existing standard definitions of Western world would be required before applying them among Korean population.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
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