[Spanish physicians point of view on irritable bowel syndrome (IBS). Results of a Delphi survey].
BACKGROUND
lack of evidence in most clinical situations regarding irritable bowel syndrome (IBS) enhances the importance of an expert s opinion, which will guide management and even the concept underlying the disease.


OBJECTIVE
to delve into the knowledge and degree of agreement on main clinical skills for this syndrome among physicians involved in its management.


METHODS
two rounds of a Delphi survey were conducted on 100 physicians: general practitioners (GPs) and gastroenterologists. The questionnaire evaluated agreement among participants in some aspects regarding the definition, diagnosis, and treatment of IBS.


RESULTS
fifty-five percent of participants completed the two-round survey. Agreement was achieved regarding the definition of typical symptoms and red flags characterizing IBS. Although there was no consensus regarding the appropriate management of patients without alarm symptoms, the performance of a colonoscopy on any patient presenting red flags was suggested. Patients were thought to require a wider examination when older than 40. A well defined line of IBS treatment was not found, albeit most physicians tended to choose it depending on the main complaint.


CONCLUSIONS
interviewed physicians showed adequate theoretical knowledge of IBS, but lack of uniformity on diagnosis and treatment approach reflects the controversial day-by-day management of this syndrome.
Almansa
C
C
Servicio de Aparato Digestivo, Hospital Clínico San Carlos, Madrid, Spain.
Rey
E
E
Bolaños
E
E
Palma
M
M
Alvarez Sánchez
A
A
Díaz-Rubio
M
M
D003697:Delphi Technique; D005194:Family Practice; D005260:Female; D005762:Gastroenterology; D006801:Humans; D043183:Irritable Bowel Syndrome; D008297:Male; D008875:Middle Aged; D013030:Spain; D011795:Surveys and Questionnaires