title: The burden and management of patients with IBS: Results from a survey in spanish gastroenterologists.
abstract: BACKGROUND
  irritable bowel syndrome (IBS) is a common and complex disorder. Though it is estimated that IBS constitutes an important part of the gastroenterology (GI) practice, the burden of this problem in the GI outpatients clinics in Spain is unclear.
  
  
  OBJECTIVE
  the aim of this study is to obtain a "shot" of the burden and management of this syndrome in the daily GI practice.
  
  
  METHODS
  508 general gastroenterologists from all over the country were approached and asked to complete a survey that included questions about their daily practice and the definition, diagnosis and treatment of IBS.
  
  
  RESULTS
  55% of the surveyed physicians estimate that IBS constitute between a quarter and a half of all their consultations; and pointed out that most of these patients were referred from primary care. Overall, the Spanish gastroenterologists show an adequate knowledge of the different diagnostic criteria, though they do not always follow the current guidelines. Up to 55% of the physicians always perform a complementary test to support their diagnosis and 40% order a diagnostic test only in older patients (> 50 years) or in presence of alarm symptoms. Interestingly, 80% of the gastroenterologists start empirical treatment based on the patients' symptoms.
  
  
  CONCLUSIONS
  though Spanish gastroenterologists seem to have an adequate theoretical knowledge of the disease, they do not systematically follow current guidelines and tend to manage IBS symptoms based on their own criteria.
authors.affiliation: Division of Gastroenterology, Mayo Clinic, Jacksonville, Florida, USA.
authors.forename: Cristina
authors.initials: C
authors.lastname: Almansa
authors.forename: Manuel
authors.initials: M
authors.lastname: Díaz-Rubio
authors.forename: Enrique
authors.initials: E
authors.lastname: Rey
mesh_terms: D002983:Clinical Competence; D003430:Cross-Sectional Studies; D005762:Gastroenterology; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D043183:Irritable Bowel Syndrome / Q000175:diagnosis / Q000628:therapy; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D013030:Spain; D011795:Surveys and Questionnaires