Systematic Evaluation of Diagnostic Delay in Pediatric Inflammatory Bowel Disease

卷:64

Schoepfer, Alain M. ; Vavricka, Stephan ; Safroneeva, Ekaterina ; Fournier, Nicolas ; Manser, Christine ; Frei, Pascal ; Deltenre, Pierre ; Rogler, Gerhard ; Straumann, Alex ; Ezri, Jessica ; Nydegger, Andreas ; Braegger, Christian

CHU Vaudois

关键词: Crohn disease;    diagnostic delay;    pediatric inflammatory bowel diseases;    ulcerative colitis;   

DOI  :  10.1097/MPG.0000000000001238

学科分类：食品科学和技术

【 摘 要 】

We evaluated the diagnostic delay (time from first symptoms to diagnosis) in 100 pediatric patients with Crohn disease (CD) and 75 patients with ulcerative colitis (UC). Median (interquartile range) diagnostic delay in patients with CD was 4 (2-8) (range 0-82) months compared with 2 (1-7) (range 0-52) months in patients with UC (P = 0.003). The time interval from first physician visit to inflammatory bowel disease diagnosis was longer in patients with CD and UC when compared to the time interval from symptom onset to first physician visit (CD: median 3 vs 1 months, P < 0.001; UC: median 2 vs 0 months, P < 0.001). No specific risk factors were identified for the length of diagnostic delay. Measures should be taken to reduce diagnostic delay.