TITLE

A Comparison of the Rome and Manning Criteria for Case Identification in Epidemiological Investigations of Irritable Bowel Syndrome

AUTHOR(S)
Saito, Yuri Ann; Locke III, G. Richard; Talley, Nicholas J.; Zinsmeister, Alan R.; Fett, Sara L.; Melton III, L. Joseph
PUB. DATE
October 2000
SOURCE
American Journal of Gastroenterology;Oct2000, Vol. 95 Issue 10, p2816
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: The aim of this study was to estimate the prevalence of irritable bowel syndrome using different standard definitions (Rome and Manning criteria) and to determine the degree of agreement between these definitions. METHODS: A population-based, cross-sectional survey study was conducted by mailing a valid, reliable questionnaire to an age- and gender-stratified random sample of residents of Olmsted County, MN, aged 30-69 yr. The threshold for a positive diagnosis of irritable bowel was varied from two to four of the six Manning criteria and from two to three of the five defecation disorders in the Rome criteria. Unadjusted as well as age- and gender-adjusted prevalence rates were calculated for each of the five definitions of IBS. Percent agreement and κ statistics were calculated to assess agreement between the definitions. RESULTS: Questionnaires were returned by 643 of 892 eligible subjects (72% response rate). The age- and gender-adjusted prevalence of IBS varied from 20.4% using a threshold of two symptoms in the Manning criteria to 8.5% using a threshold of three defecation disorders in the Rome criteria. The percent agreement for each comparison of Manning and Rome definitions was always > 90%. The κ values ranged from 0.55 to 0.78, with the best agreement occurring between a threshold of three symptoms of Manning and two defecation disorders in Rome. CONCLUSIONS: The prevalence of IBS varied substantially depending on the specific definition of IBS used. The range of prevalence estimates in Olmsted County was similar to other published figures when IBS definition was accounted for. These findings are useful in interpreting epidemiological and clinical studies of IBS.
ACCESSION #
17624012

 

Related Articles

  • What Can Be Done to Control Incontinence Associated with the Irritable Bowel Syndrome? Drossman, Douglas A.; Wald, Arnold; Rogers, Arvey; Brandt, Lawrence // American Journal of Gastroenterology;Apr1989, Vol. 84 Issue 4, p355 

    Provides information on controlling incontinence associated with irritable bowel syndrome. Symptoms of irritable bowel syndrome; Organic causes of fecal incontinence or soiling; Diagnostic studies that may performed in patients with irritable bowel syndrome; Treatments for the disease.

  • Managing irritable bowel syndrome. Horwitz, Brenda L.; Lembo, Anthony J.; Whitehead, William E. // Patient Care;Feb2003, Vol. 37 Issue 2, p18 

    Presents information on irritable bowel syndrome (IBS). Description and symptoms of IBS; Information on foods that can trigger IBS; Risk factors of IBS. INSET: The therapeutic relationship in IBS.

  • Rationale for using serotonergic agents to treat irritable bowel syndrome. Baker, Danial E. // American Journal of Health-System Pharmacy;4/1/2005, Vol. 62 Issue 7, p700 

    Purpose. The role of serotonin in gastrointestinal (GI)-tract functioning, the pharmacologic rationale for using serotonergic agents in the treatment of irritable bowel syndrome (IBS), and clinical experience with novel serotonergic agents are described. Summary. IBS is a common multisymptom...

  • Rationale for using serotonergic agents to treat irritable bowel syndrome.  // American Journal of Health-System Pharmacy;4/1/2005, Vol. 62 Issue 7, p712 

    Focuses on the rationale for using serotonergic agents to treat irritable bowel syndrome. Identification of learning objectives; Self-assessment questions; Scoring methods of the tests.

  • The Radiology Corner. Messinger, Neil H.; Beneventano, Thomas C. // American Journal of Gastroenterology;Aug1971, Vol. 56 Issue 2, p162 

    Discusses ischemic colonic disease associated with carcinoma of the colon. Radiologic features of the disease; Pictures of the disease.

  • Accelerated Right Colonic Emptying After Simulated Upper Gut Hemorrhage. Hammer, Johann; Lang, Karin; Kletter, Kurt // American Journal of Gastroenterology;Apr1998, Vol. 93 Issue 4, p628 

    Objective: Upper gastrointestinal hemorrhage delays gastric emptying. Our aim was to evaluate the effect of gastrointestinal hemorrhage on small intestinal, ileocecal, and proximal colonic transit. Methods: Healthy volunteers were randomized to receive either a duodenal infusion of heparinized...

  • NEED TO KNOW: IBS. Ruckert, Linden // Pulse;1/25/2007, Vol. 67 Issue 3, p58 

    The article provides information on irritable bowel syndrome (IBS). More people have at least one of the symptoms of IBS, namely abdominal pain, constipation, diarrhea or bloating. It is associated with a considerable health and economic burden. Factors that increase the likelihood of a person...

  • Reports of “Satisfactory Relief” by IBS Patients Receiving Usual Medical Care Are Confounded by Baseline Symptom Severity and Do Not Accurately Reflect Symptom Improvement. Whitehead, William E.; Palsson, Olafur S.; Levy, Rona L.; Feld, Andrew D.; VonKorff, Michael; Turner, Marsha // American Journal of Gastroenterology;May2006, Vol. 101 Issue 5, p1057 

    BACKGROUND: Treatment trials for irritable bowel syndrome (IBS) usually define a responder as a patient who reports satisfactory relief or adequate relief of symptoms at the end of the trial. However, these measures have not been adequately validated. AIMS: (1) Compare a binary satisfactory...

  • spastic colon.  // Taber's Cyclopedic Medical Dictionary;2005, p2032 

    A definition of the term "spastic colon" is presented. It means irritable colon.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics