约旦的肠道疾病诊断延迟及其预测因素:一项回顾性研究

Assem Al Refaei, Nour Shewaikani, Nader Alaridah, M. Al-Rshaidat, Abdullah Alshurafa, Omar Hejazi, Osama Afaneh, Sereen Hamideh, Yaser M. Rayyan
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引用次数: 0

摘要

目的:炎症性肠病(IBD)的延迟诊断可能会导致治疗费用和手术风险的增加。本研究旨在描述约旦 IBD 诊断延迟的程度。研究方法我们的研究纳入了 110 名 IBD 患者,利用了访谈和约旦大学医院的医疗记录。数据包括社会人口学特征、健康史、从症状出现到确诊的时间、从首次就诊到确诊的时间、确诊前就诊医生的数量以及 IBD 相关手术史。结果:从症状出现到确诊 IBD 的中位时间为 9 个月。克罗恩病(CD)和溃疡性结肠炎(UC)的中位诊断时间分别为 11 个月和 9 个月。回归分析表明,诊断延迟时间较长与父亲受教育程度较高有关。母亲教育水平较低(高中或以下)、家庭收入在 1200 至 2000 约旦第纳尔之间与诊断前咨询更多医生有关。结论早期积极治疗对 IBD 至关重要,因为延迟诊断会对患者的预后产生负面影响。需要进一步研究以确定导致诊断延误的因素。我们的研究结果表明,父母的教育程度和收入水平会影响诊断延误,这突出了针对特定人群和全科医生开展有针对性的宣传活动以减少延误的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IBD Diagnosis Delay and Its Predictors in Jordan: A Retrospective Study
Aim: Delayed diagnosis of inflammatory bowel disease (IBD) may lead to increased treatment costs and surgical risks. This study aims to describe the extent of IBD diagnosis delay in Jordan. Methods: Our study included 110 IBD patients, utilizing interviews and medical records from Jordan University Hospital. Data covered sociodemographic characteristics, health history, time from symptom onset to diagnosis, time from the first consultation to diagnosis, number of physicians consulted before diagnosis, and IBD-related surgical history. Results: The median time from symptom onset to IBD diagnosis was 9 months. Median diagnosis times for Crohn's disease (CD) and ulcerative colitis (UC) were 11 and 9 months, respectively. Regression analysis revealed that longer diagnosis delays were associated with higher paternal education levels. Lower maternal education levels (high school or less) and a household income between 1200 and 2000 Jordanian dinars correlated with consulting more physicians before diagnosis. Conclusions: Early aggressive treatment is essential for IBD, as delayed diagnosis negatively impacts patient outcomes. Further research is needed to identify factors contributing to diagnosis delay. Our findings suggest that parental education and income levels influence diagnosis delays, highlighting the importance of targeted awareness campaigns for specific population groups and general practitioners to mitigate delays.
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