Irritable bowel syndrome in adults: diagnosis and management

Recommendation ID: CG61/3
Question: Refractory [Irritable bowel syndrome] (IBS):- What factors contribute to refractory IBS?
Any explanatory notes (if applicable): Why this is important:- Most people with IBS experience symptoms that are relatively short-lived or that only trouble them on an intermittent basis. Some people, however, develop chronic and severe symptoms that are difficult to treat. There are relatively few prospective studies that have investigated this problem. A large, prospective, population-based cohort study is proposed, which would evaluate people in the community with IBS symptoms according to measures of bowel symptomatology, physical symptom profile, psychological symptoms, childhood adversity, psychiatric history, social supports, quality of life and other relevant potential predictors. Participants would be re evaluated 12 and 24 months later using similar measures. Baseline variables would be used to predict chronicity of symptoms, quality of life and healthcare utilisation at 12 and 24 months.

Source guidance details

Comes from guidance: Irritable bowel syndrome in adults: diagnosis and management
Number: CG61
Date issued: February 2008

Is this a recommendation for the use of a technology only in the context of research?	No
Is it a recommendation that suggests collection of data or the establishment of a register?	No