A Survey of Actual Clinical Application Patterns in Korean Diagnostic Guidelines for Inflammatory Bowel Disease.
10.4166/kjg.2012.60.5.292
- Author:
Soo Jung PARK
1
;
Jae Hee CHEON
;
Byong Duk YE
;
Chang Hwan CHOI
;
You Sun KIM
;
Young Ho KIM
;
Joo Sung KIM
;
Yoon Tae JEEN
;
Young Sook PARK
;
Dong Soo HAN
;
Suk Kyun YANG
;
Won Ho KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; English Abstract ; Research Support, Non-U.S. Gov't
- Keywords:
Diagnostic guideline;
Ulcerative colitis;
Crohn's disease;
Intestinal Behcet's disease;
Intestinal tuberculosis
- MeSH:
Asian Continental Ancestry Group;
Behcet Syndrome/diagnosis;
Colitis, Ulcerative/diagnosis;
Colonoscopy;
Crohn Disease/diagnosis;
Humans;
Inflammatory Bowel Diseases/*diagnosis;
*Practice Guidelines as Topic;
Questionnaires;
Republic of Korea;
Tuberculosis, Gastrointestinal/diagnosis
- From:The Korean Journal of Gastroenterology
2012;60(5):292-299
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The aim of this study was to analyze the actual application patterns of how Korean diagnostic guidelines for inflammatory bowel disease (IBD) were applied in clinical practice. METHODS: Questionnaires regarding guidelines for ulcerative colitis (UC), Crohn's disease (CD), intestinal Behcet's disease (BD) and intestinal tuberculosis (TB), were distributed during the 2011 Korean Association for the Study of Intestinal Disease annual conference, and e-mail survey was additionally conducted. Forty eight questionnaires were collected. RESULTS: Most of responders (79.2%) were working at secondary (> or =500 beds) or tertiary referral centers. For the necessity of guidelines, 93.8% of responders gave positive answers in UC; 95.8% in CD; 81.3% in BD; 91.7% in TB. Of the clinicians, 95.8%, 91.7%, 64.6%, 77.1% had read UC, CD, BD and TB guideline, and 87.0%, 93.2%, 90.3%, and 92.0% replied that diagnostic guidelines for UC, CD, BD and TB were helpful in practice, respectively. Practice patterns were changed in 39.1%, 33.2%, 41.9%, and 54.1% of responders by UC, CD, BD and TB guidelines, respectively. For the needs of update, 58.7% of responders answered 'yes' in UC, 54.5% in CD, 51.6% in BD and 48.7% in TB. There were differences between recommendations and practice patterns, including colonoscopy surveillance in UC, radiological examinations for small bowel in CD and for intestinal obstruction in UC, or biopsy method in UC, CD and TB, and diagnostic criteria in BD. CONCLUSIONS: Although most of responders perceived the Korean diagnostic guidelines for IBD, there were differences between recommendations of guidelines and actual practice patterns. Therefore, the publicity and revision of diagnostic guidelines are important to reconcile theory and practice.
