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Irritable Bowel Syndrome: Sensitivity and Specificity

Introduction: None written.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Gastrointestinal Problem Tag this Diagnosis.

Prevalence

Population / CalculatorPrevalence Comments / Study / Link
General population 5% by Rome I criteria

Aliment Pharmacol Ther. 2004 Aug 1;20(3):339-45. PMID 15274671

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The sensitivity and specificity of findings for Irritable Bowel Syndrome are listed below. See the left navigation bar to change the display.

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Finding SensitivitySpecificity Comments, Study
Feeling of incomplete evacuation Edit 74%45%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Kruis Scoring System Edit 77%89%

>=44 points

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Looser stools at onset of pain Edit 58%73%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Lower abdominal pain Edit 90%32%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Manning Criteria Edit 78%72%

>=3:

Abdominal pain relieved by defecation

More frequent stools at onset of pain

Looser stools with onset of pain

Passage of mucus per rectum

Feeling of incomplete evacuation

Patient-reported visible abdominal distension

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

More frequent stools at onset of pain Edit 53%72%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Mucus per rectum Edit 45%62%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Pain relieved by defecation Edit 60%66%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Patient-reported abdominal distension Edit 39%77%

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793

Rome I Criteria Edit 71%85%

Abdominal pain or discomfort relieved with defecation or associated with a change in stool frequency or consistency (>= 3 months), plus >= 2 of the following on at least 25% of occasions:

Altered stool frequency

Altered stool form

Altered stool passage

Passage of mucus per rectum

Bloating or distension

Study: JAMA. 2008;300(15):1793-1805. http://jama.ama-assn.org/cgi/content/full/300/15/1793