S639 Missed Opportunity for Effective Triage of Patients With Irritable Bowel Syndrome to Dietary Therapy

• Published in: The American journal of gastroenterology Vol. 118; no. 10S; pp. S468 - S469
• Main Authors: Tetali, Bhavana, Chey, William D., Menees, Stacy B.
• Format: Journal Article
• Language: English
• Published: New York Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins 01-10-2023
• Subjects: Constipation; Drug therapy; Fecal incontinence; Food; Irritable bowel syndrome; Patients
• ISSN: 0002-9270; 1572-0241
• DOI: 10.14309/01.ajg.0000952196.01789.7d

Introduction: Dietary interventions are a cornerstone of treating patients with irritable bowel syndrome (IBS). The aim of this study was to investigate patient characteristics that may influence referral to a gastroenterology (GI) dietitian, and assess the impact of discussions about food triggers on therapeutic recommendations. Demographics and co-morbidities Referred to GI Dietician (n=250) Not Referred to GI Dietician (n=250) Odds Ratio (95% CI) P-value Age 43.3 ± 17.2 42.5 ± 17.1 0.595 Male Gender 53 67 0.143 Race 0.515  White 220 216  Asian 6 9  African American 13 16  American Indian/Alaskan 1 3  Other or Unknown 12 7 Ethnicity 0.966  Non-hispanic 240 239  Hispanic 7 8  Unknown 3 3 BMI 28.4 ± 7.3 27.3 ± 7.1 0.107 Tobacco use 1.08 (0.73, 1.59) 0.340  Current or Former 76 76  Never 153 166 Alcohol Use 1.02 (0.70, 1.48) 0.467  Yes 126 128  No 93 96 Diagnosis  IBS-constipation 43 68 0.56 (0.36, 0.86) 0.004  IBS-diarrhea 131 112 1.36 (0.95, 1.93) 0.045  IBS-mixed 60 58 1.05 (0.69, 1.58) 0.417  IBS-unspecified 16 12 1.36 (0.63, 2.93) 0.219 GERD 107 90 1.33 (0.93, 1.91) 0.060 Dyspepsia 52 28 2.08 (1.27, 3.43) 0.002 Fecal incontinence 12 9 1.35 (0.56, 3.26) 0.252 Dysmenorrhea 7 14 0.49 (0.19, 1.22) 0.063 Somatic pain syndromes 21 35 0.56 (0.32, 0.99) 0.025 Depression 70 70 1.00 (0.68, 1.48) 0.500 Anxiety 100 93 1.13 (0.79, 1.61) 0.260 Other Psychiatric Disorder 11 9 1.23 (0.50, 3.03) 0.324 Author Notes *PresenterUniversity of Michigan, Ann Arbor, MI.