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Study finds long delays for diagnosis of ulcerative colitis and Crohn's disease

Tue, 08/11/2020 - 11:41
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One in ten people with inflammatory bowel disease visited their doctor with symptoms five years before receiving a diagnosis, according to researchers at St George's, University of London, Imperial College London, University College London and King's College London, UK. The study, ‘Prevalence and duration of gastrointestinal symptoms before diagnosis of Inflammatory Bowel Disease and predictors of timely specialist review: a population-based study’, was published in the Journal of Crohn's and Colitis.

"We found many people live with Crohn's disease or ulcerative colitis for years before being diagnosed,” said Dr Jonathan Blackwell, lead author of the research from St George's, University of London and honorary research fellow from Imperial's School of Public Health. “If you are experiencing abdominal pain, diarrhoea or rectal bleeding which isn't getting better, see your doctor and discuss testing because there may be a treatable cause."

The investigators studied the records of 19,000 people in England with ulcerative colitis and Crohn's disease between 1998-2016. The results revealed some patients experienced gastrointestinal symptoms up to ten years before they were diagnosed, while 10 percent of patients visited their doctor with symptoms five years before being diagnosed. The team explained the delayed diagnosis may be due to the symptoms being mistaken for other conditions, such as irritable bowel syndrome and haemorrhoids.

The findings also revealed that among people with gut symptoms lasting more than six weeks, fewer than half were reviewed by a specialist within 18 months. The condition is diagnosed through a variety of blood and stool tests, as well as examinations. Furthermore, people with persistent gut symptoms who had previously been diagnosed with irritable bowel syndrome or depression waited 25 percent longer to be reviewed by a specialist.

However, the team point out that the waiting time for a specialist appointment has reduced significantly between 2003 and 2016.

"Any delays in diagnosis and referral will likely be exacerbated during the COVID-19 pandemic,” said Professor Sonia Saxena, co-author of the research and Professor of Primary Care at Imperial's School of Public Health. “Not only are patients reluctant to visit their GP surgery at the moment, but the waiting time to see consultants may be longer than usual, as COVID-19 response and treatment is being prioritized by the NHS."