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Author Soo Jung Park, Jae Hee Cheon, Byong Duk Ye1, Chang Hwan Choi2, You Sun Kim3, Young-Ho Kim4, Joo Sung Kim5, Yoon Tae Jeen6, Young Sook Park7, Dong Soo Han8, Suk-Kyun Yang1 and Won Ho Kim
Place of duty Department of Internal Medicine, Yonsei University College of Medicine, Ulsan University College of Medicine1, Chung-Ang University College of Medicine2, Inje University College of Medicine3, Sungkyunkwan University School of Medicine4, Seoul National University College of Medicine5, Korea University College of Medicine6, Eulji University College of Medicine7, Seoul, Hanyang University College of Medicine8, Guri, Korea
Title A Survey of Actual Clinical Application Patterns in Korean Diagnostic Guidelines for Inflammatory Bowel Disease
Publicationinfo The Korean Journal of Gastroenterology 2012 Nov; 060(05): 292-299.
Key_word Diagnostic guideline; Ulcerative colitis; Crohn's disease; Intestinal Behçet's disease; Intestinal tuberculosis
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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 Behçet'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 (≥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. (Korean J Gastroenterol 2012;60:292-299)
저 자 박수정, 천재희, 예병덕1, 최창환2, 김유선3, 김영호4, 김주성5, 진윤태6, 박영숙7, 한동수8, 양석균1, 김원호
소 속 연세대학교 의과대학, 울산대학교 의과대학1, 중앙대학교 의과대학2, 인제대학교 의과대학3, 성균관대학교 의과대학4, 서울대학교 의과대학5, 고려대학교 의과대학6, 을지대학교 의과대학7, 한양대학교 의과대학8 내과학교실
제 목 염증성 장질환 국내 진단 가이드라인의 사용 실제에 관한 설문조사 연구
출판정보 Korean J Gastroenterol 2012 Nov; 060(05): 292-299.
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