Ajbar, A, Cross, E, Matoi, S, Hay, CA ORCID: https://orcid.org/0000-0003-3496-7044, Baines, LM, Saunders, B ORCID: https://orcid.org/0000-0002-0856-1596, Farmer, AD and Prior, JA ORCID: https://orcid.org/0000-0001-9213-2796 (2022) Diagnostic Delay in Pediatric Inflammatory Bowel Disease: A Systematic Review. Digestive Diseases and Sciences.

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Abstract

Introduction Delays in diagnosing pediatric inflammatory bowel disease (IBD) are common, but the extent of this delay remains unclear due to variations in reported time-periods between studies. The objectives of this systematic review were to examine the extent of diagnostic delay in pediatric IBD and examine any association between specific characteristics and length of diagnostic delay. Methods We identified studies from several medical bibliographical databases (EMBASE, Medline and CINAHL) from their inception to April 2021. Studies examining pediatric cohorts (< 18 years old) defined as having a diagnosis of Crohn's Disease (CD), ulcerative colitis (UC), or by the more general definition of IBD, and reporting a median time-period between the onset of symptoms and a final diagnosis (diagnostic delay) were included. Two reviewers selected each study, extracted data, and assessed their quality using the Newcastle-Ottawa scale. Narrative synthesis was then used to examine the extent of overall diagnostic delay and delay associated with specific sample characteristics. Results Of the 10,119 studies initially identified, 24 were included in the review. The overall median diagnostic delay range was 2-10.4 months for IBD, 2.0-18.0 months for UC and 4.0-24.0 months for CD. However, for approximately two thirds of UC (68.8%) and CD (66.7%) studies, delay ranged from 2.0-3.0 and 4.0-6.3 months, respectively. A longer delay was significantly associated with several sample characteristics; however, these were too infrequently examined to draw robust conclusion on their role. Conclusion Children continue to wait several months for a final diagnosis of IBD, and those with CD experience longer delay than those with UC. The role of specific characteristics on delay needs further exploration.

Item Type: Article
Additional Information: Ajbar, A., Cross, E., Matoi, S. et al. Diagnostic Delay in Pediatric Inflammatory Bowel Disease: A Systematic Review. Dig Dis Sci (2022). https://doi.org/10.1007/s10620-022-07452-5
Uncontrolled Keywords: diagnostic delay; Inflammatory bowel disease; Chron's disease; Ulcerative colitis; Pediatric
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > School of Medicine
Depositing User: Symplectic
Date Deposited: 28 Mar 2022 08:00
Last Modified: 20 May 2022 08:59
URI: https://eprints.keele.ac.uk/id/eprint/10774

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