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Worldwide Prevalence and Burden of Functional Gastrointestinal Disorders, Results of Rome Foundation Global Study

Publicado en:Gastroenterology. 160 (1): 99-114.e3 - 2021-01-01 160(1), doi: 10.1053/j.gastro.2020.04.014

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Resúmen: © 2021 The Authors Background & Aims: Although functional gastrointestinal disorders (FGIDs), now called disorders of gut-brain interaction, have major economic effects on health care systems and adversely affect quality of life, little is known about their global prevalence and distribution. We investigated the prevalence of and factors associated with 22 FGIDs, in 33 countries on 6 continents. Methods: Data were collected via the Internet in 24 countries, personal interviews in 7 countries, and both in 2 countries, using the Rome IV diagnostic questionnaire, Rome III irritable bowel syndrome questions, and 80 items to identify variables associated with FGIDs. Data collection methods differed for Internet and household groups, so data analyses were conducted and reported separately. Results: Among the 73,076 adult respondents (49.5% women), diagnostic criteria were met for at least 1 FGID by 40.3% persons who completed the Internet surveys (95% confidence interval [CI], 39.9–40.7) and 20.7% of persons who completed the household surveys (95% CI, 20.2–21.3). FGIDs were more prevalent among women than men, based on responses to the Internet survey (odds ratio, 1.7; 95% CI, 1.6–1.7) and household survey (odds ratio, 1.3; 95% CI, 1.3–1.4). FGIDs were associated with lower quality of life and more frequent doctor visits. Proportions of subjects with irritable bowel syndrome were lower when the Rome IV criteria were used, compared with the Rome III criteria, in the Internet survey (4.1% vs 10.1%) and household survey (1.5% vs 3.5%). Conclusions: In a large-scale multinational study, we found that more than 40% of persons worldwide have FGIDs, which affect quality of life and health care use. Although the absolute prevalence was higher among Internet respondents, similar trends and relative distributions were found in people who completed Internet vs personal interviews.

Palabras clave: dgbi; ibs; Dgbi; Epidemiology; Ibs

Indicios de calidad

Impacto bibliométrico. Análisis de la aportación y canal de difusión

El trabajo ha sido publicado en la revista Gastroenterology debido a la progresión y el buen impacto que ha alcanzado en los últimos años, según la agencia WoS, se ha convertido en una referencia en su campo. En el año de publicación del trabajo, 2021, se encontraba en la posición 3/93, consiguiendo con ello situarse como revista Q1 (Primer Cuartil), en la categoría Gastroenterology & Hepatology.

Destacable, igualmente, el hecho de que la Revista está posicionada por encima del Percentil 90.

Este trabajo ha sido citado 717 veces en WoS y 902 en Scopus.

Desde una perspectiva relativa, los impactos Normalizados conseguidos por la acumulación de citas arroja valores como: 106.12 (FWCI, Scopus) o 70.16 (CNCI, WoS), lo que indica que de manera comparada con trabajos en la misma disciplina y en el mismo año de publicación los ubica como trabajos citados por encima de la media.

Análisis de liderazgo de los autores institucionales

Este trabajo se ha realizado con colaboración internacional, concretamente con investigadores de: Australia; Brazil; Canada; Ghana; Indonesia; Israel; Malaysia; Mexico; Netherlands.

Impacto y visibilidad social