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National Collaborating Centre for Nursing and Supportive Care (UK). Irritable Bowel Syndrome in Adults: Diagnosis and Management of Irritable Bowel Syndrome in Primary Care [Internet]. London: Royal College of Nursing (UK); 2008 Feb. (NICE Clinical Guidelines, No. 61.)

  • Update information March 2017 Recommendation 1.1.1.2 in the short version was updated by NICE with more recent guidance on recognition and referral for suspected cancer. Recommendation 1.1.1.3 in the short version was removed as it was no longer needed after the changes to recommendation 1.1.1.2. February 2015 NICE has made new recommendations relating to the clinical management (dietary and lifestyle advice, and pharmacological therapy) of people with IBS. The recommendations and evidence in sections 3, 7.6, 8.4, 8.5.2 and 9.1 of this guideline that have been highlighted in grey have been stood down and replaced. New recommendations on dietary and lifestyle advice, and pharmacological therapy, can be found in the irritable bowel syndrome in adults update CG61.1. September 2012 A recommendation in this guideline (see pages 28 and 37) has been partially updated by recommendation 1.1.2.1 in 'Ovarian cancer' (NICE clinical guideline 122, 2011).

Update information March 2017 Recommendation 1.1.1.2 in the short version was updated by NICE with more recent guidance on recognition and referral for suspected cancer. Recommendation 1.1.1.3 in the short version was removed as it was no longer needed after the changes to recommendation 1.1.1.2. February 2015 NICE has made new recommendations relating to the clinical management (dietary and lifestyle advice, and pharmacological therapy) of people with IBS. The recommendations and evidence in sections 3, 7.6, 8.4, 8.5.2 and 9.1 of this guideline that have been highlighted in grey have been stood down and replaced. New recommendations on dietary and lifestyle advice, and pharmacological therapy, can be found in the irritable bowel syndrome in adults update CG61.1. September 2012 A recommendation in this guideline (see pages 28 and 37) has been partially updated by recommendation 1.1.2.1 in 'Ovarian cancer' (NICE clinical guideline 122, 2011).

Cover of Irritable Bowel Syndrome in Adults

Irritable Bowel Syndrome in Adults: Diagnosis and Management of Irritable Bowel Syndrome in Primary Care [Internet].

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Abbreviations

ARR

Absolute Relative Risk

BNF

British National Formulary

CAM

Complementary and Alternative Medicine

CBT

Cognitive Behavioural Therapy

CEAC

Cost-effectiveness acceptability curve

CI

Confidence interval

CRP

C-reactive protein - is used mainly as a marker of inflammation

ESR

Erythrocyte Sedimentation Rate - is a non-specific measure of inflammation that is commonly used as a medical screening test.

EMA

Anti-endomysium antibodies, inflammatory markers used in the diagnosis of Coeliac disease

FBC

Full blood count

FOB

Faecal occult blood

GDG

Guideline development group

GI

Gastrointestinal

GP

General practitioner

GRADE

Guidelines Recommendations Assessment Development Evaluation

HRQoL

Health-related quality of life

IBD

Inflammatory Bowel Disease, A general term for any disease characterized by inflammation of the bowel. Examples include colitis and Crohn’s disease. Symptoms include abdominal pain, diarrhea, fever, loss of appetite and weight loss.

IBS

Irritable Bowel Syndrome

IBS-A

Irritable Bowel Disease with alternating symptoms of diarrhoea and constipation

IBS-C

Irritable Bowel Disease with constipation as primary bowel dysfunction

IBS-D

Irritable Bowel Disease with diarrhoea as the primary bowel dysfunction

ICER

Incremental cost-effectiveness ratio

LY

Life-year

NHS

National Health Service

NICE

National Institute for Health and Clinical Excellence

NNT

Number needed to treat

OR

Odds ratio

PCT

Primary Care Trust

PEG

polyethylene glycol (macrogol)

PSA

Probabilistic sensitivity analysis

PSS

Personal Social Services

QALY

Quality-adjusted life-year

RCT

Randomised controlled trial

RR

Relative risk

SSRI

selective serotonin re-uptake inhibitors

TGTT

Total gut transit time.

TTG

Anti-transglutaminase antibodies, inflammatory markers used in the diagnosis of Coeliac disease

Organisations

DoH

Department of Health

NCCNSC

National Collaborating Centre for Nursing and Supportive Care

NICE

National Institute for Health and Clinical Excellence

RCN

Royal College of Nursing

Copyright © 2008, Royal College of Nursing.
Bookshelf ID: NBK51950

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