“EXPLICIT" EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE RESOURCE KIT
Irritable Bowel Syndrome (IBS)

Original March 2003
Updates —

• 07/06: Herbal Preparations
• 04/07: Medication Withdrawal

Legal Information & Disclaimers
These materials are not meant to replace the clinical judgment of any health care professional or establish a standard of care. The information contained in this document may not be appropriate for use in all circumstances. Decisions to utilize this information must be made by consumers and health care professionals in light of individual circumstances.

Before prescribing any medication, review full prescribing information such as from the Physicians Desk Reference, DrugStore.Com or other source.

Delfini Group, LLC, MAKES AND USER RECEIVES NO WARRANTY EXPRESS OR IMPLIED ABOUT THIS WORK AND ALL WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE EXPRESSLY EXCLUDED

WEBSITE MAP

GUIDELINE RESOURCE INFORMATION
(see also PATIENT & CLINICIANS INFORMATION in the next section below)
Suggestions for Using the Guideline Resources   •   Algorithm   •   Key Points   •   Details of Treatment Options [PDF]

Algorithm Notes   =   IBS Definition & Description   •   Criteria for Diagnosis   •   Establishing Rapport   •   Diagnostic Testing

PATIENT & CLINICIAN INFORMATION

ABOUT IBS
Quick facts about IBS   •   More in depth information about IBS including web resources

ABOUT TREATING IBS
Quick Reference Guide — scientific evidence on treatments for IBS
Detailed information about treating IBS — details on options including dosing, benefits and risks [PDF]

SCIENCE
Scientific References    •   Delfini Evidence & Usability Scale   (Use BACK to return from the scale)

Systematic Reviews
Treatment — 2. Brandt LJ, Bjorkman D, Fennerty MB et al. Systematic review on the management of irritable bowel syndrome in North America. Am J Gastroenterol. 2002 Nov;97(11 Suppl):S7-26). Brandt

Diagnosis — 11. Cash BD, Schoenfeld P, Chey WD. The utility of diagnostic tests in irritable bowel syndrome patients: a systematic review. Am J Gastroenterol. 2002 Nov;97(11):2812-9. Cash

Communications — 10. Beck RS, Daughtridge R, Sloane PD. Physician-Patient Communication in the Primary Care Office: A Systematic Review. JABFP 2002. 15:25-38. The Journal of the American Board of Family Practice. Beck



EXPLANATION OF THE SCIENCE FOR CONSUMERS
How we prepared this information   •   Delfini Information Quality Ratings

Evidence-based Medicine (EBM) for consumers and their doctors —
     Using Scientific Information in Medicine — About the principles and processes we used to analyze this information

IMPLEMENTATION TIPS & COMMUNICATION TOOL
How to Use this Information
Preparing For Implementation: Meeting-In-A-Box
IBS Implementation Strategy Suggestions
“IBS Case for Change and Need for Patient Choice” – Talking Points: IBS Summary of Gaps
Measurement Ideas

ABOUT THE GUIDELINE
Guideline Documentation