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Red flags can help guide clinicians toward a timely diagnosis of IBD in children with abdominal pain but there is a need for improved specificity, especially for other disorders like celiac disease.
The use of red flags can help to identify inflammatory bowel disease (IBD) among children suffering from long-term abdominal pain, a clinical investigation led by Malin Delin and Staffan K. Berglund uncovered. Published in the esteemed journal Acta Paediatrica, the study sheds light on the challenges of diagnosing numerous medical conditions in this vulnerable population.
The medical records of three hundred and seventeen children referred for medical assessment between 2011 and 2012 across 3 pediatric clinics in Sweden were retrospectively analyzed. The researchers examined the presence of red flags during the initial consultation and the eventual diagnosis after 12 months.
Results indicated the sensitivity of red flags in detecting IBD, showcasing a remarkable 100% sensitivity rate (the highest) and a specificity of 64.1%. However, when it came to identifying celiac disease and other non-FGID (Functional Gastrointestinal Disorders) conditions, the specificity was lower, emphasizing the need for further diagnostic tools and biomarkers.
Acta Paediatrica
Validation of red flags in the workup of children with long-term abdominal pain – A retrospective study
Malin Delin, Staffan K. Berglund
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