Letter to the Editor
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 14, 2025; 31(6): 100295
Published online Feb 14, 2025. doi: 10.3748/wjg.v31.i6.100295
Patient and physician factors contributing to delays in inflammatory bowel diseases: Enhancing timely diagnosis
Horia Minea, Ana-Maria Singeap, Laura Huiban, Cristina Maria Muzica, Carol Stanciu, Anca Trifan
Horia Minea, Ana-Maria Singeap, Laura Huiban, Cristina Maria Muzica, Carol Stanciu, Anca Trifan, Department of Gastroenterology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, Iasi 700115, Romania
Horia Minea, Ana-Maria Singeap, Laura Huiban, Cristina Maria Muzica, Carol Stanciu, Anca Trifan, Institute of Gastroenterology and Hepatology, “St. Spiridon” University Hospital, Iasi 700111, Romania
Author contributions: Trifan A designed the manuscript; Minea H and Huiban L wrote the paper; Singeap AM, Muzica C, and Stanciu C revised the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Laura Huiban, MD, Department of Gastroenterology, Faculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, No. 16 Universitatii Street, Iasi 700115, Romania. huiban.laura@yahoo.com
Received: August 12, 2024
Revised: November 8, 2024
Accepted: December 9, 2024
Published online: February 14, 2025
Processing time: 150 Days and 16.3 Hours
Abstract

In this article, we comment on the article by Blüthner et al. The article provides a comprehensive analysis of the factors contributing to the late detection of Crohn’s disease and ulcerative colitis within a German cohort. It highlights the consequences on patient outcomes, particularly disease progression and the increased risk of developing complications. The study identifies specific predictors associated with both patient-related and physician-related delays, offering a detailed exploration of the initial approach. Additionally, the article delves into the distinct patterns observed in the German population, stressing the unique aspects of diagnostic delays that may differ from those reported in other regions. This detailed examination offers valuable insights into the specific challenges faced within the German healthcare system and underscores the necessity of targeted interventions to facilitate early diagnosis. The importance of improved screening tools, patient education, and better healthcare infrastructure is emphasized as crucial steps toward improving patient care in inflammatory bowel disease.

Keywords: Inflammatory bowel disease; Diagnostic delay; Disease awareness; Healthcare system; Screening tools

Core Tip: This article focuses on the difficulties in detecting inflammatory bowel disease and the consequences of diagnostic delays. By analyzing factors related to both patient behavior and physician practices, the article underscores the critical need for early assessment to prevent disease progression and complications. Emphasizing the importance of targeted interventions, such as improved screening tools and patient education, this discussion highlights the ongoing challenges in timely inflammatory bowel disease diagnosis and the need for enhanced healthcare strategies.