Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do
Backgroundand aim. Although the optimal approach toGERDand dyspepsia remains controversial, guidelines recommend initial therapy, reserving additional intervention for relapser and non-responder patients. However, spontaneous physician attitude can affect guidelines applicability to GERD and dyspeps...
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ftunivnapoliiris:oai:www.iris.unina.it:11588/361375 2024-06-23T07:52:22+00:00 Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do CUOMO, ROSARIO SARNELLI, GIOVANNI BUDILLON, GABRIELE S. Cammarota D. Bruzzese E. Menditto E. Novellino D.I. R.E. C.A. group Cuomo, Rosario Cammarota, S. Bruzzese, D. Sarnelli, Giovanni Menditto, E. Budillon, Gabriele Novellino, E. Group, D. I. R. E. C. A. 2005 ELETTRONICO http://hdl.handle.net/11588/361375 eng eng info:eu-repo/semantics/altIdentifier/wos/WOS:000228619303292 volume:37 firstpage:S150 lastpage:S150 numberofpages:1 journal:DIGESTIVE AND LIVER DISEASE http://hdl.handle.net/11588/361375 info:eu-repo/semantics/article 2005 ftunivnapoliiris 2024-06-03T14:31:21Z Backgroundand aim. Although the optimal approach toGERDand dyspepsia remains controversial, guidelines recommend initial therapy, reserving additional intervention for relapser and non-responder patients. However, spontaneous physician attitude can affect guidelines applicability to GERD and dyspepsia, which are mainly approached by general practitioners (GPs). To evaluate the divergence among GPs in Italy between proposed and real clinical approach to na ̈ıve or relapser patients withGERDor dyspeptic symptoms. Material and methods. The study was designed to have two steps. First, we questioned 259 GPs on their therapeutic or diagnostic approach to na ̈ıve and relapser patients with symptoms of GERD (heartburn, regurgitation) or dyspepsia (epigastric burning/pain, post-prandial fullness, early satiety, upper bloating and nausea). Based on the prevalent symptoms, dyspepsia was further classified as ulcer-like (UL), dysmotility-like (DML) and unspecified (US). In the second phase, at least 1 month later, all GPs were asked to collect information on all the patients with GERD or dyspeptic symptoms they had visited during the last 20 days. Specifically, GPs collected information on clinical symptom pattern (GERD, UL, DML and/or US), admission time (na ̈ıve or relapser patient) and therapeutic or diagnostic approach. Only patients with a pure clinical pattern of GERD or dyspepsia were selected. The statistical analysis was performed by χ2-test. Results. The 259 GPs screened 2030 patients, selecting only the 1035 with a pure clinical pattern. Based on their clinical pattern, the distribution of the patients was the following: 335 GERD, (naive patients: 225); 353 UL (248), 191 DML (144) and 156 US (115). The proposed or real clinical approaches are summarised in the table. A significant divergence (p < 0.01) between the proposed and the real clinical approachwas observed for all situations except than for na ̈ıve patient with US. Conclusions. In this study, we observed that the substantial opinion of GPs on how to ... Article in Journal/Newspaper DML IRIS Università degli Studi di Napoli Federico II Gerd ENVELOPE(-45.750,-45.750,-60.666,-60.666) |
institution |
Open Polar |
collection |
IRIS Università degli Studi di Napoli Federico II |
op_collection_id |
ftunivnapoliiris |
language |
English |
description |
Backgroundand aim. Although the optimal approach toGERDand dyspepsia remains controversial, guidelines recommend initial therapy, reserving additional intervention for relapser and non-responder patients. However, spontaneous physician attitude can affect guidelines applicability to GERD and dyspepsia, which are mainly approached by general practitioners (GPs). To evaluate the divergence among GPs in Italy between proposed and real clinical approach to na ̈ıve or relapser patients withGERDor dyspeptic symptoms. Material and methods. The study was designed to have two steps. First, we questioned 259 GPs on their therapeutic or diagnostic approach to na ̈ıve and relapser patients with symptoms of GERD (heartburn, regurgitation) or dyspepsia (epigastric burning/pain, post-prandial fullness, early satiety, upper bloating and nausea). Based on the prevalent symptoms, dyspepsia was further classified as ulcer-like (UL), dysmotility-like (DML) and unspecified (US). In the second phase, at least 1 month later, all GPs were asked to collect information on all the patients with GERD or dyspeptic symptoms they had visited during the last 20 days. Specifically, GPs collected information on clinical symptom pattern (GERD, UL, DML and/or US), admission time (na ̈ıve or relapser patient) and therapeutic or diagnostic approach. Only patients with a pure clinical pattern of GERD or dyspepsia were selected. The statistical analysis was performed by χ2-test. Results. The 259 GPs screened 2030 patients, selecting only the 1035 with a pure clinical pattern. Based on their clinical pattern, the distribution of the patients was the following: 335 GERD, (naive patients: 225); 353 UL (248), 191 DML (144) and 156 US (115). The proposed or real clinical approaches are summarised in the table. A significant divergence (p < 0.01) between the proposed and the real clinical approachwas observed for all situations except than for na ̈ıve patient with US. Conclusions. In this study, we observed that the substantial opinion of GPs on how to ... |
author2 |
Cuomo, Rosario Cammarota, S. Bruzzese, D. Sarnelli, Giovanni Menditto, E. Budillon, Gabriele Novellino, E. Group, D. I. R. E. C. A. |
format |
Article in Journal/Newspaper |
author |
CUOMO, ROSARIO SARNELLI, GIOVANNI BUDILLON, GABRIELE S. Cammarota D. Bruzzese E. Menditto E. Novellino D.I. R.E. C.A. group |
spellingShingle |
CUOMO, ROSARIO SARNELLI, GIOVANNI BUDILLON, GABRIELE S. Cammarota D. Bruzzese E. Menditto E. Novellino D.I. R.E. C.A. group Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
author_facet |
CUOMO, ROSARIO SARNELLI, GIOVANNI BUDILLON, GABRIELE S. Cammarota D. Bruzzese E. Menditto E. Novellino D.I. R.E. C.A. group |
author_sort |
CUOMO, ROSARIO |
title |
Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
title_short |
Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
title_full |
Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
title_fullStr |
Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
title_full_unstemmed |
Test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
title_sort |
test or treat in gerd and dyspepsia: what general practitioners would do and what they really do |
publishDate |
2005 |
url |
http://hdl.handle.net/11588/361375 |
long_lat |
ENVELOPE(-45.750,-45.750,-60.666,-60.666) |
geographic |
Gerd |
geographic_facet |
Gerd |
genre |
DML |
genre_facet |
DML |
op_relation |
info:eu-repo/semantics/altIdentifier/wos/WOS:000228619303292 volume:37 firstpage:S150 lastpage:S150 numberofpages:1 journal:DIGESTIVE AND LIVER DISEASE http://hdl.handle.net/11588/361375 |
_version_ |
1802643664278650880 |