PMID: 9544418Apr 17, 1998Paper

A Canadian physician survey of dyspepsia management

Canadian Journal of Gastroenterology = Journal Canadien De Gastroenterologie
N ChibaR H Hunt

Abstract

To determine the management of patients with new onset dyspepsia by Canadian family physicians. A survey was mailed to 195 family physicians in August 1995 to identify how they manage dyspepsia in patients according to four scenarios: based on presenting symptoms alone; assuming Helicobacter pylori-positive; known to be H pylori-negative; and endoscopically confirmed nonulcer dyspepsia. A total of 170 of 195 physicians (87.2%) completed the survey. Physicians reported that 7.3% of their practice is devoted to dyspepsia and 23% of these dyspeptic patients present for the first time. Ninety-three per cent of family physicians find a symptom classification of ulcer-, reflux- and dysmotility-like dyspepsia helpful. The majority of patients are advised to make life-style changes and are treated with antacids or empiric drug therapy. A H2 receptor antagonist was the drug of choice for ulcer and reflux-like dyspepsia, while prokinetics were often used for reflux and dysmotility-like dyspepsia. After failure of initial treatment, patients were given another course of empiric treatment, commonly with cisapride or omeprazole. Family physicians estimated that the mean time to obtain a gastrointestinal consult was five weeks, and 70% indic...Continue Reading

Citations

Jun 18, 2003·Journal of Clinical Gastroenterology·Cesare TosettiRoberto Corinaldesi
Sep 11, 2004·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Andrew BriggsAndrew R Willan
Nov 26, 1999·Alimentary Pharmacology & Therapeutics·G MacOniG Bianchi Porro
Sep 25, 2002·Alimentary Pharmacology & Therapeutics·I YoshikawaM Otsuki
Apr 19, 2003·Journal of Gastroenterology and Hepatology·Jiaqing HuangRichard H Hunt
Aug 5, 2006·Alimentary Pharmacology & Therapeutics·R J Saad, W D Chey
May 9, 2008·Digestive Diseases·Katarina HallingIngela Wiklund
Jun 8, 2004·The American Journal of Gastroenterology·Naoki Chiba
Jul 19, 2003·Alimentary Pharmacology & Therapeutics·M Heikkinen, M Färkkilä
Sep 28, 2002·European Journal of Gastroenterology & Hepatology·Giovanni MaconiRoberto Corinaldesi
Oct 26, 2000·Alimentary Pharmacology & Therapeutics·V StanghelliniR Corinaldesi
Jan 16, 1999·Baillière's Clinical Gastroenterology·G HoltmannN J Talley
May 2, 2002·Gastroenterology·Brennan M R SpiegelJoshua J Ofman

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