PMID: 8971285Dec 1, 1996Paper

Prescribing patterns for dyspepsia in primary care: a prospective study of selected general practitioners

Alimentary Pharmacology & Therapeutics
K BodgerR V Heatley

Abstract

To define prescribing patterns for symptomatic dyspeptic patients in a cross-section of general practitioners in Leeds, United Kingdom. Nine general practitioners from a range of practices took part in a prospective observational study of prescribing patterns for dyspepsia. All consultations with symptomatic dyspeptic patients were recorded over a 4-month period. Symptoms were recorded as ulcer-like, reflux-like, or nonspecific, and details of recent therapy, previous investigations and any prescription issued were noted. 257 consecutive consultations were recorded (new patients 23%, consulted before but not investigated 33%, previously investigated 44%). 93% of consultations resulted in a prescription (antacids 24%, prokinetic/motility agent 8%, H2-receptor antagonist 36%, proton pump inhibitor 24%, Helicobacter pylori eradication therapy 8%). 42.5% of new patients received an acid-suppressing drug as first-line therapy, of which only 32% had tried over-the-counter remedies. Symptom-type (ulcer-like, reflux-like or nonspecific) significantly influenced choice of empiric therapy (P < 0.001), though prescribing was still variable. Although around 60% of patients with previously negative investigations or only minor disease recei...Continue Reading

Citations

Sep 3, 1998·Alimentary Pharmacology & Therapeutics·R M MartinS R Hilton
Apr 2, 1999·Alimentary Pharmacology & Therapeutics·A T PrachT M MacDonald
Nov 26, 1999·Alimentary Pharmacology & Therapeutics·G MacOniG Bianchi Porro
Sep 13, 2001·Alimentary Pharmacology & Therapeutics·C L Sheen, D G Colin-Jones
Dec 21, 2000·Journal of Clinical Pharmacy and Therapeutics·M NauntonM D Bleasel
Oct 17, 2002·Internal Medicine Journal·A Duggan
Sep 28, 2002·European Journal of Gastroenterology & Hepatology·Giovanni MaconiRoberto Corinaldesi
Oct 14, 2009·Journal of Gastroenterology and Hepatology·Nicholas J Talley, Rok Seon Choung
Jan 2, 2003·Postgraduate Medical Journal·N L A ArentsJ H Kleibeuker
Dec 23, 2003·Alimentary Pharmacology & Therapeutics·M SonciniUNKNOWN RING Study Group
Jun 14, 2001·Best Practice & Research. Clinical Gastroenterology·P Bytzer, N J Talley
Oct 14, 2006·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·F McKennaJ G Fort
Mar 10, 2000·The American Journal of Gastroenterology·C N BernsteinJ F Blanchard
Apr 14, 2000·Journal of Gastroenterology and Hepatology·K L GohS K Lam

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