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Titolo:
Are guidelines followed in Helicobacter pylori diagnosis and therapy? An inquiry among gastroenterologists, referring physicians and patients in Munich
Autore:
Fritz, N; Birkner, B; Schusdziarra, V; Borlinghaus, KP; Burlefinger, R; Dettmer, A; Heldwein, W; Henke, M; Hochter, W; Janetschek, P; Kunze, R; Schatke, W; Strauch, M; Struppler, C; Weingart, J; Rosch, T;
Indirizzi:
Tech Univ Munich, Dept Internal Med 2, D-8000 Munich, Germany Tech Univ Munich Munich Germany D-8000 nal Med 2, D-8000 Munich, Germany Univ Hosp Munich, Dept Med, Munich, Germany Univ Hosp Munich Munich Germany Hosp Munich, Dept Med, Munich, Germany Univ Hosp Munich, Gastroenterol Practices, Munich, Germany Univ Hosp Munich Munich Germany astroenterol Practices, Munich, Germany
Titolo Testata:
ZEITSCHRIFT FUR GASTROENTEROLOGIE
fascicolo: 5, volume: 38, anno: 2000,
pagine: 349 - 355
SICI:
0044-2771(200005)38:5<349:AGFIHP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
CLINICAL GUIDELINES; GENERAL-PRACTICE; INFECTION; SPECIALIST;
Keywords:
Helocobacter pylori; diagnosis; treatment guideline;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Rosch, T Tech Univ Munich, Dept Internal Med 2, Klinikum Rechts Isar, Ismaninger Str 22, D-81675 Munich, Germany Tech Univ Munich Ismaninger Str 22 Munich Germany D-81675 ermany
Citazione:
N. Fritz et al., "Are guidelines followed in Helicobacter pylori diagnosis and therapy? An inquiry among gastroenterologists, referring physicians and patients in Munich", Z GASTROENT, 38(5), 2000, pp. 349-355

Abstract

Background and study aims: Attempts to standardize Helicobacter pylori (Hp) diagnosis and therapy have led to the publication of guidelines by various national gastroenterological societies in Europe and the USA. However, little information is available either regarding the compliance of gastroenterologists and referring physicians with these guidelines, or regarding the patients' perspective. Patients and Methods: A retrospective analysis was conducted of all outpatient upper gastrointestinal endoscopy reports for a one-month period in eleven different centers (two university hospitals and nine private practice gastroenterology offices) with a total of 24 gastroenterologists. Endoscopy reports from patients with the indications of reflux, diarrhea, and tumors were excluded. Diagnoses and treatment recommendations given by gastroenterologists were recorded. Questionnaires concerning Up diagnosis, treatment indications and performance, and follow-up were sent to referring physiciansand patients. Results: A total of 772 endoscopy reports were included in the study; analyzable questionnaires were returned by 287 referring physicians (47%) and by 265 patients (59%). Gastroenterologists recommended lip eradication in all ulcers and in 29% of gastritis/nonulcer dyspepsia (NUD) cases. Referring physicians thought that 94% of ulcers should be treated by Hp eradication, which was also considered to be an absolute and relative indication in NUD by 15% and 53% of the referring physicians, respectively. Among the patients who replied, 52% had received Hp eradication regimens; ulcers were found in 22% of the total patient group. Check-up examinations after Hp therapy were considered necessary by 75% of the referring physicians, but only 22% of the responding patients actually underwent some form of check-up (upper gastrointestinal endoscopy in 91%). Conclusions: Gastroenterologists and (to a somewhat lesser extent) referring physicians appear to be following the current guidelines for lip treatment. As expected, two thirds of referring physicians consider NUD to be an absolute or relative indication for Hp eradication. Check up examinations are apparently being performed less frequently than recommended.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 08:20:19