Infant gastro-oesophageal reflux disease (GORD): Australian GP attitudes and practices.

Autor: Kirby CN; Office of the Pro Vice-Chancellor, Berwick and Peninsula Campuses, Monash University, Melbourne, Victoria, Australia., Segal AY; Office of the Pro Vice-Chancellor, Berwick and Peninsula Campuses, Monash University, Melbourne, Victoria, Australia., Hinds R; Department of Paediatrics, Monash University, Melbourne, Victoria, Australia., Jones KM; Office of the Pro Vice-Chancellor, Berwick and Peninsula Campuses, Monash University, Melbourne, Victoria, Australia., Piterman L; Office of the Pro Vice-Chancellor, Berwick and Peninsula Campuses, Monash University, Melbourne, Victoria, Australia.
Jazyk: angličtina
Zdroj: Journal of paediatrics and child health [J Paediatr Child Health] 2016 Jan; Vol. 52 (1), pp. 47-53. Date of Electronic Publication: 2015 Aug 09.
DOI: 10.1111/jpc.12983
Abstrakt: Aim: The aim of this study was to evaluate the attitudes and practices of Australian general practitioners (GPs) regarding infant gastro-oesophageal reflux disease (GORD) diagnosis and management.
Methods: A national cross-sectional survey, involving a random sample of currently practising Australian GPs (n = 2319) was undertaken between July and September 2011. GPs attitudes and management of infant GORD were surveyed via an online and paper-based 41-item questionnaire.
Results: In total, 400 responses were analysed (17.24% response rate). The majority of GPs employed empirical trials of acid-suppression medication and/or lifestyle modifications to diagnose infant GORD. GPs frequently recommended dietary modification despite the belief that they were only moderately effective at best. In addition, GPs frequently prescribed acid-suppression medication, despite concerns regarding their safety in the infant population. Other GP concerns included the lack of clinical guidelines and education for GPs about infant GORD, as well as the level of evidence available for the safety and efficacy of diagnostic tests and treatments.
Conclusion: Despite the important role Australian GPs play in the diagnosis and management of infant GORD, high-level evidence-based guidelines for GPs are lacking. Consequently, GPs engage in diagnostic and management practices despite their concerns regarding the safety and effectiveness.
(© 2015 The Authors. Journal of Paediatrics and Child Health © 2015 Paediatrics and Child Health Division (Royal Australasian College of Physicians).)
Databáze: MEDLINE
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