Repeat prescribing of ulcer healing drugs in general practice-prevalence and underlying diagnosis
| Autor: | F. E. Murray, P. E. McKENZIE, E. M. Griffin, J. Cipriano, B. M. Goudie |
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| Rok vydání: | 1996 |
| Předmět: |
Male
Peptic Ulcer medicine.medical_specialty Time Factors Peptic Population Disease Drug Prescriptions Ranitidine Internal medicine medicine Humans Pharmacology (medical) Medical prescription education Retrospective Studies education.field_of_study Hepatology Esophageal disease business.industry Gastroenterology Anti-Ulcer Agents medicine.disease United Kingdom digestive system diseases Surgery Barium meal Female Family Practice business Esophagitis medicine.drug |
| Zdroj: | Alimentary Pharmacology & Therapeutics. 10:147-150 |
| ISSN: | 0269-2813 |
| DOI: | 10.1046/j.1365-2036.1996.717897000.x |
| Popis: | Background: The long-term use of ulcer healing drugs in the management of dyspepsia is controversial. We have investigated repeat prescribing of these drugs in a general practice population. Aims: To identify the number of patients authorized to receive repeat prescriptions for ulcer healing drugs, and to review the investigation status and diagnosis in these patients. Subjects: A total of 15495 patients registered with eight general practitioners in seven general practices in Dundee, UK. Methods: Case ascertainment by review of practice repeat prescribing registers. Data regarding investigation and diagnosis obtained by retrospective review of general practice case records. Results: Six hundred and seventy-nine (4.4% of the total population) were authorized to receive repeat prescriptions for ulcer healing drugs. Six hundred and fifty-one (4.2%) were authorized to receive repeat prescriptions for H2-antagonists. Ranitidine was prescribed in 583 (86% of patients receiving ulcer healing drugs). Endoscopy had been performed in 426 (63%) and barium meal alone in 113 (17%); 140 (21%) had not been investigated. A diagnosis of peptic ulcer disease or oesophagitis was established in 382 (56%). However, 157 investigated patients (23% of all patients on ulcer healing drugs) did not have a peptic diagnosis. Conclusions: The prevalence of repeat prescribing of ulcer healing drugs in the general practice population studied was 4.4%, but 44% of these patients did not have a confirmed diagnosis of acid peptic disease. |
| Databáze: | OpenAIRE |
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