| Autor: |
G, Martínez-Sánchez, E, Saperas, J, Benavent, F, Mearin, J L, Piñol, M, Barenys, J J, Mascort, M, Forné, J M, Bordas, R, Azagra, J M, Piqué |
| Rok vydání: |
1999 |
| Předmět: |
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| Zdroj: |
Gastroenterologia y hepatologia. 21(10) |
| ISSN: |
0210-5705 |
| Popis: |
To evaluate the attitude of primary health care physicians versus the diagnosis and treatment of infection by Helicobacter pylori in patients with dyspepsia and gastroduodenal ulcer.An observational, transversal study was performed by a self administered questionnaire from June to October, 1997.Primary health care physicians from 38 reformed Medical Centers in the metropolitan area of Barcelona were included in the study.Of the 359 doctors to whom the questionnaire was sent, 283 responded (78.8%). In a patient with dyspepsia 95.4% would first request endoscopy. If they knew of the presence of infection by Helicobacter pylori 96.1% would administer eradication treatment in patients with gastric and duodenal ulcer and 15% would also do so if the endoscopy were normal. If the presence of infection by Helicobacter pylori were unknown in a patient with gastroduodenal ulcer, 65.3% would treat with anti-H2 or proton pump inhibitors associated with a diagnostic test of infection by Helicobacter pylori. If the physician decided to carry out eradication treatment of Helicobacter pylori infection, 98.6% would use one of the regimes recommended by different scientific societies. If confirmation of eradication of Helicobacter pylori infection were requested, 89% would do so one and three months after completion of treatment. In patients with gastric ulcer, 69.3% would request endoscopy on completion of treatment. The percentage of physicians specialized in Family and Community Medicine who would carry out eradication treatment in patients with duodenal ulcer and Helicobacter pylori infection and who would request endoscopies in patients with dyspepsia was found to be statistically significant in comparison with physicians without this specialty.The attitude of primary care physicians in the metropolitan area of Barcelona with regard to the diagnosis and treatment of infection by Helicobacter pylori in gastroduodenal diseases largely reflects the recommendations recently made by several scientific societies. In general there are no significant differences with respect to this attitude in regard to the age and sex of the physician, although their training was found to influence in some of the responses analyzed. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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