1. Appropriateness of Gastroscopy: Dyspepsia 1

Froehlich, Florian; Bochud, Murielle; Gonvers, Jean‐Jacques; Dubois, Robert W.; Vader, J.-P.; Wietlisbach, Vincent; Burnand, Bernard

doi:10.1055/s-1999-62

Cited by 11 publications

(16 citation statements)

References 94 publications

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“…In Western countries, the prevalence of H pylori and upper GI malignancy is low and the cost of upper endoscopy is high (from > US$1000 in the USA to US$200–500 in most European countries) 39; therefore, a cost-effectiveness analysis under such circumstance revealed that prompt endoscopy conferred a small benefit in terms of cure of dyspepsia but cost more than ‘test and treat’ and was not a cost-effective strategy for the initial management of dyspepsia 40. However, as suggested by Delaney et al , the results of this cost-effectiveness analysis were quite sensitive to the cost of upper endoscopy 41.…”

Section: Discussionmentioning

confidence: 99%

Alarm features and age for predicting upper gastrointestinal malignancy in Chinese patients with dyspepsia with high background prevalence of Helicobacter pylori infection and upper gastrointestinal malignancy: an endoscopic database review of 102 665 patients from 1996 to 2006

Bai

Zou

et al. 2010

Gut

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For uninvestigated Chinese patients with dyspepsia with high background prevalence of H pylori infection and upper GI malignancy, alarm features and age, except for dysphagia in patients between 36 and 74 years old, had limited predictive value for a potential malignancy; therefore, prompt endoscopy may be recommended for these patients. However, less invasive, inexpensive screening methods with high diagnostic yield are still needed to reduce unnecessary endoscopy workload.

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Section: Discussionmentioning

confidence: 99%

Alarm features and age for predicting upper gastrointestinal malignancy in Chinese patients with dyspepsia with high background prevalence of Helicobacter pylori infection and upper gastrointestinal malignancy: an endoscopic database review of 102 665 patients from 1996 to 2006

Bai

Zou

et al. 2010

Gut

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“…Neither indications for ERCP in case of abdominal pain, nor those patients with GI bleeding accompanying abdom inal pain, are considered here, unless abdominal pain clear ly represents the major symptom. Painful syndromes in cluded in the definition of dyspepsia are dealt with in de tail in the separate publication on dyspepsia [3] and those related to diarrhea and irritable bowel syndrome in the se parate publication on diarrhea [4],…”

Section: Introductionmentioning

confidence: 99%

9. Appropriateness of Colonoscopy: Lower Abdominal Pain or Constipation 1

Bosset¹,

Gonvers²,

Vader³

et al. 1999

Endoscopy

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This article presents a literature review on lower abdominal pain and change in bowel habits, that was provided to the panelists to study and comment prior to the panel meeting to support their ratings of appropriateness of use of colo noscopy. This article furthermore presents an overview of the main panel results related to abdominal pain and change in bowel habits (mainly constipation) and a sum mary of published evidence and panel-based appropriate ness criteria.

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“…Guidelines for gastroendotology were developed in line with international guidelines from [20][21][22][23][24][25][26][27]. The themes covered were chronic diarrhea, gastroesophageal reflux disease, abdominal pain, anemia/blood in feces, inflammatory bowel disease and colorectal cancer.…”

Section: The Hospital Casementioning

confidence: 99%

Clinical guidelines as decision support for referrals from primary care

Heimly

Nytrø

2011

2011 IEEE International Conference on Information Reuse &Amp; Integration

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This work describes the use of clinical guidelines in public health care for decision support in a primary care record system. The clinical guidelines were used for decision support in primary care in order to improve the quality of electronic referrals to a hospital. Guidelines were developed by the specialists at the hospital, but the design and the development of the system was done in collaboration with general practitioners working in primary care. This paper sums up the findings from a study six months after the introduction of the decision support system, and is based on interviews with users in primary care. The work processes differed between the practices; General practitioners who wrote the referrals after the patient had left the office did not find the system as useful as the ones who wrote them when the patient was present. The general practitioners were reluctant to use guidelines that resulted in an additional workload in terms of providing the hospital with more information than before, but found the system useful as a support for assuring that they made the right clinical decisions. The guidelines were also seen as useful as a support for refusing to refer the patient to specialized care.

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1. Appropriateness of Gastroscopy: Dyspepsia 1

Cited by 11 publications

References 94 publications

Alarm features and age for predicting upper gastrointestinal malignancy in Chinese patients with dyspepsia with high background prevalence of Helicobacter pylori infection and upper gastrointestinal malignancy: an endoscopic database review of 102 665 patients from 1996 to 2006

Alarm features and age for predicting upper gastrointestinal malignancy in Chinese patients with dyspepsia with high background prevalence of Helicobacter pylori infection and upper gastrointestinal malignancy: an endoscopic database review of 102 665 patients from 1996 to 2006

9. Appropriateness of Colonoscopy: Lower Abdominal Pain or Constipation 1

Clinical guidelines as decision support for referrals from primary care

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