Medical Management of Chronic Pancreatitis

Lankisch, P. G.; Lübbers, Heiko; Mahlke, Reiner

doi:10.1007/978-3-540-28656-1_37

Cited by 4 publications

(2 citation statements)

References 127 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although studies carried out in Germany to date on the quality of advice provided by pharmacies show significant shortcomings [6] [7] [8] [9] [10], they do refer to other indications rather than "acute diarrhoea". Acute diarrhoea is one of the most common illnesses in Germany [11]. If it is treated using self-medication, the pharmacy should provide information [12] because acute diarrhoea can be a symptom of a range of different diseases [13].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Counselling for Acute Diarrhoea in North-Eastern German Pharmacies—A Follow-Up Study Using the Simulated Patient Methodology

Langer¹,

Kieper²,

Laube³

et al. 2018

View full text Add to dashboard Cite

Aim: As the primary aim of this study, we analysed whether the quality of advice provided by pharmacies in the period between 2014 (baseline study) and 2017 (follow-up study) could actually be increased using a single written performance feedback given to each pharmacy in 2014. The secondary aim of the follow-up examination was to analyse whether the quality of advice differed depending on the professional group providing the advice. Methodology: To ensure the least possible distortion in the comparison between the baseline and the follow-up studies, the study design used for the follow-up examination in 2017 was not changed compared to the baseline examination in 2014. The data for the follow-up examination were therefore collected using the simulated patient method in all 21 pharmacies in a city in the northeast of Germany. Three female and two male test buyers used four different scenarios for self-medication of acute diarrhoea in all of the pharmacies (a total of 84 test purchases). Results: There were significant differences between the overall results from the baseline study (2014) and the follow-up study (2017) (Wilcoxon signed rank test; z = −2.065, p = 0.039, r = 0.225). In the overall average, the pharmacies in 2017 achieved only 2.7 (30%) of 9 possible points whereas in 2014 they achieved 3.3 (37%). The quality of advice between the professional groups did not show any significant differences (Kruskal-Wallis test: χ 2 (2) = 1.946; p = 0.378, r = 0.027). Conclusions: The quality of advice for acute diarrhoea in adults declined over time. A written performance feedback intended to improve the quality proved ineffective. Interventions with a far greater impact are required to achieve an improvement in the quality of advice provided.

show abstract

Section: Introductionmentioning

confidence: 99%

Assessment of Counselling for Acute Diarrhoea in North-Eastern German Pharmacies—A Follow-Up Study Using the Simulated Patient Methodology

Langer¹,

Kieper²,

Laube³

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Beeinflusst werden diese drei Parameter durch den Ballaststoffgehalt der Nahrung, Medikamente, Stress und Extremsport (z. B. Marathonlauf) [3,4].…”

unclassified

Diagnostik und Therapie der chronischen nicht-infektiösen Diarrhö

Ulbricht¹,

Layer²,

Andresen³

2016

Dtsch med Wochenschr

View full text Add to dashboard Cite

Chronic, non-infectious diarrhea can be caused by a variety of gastrointestinal diseases. In anamnesis, it is important to take accompanying warning symptoms and specific triggers into account. The fecal inflammatory marker calprotectin may help differentiating between organic and functional gastrointestinal disorders, but it is not specific. Among other options, gelling fibres, Loperamide and Cholestyramine as well as probiotics are available for the symptomatic treatment of chronic diarrhea. For long-term treatment of chronic diarrhea with the enkephalinase inhibitor racecadotril, which is approved for acute diarrhea, only limited data are available. Eluxadolin presents a new therapeutic option. It can alleviate abdominal pain and diarrhea by modulation of opioid receptors in the enteric nervous system. Additional approaches in intractable irritable bowel syndrome with diarrhea (IBS-D) include 5-HT3 receptor antagonists, the antibiotic Rifaximin as well as low-dose tricyclic antidepressants. Specific diets such as the low-FODMAP diet can also relieve symptoms in IBS.

show abstract