Pediatric Issues Workshop Summary

Gold, Benjamin D.; Robie‐Suh, Kathy; Sherman, Philip M.

doi:10.1046/j.1523-5378.1998.08047.x

Helicobacter

1998

DOI: 10.1046/j.1523-5378.1998.08047.x

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Pediatric Issues Workshop Summary

Benjamin D. Gold

Kathy Robie‐Suh

Philip M. Sherman

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Cited by 4 publications

(2 citation statements)

References 49 publications

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“…Rational and appropriate guidelines for diagnosing and treating H pylori infection in children are needed (6). This need stimulated the convening of the Canadian Helicobacter Consensus Conference on Pediatric Issues, held November 20 to 22,1998 in Victoria, British Columbia.…”

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confidence: 99%

CanadianHelicobacterStudy Group Consensus Conference on the Approach toHelicobacter PyloriInfection in Children and Adolescents

Sherman

Hassall²,

Hunt³

et al. 1999

Canadian Journal of Gastroenterology

111

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Gastric infection with Helicobacter pylori is common in both children and adults, but children are considerably less susceptible to peptic ulcers and other pathological sequelae. As a result, the risk to benefit ratio of diagnostic studies and therapeutic regimens for H pylori in adults are likely different from those in pediatric populations. These guidelines for the management of pediatric H pylori infection, developed by the Canadian Helicobacter Study Group, are designed to identify when the diagnosis and treatment of H pylori may improve patient care. Given the low prevalence of this infection in Canada, it is important to recognize that indiscriminate testing and treatment programs in children are not recommended, and indeed may threaten the optimal care of children. Diagnostic tests should be employed judiciously and be reserved for children who are most likely to derive measurable benefit, such as those likely to have peptic ulcer disease. At this time a test and treat strategy in children cannot be considered prudent, evidence based or cost effective. It is appropriate to limit diagnosis and treatment to children and adolescents in whom H pylori has been identified during endoscopic investigation.

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confidence: 99%

CanadianHelicobacterStudy Group Consensus Conference on the Approach toHelicobacter PyloriInfection in Children and Adolescents

Sherman

Hassall²,

Hunt³

et al. 1999

Canadian Journal of Gastroenterology

111

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“…R ecent articles have suggested that guidelines for the management of Helicobacter pylori infection in children are required (1)(2)(3). The need for specific guidelines for children is based on differences in the prevalence and spectrum of disease associated with H pylori infection in children compared with adults, limited understanding of the role of H pylori infection in symptom development, debate about the optimal diagnostic approach, and confusion around the indications for diagnosis and treatment, particularly in the primary care setting.…”

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confidence: 99%

Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

Macarthur

Jaakkimainen²

1999

Canadian Journal of Gastroenterology

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The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances". The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

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A Comprehensive Review of the Natural History of Helicobacter pylori Infection in Children

Torres

Pérez-Pérez

Goodman

et al. 2000

Archives of Medical Research

228

199

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Pediatric Issues Workshop Summary

Cited by 4 publications

References 49 publications

CanadianHelicobacterStudy Group Consensus Conference on the Approach toHelicobacter PyloriInfection in Children and Adolescents

CanadianHelicobacterStudy Group Consensus Conference on the Approach toHelicobacter PyloriInfection in Children and Adolescents

Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

A Comprehensive Review of the Natural History of Helicobacter pylori Infection in Children

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