General practitioners' approach to dyspepsia. Survey of consultation frequencies, treatment, and investigations

Scandinavian Journal of Gastroenterology

Volumn 31, Issue 7, 1996, Pages 648-653

  Heikkinen, M ^a   Pikkarainen, P ^b   Takala, J ^b   Julkunen, R ^b  

^a KUOPIO UNIVERSITY HOSPITAL   (Finland)

^b NONE

Author keywords

Dyspepsia; endoscopy; epidemiology; general practice; ultrasound

Indexed keywords

ANTACID AGENT; HISTAMINE H2 RECEPTOR ANTAGONIST; OMEPRAZOLE; PROKINETIC AGENT; SUCRALFATE;

ADOLESCENT; ADULT; AGED; ARTICLE; CONSULTATION; DYSPEPSIA; ECHOGRAPHY; FEMALE; GASTROINTESTINAL ENDOSCOPY; GENERAL PRACTICE; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; TREATMENT PLANNING;

EID: 0029741824     PISSN: 00365521     EISSN: None     Source Type: Journal    
DOI: 10.3109/00365529609009144     Document Type: Article

References (29)

1. Warndorff DK, Knottnerus JA, Huijnen LGL, Starmans R. How well do general practitioners manage dyspepsia? J R Coll Gen Pract 1989;39:499-502.
2. Fry J. Five years of general practice: a study in simple epidemiology. Br Med J 1957;2:1453-7.
3. Petersen H. Epidemiological and economic aspects of dyspepsia. In: Colin-Jones DG, editor. Practical approaches to the management of dyspepsia. Langhorne: The Medicine Group, 1989:2-5.
4. Gear MWL, Barnes RJ. Endoscopic studies of dyspepsia in a general practice. Br Med J 1980;280:1136-7.
5. Jones RH, Lydeard SE, Hobbs FDR, Kenkre JE, Williams EI, Jones SJ, et al. Dyspepsia in England and Scotland. Gut 1990;31:401-5.
6. Weir RD, Backett EM. Studies of the epidemiology of peptic ulcer in a rural community: prevalence and natural history of dyspepsia and peptic ulcer. Gut 1968;9:75-83.
7. Colin-Jones DG, Bloom B, Bodemar G, Crean G, Freston J, Gugler R, et al. Management of dyspepsia: Report of a working party. Lancet 1988;1:576-9.
8. Kagevi I, Löfstedt S, Persson L-G. Endoscopic findings and diagnoses in unselected dyspeptic patients at a primary health care center. Scand J Gastroenterol 1989;24:145-50.
9. Horrocks JC, de Dombal FT. Clinical presentation of patients with 'dyspepsia'. Detailed symptomatic study of 360 patients. Gut 1978;19:19-26.
10. Lance P, Gibson-Glubb S, Gazzard JA, Gazzard BG. Chronic dyspepsia pain in general practice - its causes and diagnosis. Postgrad Med J 1985;61:411-3.
11. Kekki P. Primary health care in Finland. In: Fry J, Hasler JC, editors. Primary health care 2000. London: Churchill Livingstone, 1986:201-10.
12. Rekola KE, Keinänen-Kiukaanniemi S, Takala J. Use of primary health services in sparsely populated country districts by patients with musculoskeletal symptoms: consultations with a physician. J Epidemiol Community Health 1993;47:153-7.
13. Talley NJ, Weaver AL, Zinsmeister AR, Melton LJ III. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992;136:165-77.
14. Kay L, Joørgensen T. Epidemiology of upper dyspepsia in a random population. Prevalence, incidence, natural history, and risk factors. Scand J Gastroenterol 1994;29:1-6.
15. Lydeard S, Jones R. Factors affecting the decision to consult with dyspepsia: comparison of consulters and non-consulters. J R Coll Gen Pract 1989;39:495-8.
16. Forbat LN, Gribble RJN, Baron JH. Gastrointestinal endoscopy in the young. Br Med J 1987;295:365.
17. Lockhart SP, Schofield PM, Gribble RJN, Baron JH. Upper gastrointestinal endoscopy in the elderly. Br Med J 1985;290: 283.
18. Williams B, Luckas M, Ellingham JHM, Dain A, Wicks ACB. Do young patients with dyspepsia need investigation? Lancet 1988;2:1349-51.
19. Fjøsne U, Kleveland PM, Waldum H, Halvorsen T, Petersen H. The clinical benefit of routine upper gastrointestinal endoscopy. Scand J Gastroenterol 1986;21:433-40.
20. Heikkinen M, Pikkarainen P, Takala J, Räsänen H, Julkunen R. Etiology of dyspepsia: four hundred unselected consecutive patients in general practice. Scand J Gastroenterol 1995;30: 519-23.
21. Johnson AG. Cholecystectomy and gallstone dyspepsia: clinical and physiological study of a symptom complex. Ann R Coll Surg Engl 1975;56:69-80.
22. Dooley CP, Larson AW, Stace NH, Renner IG, Valen zula JE, Eliasoph J, et al. Double-contrast barium meal and upper gastrointestinal endoscopy: a comparative study. Ann Intern Med 1984;101:538-45.
23. Barnes RJ, Gear MWL, Nicol A, Dew AB. Study of dyspepsia in a general practice as assessed by endoscopy and radiology. Br Med J 1974;4:214-6.
24. Muris JWM, Starmans RST, Fijten GA, Krebber TFWA, Knottnerus JA. Abdominal pain in general practice. Fam Pract 1993;10:387-400.
25. Talley NJ, Colin-Jones D, Koch KL, Koch M, Nyren O, Stanghellini V. Functional dyspepsia: A classification with guidelines for diagnosis and management. Gastroenterol Int 1991;4:145-60.
26. Nyrèn O. Therapeutic trial in dyspepsia: its role in the primary care setting. Scand J Gastroenterol 1991;26 Suppl 182:61-9.
27. Brown C, Rees WDW. Dyspepsia in general practice. Try empirical treatment first and investigate patients who do not respond. Br J Med 1990;300:829-30.
28. Goulston KJ, Dent OF, Mant A, Logan J, Ngu M. Use of H2-receptor antagonists in patients with dyspepsia and heartburn: a cost comparison. Med J Aust 1991;155:20-6.
29. 2-blocker therapy or prompt endoscopy in management of dyspepsia. Lancet 1994;343:811-6.