The Discriminative Value of Patient Characteristics and Dyspeptic Symptoms for Upper Gastrointestinal Endoscopic Findings: A Study on the Clinical Presentation of 1,147 Patients

Digestion

Volumn 57, Issue 2, 1996, Pages 118-134

  Adang, Rob P ^a   Ambergen, Anton W ^a   Talmon, Jan L ^a   Hasman, Arie ^a   Vismanst, Jon F E ^a   Stockbrügger, Reinhold W ^a  

^a MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Discriminative value; Dyspepsia; Dyspeptic symptoms; Endoscopy; History taking; Logistic regression analysis; Prediction models; Referral indications

Indexed keywords

ADOLESCENT; ADULT; AGED; ANAMNESIS; ARTICLE; CLINICAL FEATURE; CLINICAL TRIAL; DIAGNOSTIC VALUE; DIGESTIVE SYSTEM CANCER; DRINKING BEHAVIOR; DUODENUM ULCER; DYSPEPSIA; ESOPHAGITIS; FEMALE; GASTRITIS; GASTROINTESTINAL ENDOSCOPY; HIATUS HERNIA; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT REFERRAL; PEPTIC ULCER; PREDICTION; PRIORITY JOURNAL; QUESTIONNAIRE; REGRESSION ANALYSIS; SMOKING HABIT; STATISTICS; STOMACH ULCER; SYMPTOM;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; COMPUTERS; DYSPEPSIA; ENDOSCOPY, DIGESTIVE SYSTEM; FEMALE; HUMANS; MALE; MEDICAL HISTORY TAKING; MIDDLE AGED; PILOT PROJECTS; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; QUESTIONNAIRES; REGRESSION ANALYSIS; RETROSPECTIVE STUDIES;

EID: 0029926799     PISSN: 00122823     EISSN: 14219867     Source Type: Journal    
DOI: 10.1159/000201325     Document Type: Article

References (84)

1. Anonymous A: Dala base on dyspepsia (editorial). BrMed J 1978:1: 1163-1164.
2. Krag E: Non-ulcer dyspepsia. Introduction: epidemiological dala. Scand J Gastroenterol 1982:17(suppl 79):6-8.
3. Jones R, Lvdeard S: Prevalence of symptoms of dyspepsia in the community. Br Med J 1989; 298:30-32.
4. Talley NJ, Zinsmeister AR, Schleck CD, Melton IJ: Dyspepsia and dyspepsia subgroups: A population-based study. Gastroenterology 1992;102:1259-1268.
5. Nvren O, Adami H-O, Gustavsson S, Loof L, Nvbcrg A: Social and economic effects of nonulcer dyspepsia. Scand J Gastroenterol 1985: 20(suppl 109):41-45.
6. Nyren O, Adami H-O, Gustavsson S, Loof L: Excess sick-listing in nonulcer dyspepsia. J Clin Gastroenterol 1986;8:339-345.
7. Crean GP, Holden RJ, Knill-Jones RP, Beattie AD, James WB, Marjoribanks FM. et al: A database on dyspepsia. Gut 1994;35:191-202.
8. Kahn KL, Greenfield S: The efficacy of endoscopy in the evaluation of dyspepsia. A review of the literature and development of a sound strategy. J Clin Gastroenterol 1986;8 (3):346-358.
9. Colin-Jones DG: Management of dyspepsia: Report of a working partv. Lancet 1988:1:576-579.
10. Hungin AS: Use of an opcn-aceess gastroscopy service by a general practice: Findings and subsequent referral rate. J RColl Gen Pract 1987: 37:170-171.
11. Gear MWL. Wilkinson SP: Open-acccss upper alimentary endoscopy. Br J Hosp Med 1989: 41:438-444.
12. Scott B. Atkinson M: Gastroenterology services: A regional review of changes over a five year period (1981-86). Gut 1989:30:695-700.
13. Working Party of the Clinical Services Committee of the British Society of Gastroenterology: Provision of gastrointestinal endoscopy and related services for a district general hospital. Gut 1991:32:95-105.
14. Bramble MG: Open access endoscopy - A nationwide survey of current practice. Gut 1992; 33:282-285.
15. Barbara L. Camilleri M. C'orinaldesi R. Crean GP. Heading RC. Johnson AG. et al: Definition and investigation of dyspepsia. Consensus of an international ad hoc working party. Dig DisSci 1989:34:1272-1276.
16. Williams B, Luckas M, Ellingham JHM, Dain A, Wicks ACB: Do young patients with dyspepsia need investigation? Lancet 1988:2: 1349-1351.
17. Newton M, Jamieson CP, Middleton S, Skinner AC, Kamm MA, Burnham WR: Open access endoscopy: How is a developing service viewed by general practitioners? (abstract). Gut 1994:35(suppl 2):F237.
18. Johnston DA. Lopez M. Goudic BM. McCollum R. Anderson JT. Pennington CR. et al: Open access endoscopy: Satisfying general practitioners and reassuring patients, but increasing hospital workload (abstract). Gut 1994;35(suppl 5):F310.
19. Jones R. Lvdeard S: Dyspepsia in the community: A follow-up study. Br J Clin Pract 1992: 46:95-97.
20. Venables C: Endoscopy: Its diagnostic role in dyspepsia. Scand J Gastroenterol 1988; 23(suppl 155):44-49.
21. Morrissey JF: The problem of the inappropriate endoscopy. Ann Intent Med 1988:109: 605-606.
22. Scott B: Endoscopic demands in the 90's. Gut 1990;31:125-126.
23. Cowan RE. Lcrwill RJ: Management strategies for dyspepsia and open access gastroscopy: A way of reducing the workload (abstract). Gut 1994;35(suppl 4):A87.
24. Moynihan BGA: On duodenal ulcer: With notes of 52 operations. Lancet 1905;1:340-346.
25. Mann J, Holdstock G, Harman M, Machin D, I.oehry CA: Scoring system to improve cost effectiveness ofopen access endoscopy. Br Med J 1983:287:937-940.
26. Davenport PM, Morgan AG, Darnborough A, de Dombal FT: Can preliminary screening of dyspeptic patients allow more effective use of investigational techniques? Br Med J 1985: 290:217-220.
27. Holdstock G. Harman M. Machin D. Patel C. Lloyd RS: Prospective testing of a scoring system designed to improve case selection for upper gastrointestinal investigation. Gastroenterology 1986;90:1164-1169.
28. Knill-Jones RP: Diagnostic systems as an aid to clinical decision making. Br Med J 1987,295: 1392-1396.
29. Adang RP, Vismans F-JFE, Ambergen AW, Talmon JL, Hasman A, Flendrig JA: Evaluation of computerised questionnaires designed for patients referred for gastrointestinal endoscopy. IntJ BiomedComp 1991;29:31-44.
30. Kang JY. Tay HH. Guan R: Chronic upper abdominal pain: Site and radiation in various structural and functional disorders and the effect of various foods. Gut 1992:33:743-748.
31. Savary M, Miller G: The Esophagus - Handbook and Atlas of Endoscopy. Solothum. Gass-mann, 1977.
32. Hosmer DW, Lemeshow S: Applied Logistic Regression, ed I. New York. Wiley. 1989.
33. Spiegclhalter DJ: Statistical methodology for evaluating gastrointestinal symptoms. Clin Gastroenterol 1985:14:489-515.
34. Spiegclhalter DJ. Crean GP. Holden R. Knill-Jones RP: Taking a calculated risk: Predictive scoring systems in dyspepsia. Scand J Gastroenterol 1987:22(suppl 128): 152-160.
35. Talley NJ. McNeil D. Piper DW: Discriminant value of dyspeptic symptoms: A study of the clinical presentation of 221 patients with dyspepsia of unknown cause, peptic ulceration, and cholelithiasis. Gut 1987;28:40-46.
36. Johannesscn T. Petersen H. Klevetand PM. Dybdahl JH. Sandvik AK. Brenna E. et al: The predictive value of history in dyspepsia. Scand J Gastroenterol 1990;25:689-697.
37. Weinstein MC. Finebcrg HV: The use of diagnostic information to revise probabilities; in Clinical Decision Analysis. Philadelphia. Saunders, 1980, pp 114-127.
38. Hanley JA, McNeil BJ: The meaning and use of the area under a receiver operating characteristic curve. Radiology 1982;143:29-36.
39. Petersen H, Johanncsscn T, Klcveland PM, Fjosnc U, Dybdahl JH, Waldum HL: Do we need to listen to the patient? The predictive value of symptoms. Scand J Gastroenterol 1988:23(suppl 155):30-34.
40. Talley NJ. Weaver AL. Tesmer DL. Zinsmeis-ler AR: Lack of discriminant value of dyspepsia subgroups in patients referred for upper endoscopy. Gastroenterology 1993; 105:1378-1386.
41. Crcan GP, Card WI, Beattie AD, Holden RJ, James WB. Knill-Jones RP. et al: 'Ulcer-like dyspepsia'. Scand J Gastroenterol 1982: 17(suppl 79):9-15.
42. Fjosne U. Klcveland PM. Waldum H. Halvor-sen T. Petersen H: The clinical benefit of routine upper gastrointestinal endoscopy. Scand J Gastroenterol 1986:21:433-440.
43. Ross P. Dutton AM: Computer analysis of symptom complexes in patients having upper gastrointestinal examinations. Am J Dig Dis 1972;17:248-254.
44. Kudva MV, Zawawi M, Rafec N, Ismail O: Discriminant value of dyspeptic symptoms in peptic ulecr and non-uleer dyspepsia. Med J Malaysia 1989;44:236-242.
45. Horrocks JC. de Dombal FT: Clinical presentation of patients with 'dyspepsia'. Detailed symptomatic study of 360 patients. Gut 1978; 19:19-26.
46. Mansi C, Savarino V, Mela GS, Picciotto A, Mele MR, Celle G: Are clinical patterns of dyspepsia a valid guideline for appropriate use of endoscopy? A report on 2253 dyspeptic patients. Am J Gastroenterol 1993:88:1011-1015.
47. Mansi C, Mela GS, Pasini D, Grosso M, Corti L, Moretti M, et al: Patterns of dyspepsia in patients with no clinical evidence of organic diseases. DigDisSci 1990:35:1452-1458.
48. Horrocks JC, de Dombal FT: Diagnosis of dyspepsia from data collected by a physician's assistant. Br Med J 1975;3:421-423.
49. Horrocks JC, de Dombal FT: Computer-aided diagnosis of'dyspepsia'. Dig Dis 1975:20:397-406.
50. Horrocks JC, Lambert DE, McAdam WAF, Morgan AG, Pacsoo C, Damborough A. et al: Transfer of computer-aided diagnosis of dyspepsia from one geographical area to another. Gut 1976;17:640-644.
51. Knill-Jones RP: A formal approach to symptoms in dyspepsia. Clin Gastroenterol 1985; 14: 517-529.
52. Hallisscy MT, Jewkcs AJ, Allum WH, Ellis DJ, Fielding JWL: Clinical diagnosis in dyspepsia: A valueless exercise (abstract). Gut 1989:30: A709.
53. Edenholm M. Gustavsson R. Jansson O. Iing-fors H, Nilsson O, Soderlind T. et al: Endoscopic findings in patients with ulcer-like dyspepsia. Scand J Gastroenterol 1985;20(suppl 109): 163-167.
54. Johnscn R, Straumc B, Forde OH: Peptic ulcer and non-ulcer dyspepsia - A disease and a disorder. Scand J Prim Health Care 1988:6:239-243.
55. Isenberg JI, McQuad KR, Inline L, Rubin W: Acid-peptic disorders; in Yamada T (cd): Textbook of Gastroenterology. Philadelphia. Lip-pincoll. 1991. vol l.pp 1263-1264.
56. Thompson WG: Symptoms and signs of upper gastrointestinal disease: in Gustavsson S. Kumar D. Graham DY (eds): The Stomach. New York. Churchill Livingstone. 1992. pp 143-156.
57. Greenlaw R, Sheahan DG, De Luca V, Miller D, Mycrson D, Mycrson P: Gastroduodcnitis. A broader concept of peptic ulcer disease. Dig DisSci 1980:25:660-672.
58. DeLuca VA, Winnan GG, Sheahan DG, Sanders HJ, Greenlaw R, Marignani P. et al: Is gas-troduodenitis part of the spectrum of peptic ulcer disease? J Clin Gastroenterol 1981:3 (suppl 2): 17-22.
59. Heading RC: Definitions of dyspepsia. Scand J Gastroenterol 1991:26(suppl 182): 1-6.
60. Petersen H. Fjosne U. Johanncsscn T. Kristen-sen P. Hafstad PE. Sandbakken P. et al: Clinical significance of upper abdominal symptoms. Scand J Gastroenterol 1985:20(suppl 109): 19-22.
61. Wienbeek M, Bamert J: Epidemiology of reflux disease and reflux esophagitis. Scand J Gastroenterol 1989:24(suppl 156):7-13.
62. Bennett JR: Oesophageal symptoms. Clin Gastroenterol 1985;14:591-598.
63. Berstad A, Weberg R, Froyshov Larsen I, Hocl B, Hauer-Jensen M: Relationship of hiatus hernia to reflux oesophagitis. Scand J Gastroenterol 1986:21:55-58.
64. Wienbeek M. Berges W: Esophageal disorders in the etiology and pathophysiology of dyspepsia. Scand J Gastroenterol 1985;20(suppl 109): 133-137.
65. Johnsson F, Joelsson B, Gudmundsson K, Greiff L: Symptoms and endoscopic findings in the diagnosis of gastroesophageal reflux disease. Scand J Gastroenterol 1987;22:714-718.
66. Klauser AG. Schindlbcck NE. Miiller-Lissner SA: Symptoms in gaslro-oesophageal reflux disease. Lancet 1990;335:205-208.
67. Johnsen R, Berncrscn B, Straume B, Forde OH, Bostad L, Burhol PG: Prevalences of endoscopic and histological Imdings in subjects with and without dyspepsia. Br Med J 1991: 302:749-752.
68. Cheli R: Symptoms in chronic non-specific duodenitis. Scand J Gastroenterol 1982:17 (suppl 79):84-86.
69. Toukan AU. Kamal MF. Amr SS. Amaout MA. Abu-Romiyeh AS: Gastroduodenal inflammation in patients with nonulcer dyspepsia. A controlled endoscopic and morphomcl-ricstudy. Dig DisSci 1985;30:313-320.
70. Thomson WO, Robertson AG, lmrie CW, Joffe SN. Lee FD, Blumgart LH: Is duodenitis a dyspeptic myth? Lancet 1977:1: 1197-1198.
71. Anonymous A: Duodenitis - Any progress? Lan-cet 1985;1: 1222-1223.
72. Joffc SN, Shiva Rao S: Symptoms of gastritis. Scand J Gastroenterol 1982; 17(suppl 79):62-65.
73. Joffe SN: Relevance of duodenitis to non-ulcer dyspepsia and peptic ulceration. Scand J Gastroenterol 1982:17(suppl 79):88-97.
74. Talley NJ. Phillips SF: Non-ulcer dyspepsia: Potential causes and pathophysiology. Ann Intern Med 1988;108:865-879.
75. Guslandi M: Non-ulcer dyspepsia (letter). Lancet 1986:1: 113.
76. Villako K. lhamaki T. Tamm A. Lammur R: Upper abdominal complaints and gastritis. Ann Clin Res 1984;16:192-194.
77. Cheli R, Pcrasso A, Giacosa A: Dyspepsia and chronic gastritis. 1 lepatogastrocnterol 1983:30: 21-23.
78. Venables CW, Duodenitis. Scand J Gastroenterol 1985:20(suppl l09):91-97.
79. Hojgaard L, Matzen P, Christoffersen P: Gastritis- A clinical entity? Scand J Gastroenterol 1987;22(suppl 128):90-92.
80. Varis K: Gastritis - A misused term in clinical gastroenterology. Scand J Gastroenterol 1988; 23(suppl 155):53-58.
81. Venables C: Duodenitis. Scand J Gastroenterol 1988;23(suppl 155):6I-65.
82. Jdnsson K-A. Gotthard R. Bodemar G. Brodin U: The clinical relevance of endoscopic and histclogic inflammation of gastroduodenal mucosa in dyspepsia of unknown origin. Scand J Gastroenterol 1989;24:385-395.
83. Akdamar K. Ertan A. Agrawal NM. McMahon FG. Ryan J: Upper gastrointestinal endoscopy in normal asymptomatic volunteers. Gastroin-testEndosc 1986;32:78-80.
84. Lindberg G, Seensalu R. Nilsson I.H, Forsell P. Kagcr L. Knill-Jones RP: Transferability of a computer system for medical history taking and decision support in dyspepsia. A comparison of indicants for peptic ulcer disease. Scand J Gastroenterol 1987;22(suppl 128): 190-196.