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https://hdl.handle.net/2440/23459
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Type: | Journal article |
Title: | Comparison of gastro-oesoohaaeal reflux disease and heartburn diagnoses in UK primary care |
Author: | Ruigomez, A. Rodriguez, L. Wallander, M. Johansson, S. Dent, J. |
Citation: | Current Medical Research and Opinion, 2006; 22(9):1661-1668 |
Publisher: | Librapharm |
Issue Date: | 2006 |
ISSN: | 0300-7995 1473-4877 |
Statement of Responsibility: | Ana Ruigómez, Luis Alberto García Rodríguez, Mari‐Ann Wallander, Saga Johansson and John Dent |
Abstract: | <h4>Objective</h4>It is unclear how gastro-oesophageal reflux disease (GORD) is diagnosed in primary care. The aim of this study is to compare patients given a diagnosis of GORD with those diagnosed with heartburn.<h4>Research design and methods</h4>Data from the UK General Practice Research Database were extracted for patients newly diagnosed with heartburn (n = 1841) or GORD (n = 5318) in 1996.<h4>Main outcome measures</h4>Patient characteristics, morbidity, healthcare use and prescribed treatments were compared using unconditional logistic regression analysis.<h4>Results</h4>GORD was diagnosed more frequently than heartburn (3.2 vs. 1.1 per 1000 patient-years). A diagnosis of GORD was less likely among females (odds ratio (OR): 0.8; confidence interval (CI): 0.7-0.9), smokers (OR: 0.8; CI: 0.7-0.9) and patients who consulted their physician frequently (OR: 0.8; CI: 0.7-0.9). There was a wide distribution in the ratio of GORD-to-heartburn diagnoses between primary care practices (mean 2.9; range 0-infinity). GORD patients were more likely to receive proton pump inhibitors (OR: 2.9; CI: 2.6-3.4), but 24% of GORD patients and 40% of heartburn patients received no acid-suppressive treatment in the month after diagnosis.<h4>Conclusions</h4>Several factors influenced the diagnosis of gastro-oesophageal reflux symptoms by primary care physicians. Further research is needed to aid the diagnosis of GORD in primary care. |
Keywords: | diagnosis gastro-oesophageal reflux heartburn primary health care |
DOI: | 10.1185/030079906X120986 |
Published version: | http://informahealthcare.com/doi/abs/10.1185/030079906X120986 |
Appears in Collections: | Aurora harvest 2 Medicine publications |
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