Review: Prompt endoscopy is not a cost-effective strategy for initial management of dyspepsia

November 2005
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p76
Academic Journal
This article presents information on a clinical study according to which prompt endoscopy is not a cost-effective strategy for initial management of dyspepsia. The study explored in patients with dyspepsia, how cost-effective is initial management with prompt endoscopy compared with a test-and-treat approach for inducing resolution of symptoms? Effects of the intervention on dyspepsia symptoms were pooled using meta-analysis of individual patient data. The groups did not differ for total dyspepsia symptom scores. At a willingness to pay of $1000 per patient who is free of dyspepsia symptoms, the incremental net benefit was lower in the endoscopy group than in the test-and-treat group.


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