TITLE

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

AUTHOR(S)
Talley, Nicholas J.
PUB. DATE
November 2005
SOURCE
ACP Journal Club;Nov/Dec2005, Vol. 143 Issue 3, p76
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This article comments on a clinical study according to which prompt endoscopy is not a cost-effective strategy for initial management of dyspepsia. The management of dyspepsia remains controversial, although the most recent U.S. guidelines continue to recommend Helicobacter pylori test-and-treat over prompt endoscopy in patients without alarm features. It seems that fewer endoscopies in the test-and-treat group and increased proton-pump inhibitor consumption in the prompt endoscopy group may drive the cost differences. It is notable that the rate of symptom resolution was significantly greater in the endoscopy group than in the test-and-treat group, although the difference was small and arguably not clinically relevant.
ACCESSION #
18925757

 

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