Comparison of gastro-oesophageal reflux disease and heartburn diagnoses in UK primary care. Ruigómez, A., García Rodríguez, L. A., Wallander, M., Johansson, S., & Dent, J. Current Medical Research and Opinion, 22(9):1661--1668, September, 2006. doi abstract bibtex OBJECTIVE: 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. RESEARCH DESIGN AND METHODS: Data from the UK General Practice Research Database were extracted for patients newly diagnosed with heartburn (n = 1841) or GORD (n = 5318) in 1996. MAIN OUTCOME MEASURES: Patient characteristics, morbidity, healthcare use and prescribed treatments were compared using unconditional logistic regression analysis. RESULTS: 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. CONCLUSIONS: 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.
@article{ruigomez_comparison_2006,
title = {Comparison of gastro-oesophageal reflux disease and heartburn diagnoses in {UK} primary care},
volume = {22},
issn = {0300-7995},
doi = {10.1185/030079906X120986},
abstract = {OBJECTIVE: 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.
RESEARCH DESIGN AND METHODS: Data from the UK General Practice Research Database were extracted for patients newly diagnosed with heartburn (n = 1841) or GORD (n = 5318) in 1996.
MAIN OUTCOME MEASURES: Patient characteristics, morbidity, healthcare use and prescribed treatments were compared using unconditional logistic regression analysis.
RESULTS: 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.
CONCLUSIONS: 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.},
language = {eng},
number = {9},
journal = {Current Medical Research and Opinion},
author = {Ruigómez, Ana and García Rodríguez, Luis Alberto and Wallander, Mari-Ann and Johansson, Saga and Dent, John},
month = sep,
year = {2006},
pmid = {16968569},
keywords = {Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Diagnosis, Differential, Female, Gastroesophageal Reflux, Great Britain, Heartburn, Humans, Male, Middle Aged, Primary Health Care},
pages = {1661--1668}
}
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RESEARCH DESIGN AND METHODS: Data from the UK General Practice Research Database were extracted for patients newly diagnosed with heartburn (n = 1841) or GORD (n = 5318) in 1996. MAIN OUTCOME MEASURES: Patient characteristics, morbidity, healthcare use and prescribed treatments were compared using unconditional logistic regression analysis. RESULTS: 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. CONCLUSIONS: 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.","language":"eng","number":"9","journal":"Current Medical Research and Opinion","author":[{"propositions":[],"lastnames":["Ruigómez"],"firstnames":["Ana"],"suffixes":[]},{"propositions":[],"lastnames":["García","Rodríguez"],"firstnames":["Luis","Alberto"],"suffixes":[]},{"propositions":[],"lastnames":["Wallander"],"firstnames":["Mari-Ann"],"suffixes":[]},{"propositions":[],"lastnames":["Johansson"],"firstnames":["Saga"],"suffixes":[]},{"propositions":[],"lastnames":["Dent"],"firstnames":["John"],"suffixes":[]}],"month":"September","year":"2006","pmid":"16968569","keywords":"Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Diagnosis, Differential, Female, Gastroesophageal Reflux, Great Britain, Heartburn, Humans, Male, Middle Aged, Primary Health Care","pages":"1661--1668","bibtex":"@article{ruigomez_comparison_2006,\n\ttitle = {Comparison of gastro-oesophageal reflux disease and heartburn diagnoses in {UK} primary care},\n\tvolume = {22},\n\tissn = {0300-7995},\n\tdoi = {10.1185/030079906X120986},\n\tabstract = {OBJECTIVE: 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.\nRESEARCH DESIGN AND METHODS: Data from the UK General Practice Research Database were extracted for patients newly diagnosed with heartburn (n = 1841) or GORD (n = 5318) in 1996.\nMAIN OUTCOME MEASURES: Patient characteristics, morbidity, healthcare use and prescribed treatments were compared using unconditional logistic regression analysis.\nRESULTS: 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.\nCONCLUSIONS: 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.},\n\tlanguage = {eng},\n\tnumber = {9},\n\tjournal = {Current Medical Research and Opinion},\n\tauthor = {Ruigómez, Ana and García Rodríguez, Luis Alberto and Wallander, Mari-Ann and Johansson, Saga and Dent, John},\n\tmonth = sep,\n\tyear = {2006},\n\tpmid = {16968569},\n\tkeywords = {Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Diagnosis, Differential, Female, Gastroesophageal Reflux, Great Britain, Heartburn, Humans, Male, Middle Aged, Primary Health Care},\n\tpages = {1661--1668}\n}\n\n","author_short":["Ruigómez, A.","García Rodríguez, L. 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