Cookies

We use cookies to ensure that we give you the best experience on our website. By continuing to browse this repository, you give consent for essential cookies to be used. You can read more about our Privacy and Cookie Policy.


Durham Research Online
You are in:

The management of common gastrointestinal disorders in general practice : a survey by the European Society for Primary Care Gastroenterology (ESPCG) in six European countries.

Seifert, B. and Rubin, G. and de Wit, N. and Lionis, C. and Hall, N. and Hungin, P. and Jones, R. R. and Palka, M. and Mendive, J. (2008) 'The management of common gastrointestinal disorders in general practice : a survey by the European Society for Primary Care Gastroenterology (ESPCG) in six European countries.', Digestive and liver disease., 40 (8). pp. 659-666.

Abstract

Background: Gastrointestinal (GI) disorders account for 10% of all consultations in primary care. Little is known about the management of GI disorders by general practitioners (GP) across different European countries. Aim and methods: We undertook a postal survey of randomly selected samples of GPs in six European countries (UK, Holland, Spain, Greece, Poland, Czech Republic) to determine patterns of diagnosis, management and service use in GI disorders. Results: We received 939 responses, response rate 32%. Over 80% of GPs were aware of at least three national guidelines for gastrointestinal disease. The availability of open access endoscopy ranged from 28% (Poland) to over 80% (Holland, Czech and UK). For uninvestigated dyspepsia the preferred first line management was proton pump inhibitor therapy (33–82%), Helicobacter pylori test and treat (19–47%), early endoscopy (5–32%), specialist referral (2–21%). Regarding irritable bowel syndrome, 23% of respondents were familiar with one or more diagnostic criteria, but between 7% (Netherlands) and 32% (Poland) would ask for a specialist opinion before making the diagnosis. Conclusion: The wide variation between GPs both between and within countries partly reflects variations in health care systems but also differing levels of knowledge and awareness, factors which are relevant to educational and research policy.

Item Type:Article
Keywords:Gastrointestinal disorders, General practice, Clinical guidelines.
Full text:Full text not available from this repository.
Publisher Web site:http://dx.doi.org/10.1016/j.dld.2008.02.020
Record Created:21 Oct 2011 15:20
Last Modified:22 Feb 2012 15:51

Social bookmarking: del.icio.usConnoteaBibSonomyCiteULikeFacebookTwitterExport: EndNote, Zotero | BibTex
Usage statisticsLook up in GoogleScholar | Find in a UK Library