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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
Statement of
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
RMID: 0020095387
DOI: 10.1185/030079906X120986
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Appears in Collections:Medicine publications

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