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Type: Journal article
Title: Gastro-oesophageal reflux disease - Impact of guidelines on GP management
Author: Kirby, C.
Piterman, L.
Nelson, M.
Dent, J.
Citation: Australian Family Physician, 2008; 37(1-2):73-77
Publisher: Royal Australian College of General Practitioners
Issue Date: 2008
ISSN: 0300-8495
Statement of
Catherine N Kirby, Leon Piterman, Mark R Nelson and John Dent
Abstract: Background: This program examined the impact of clinical guidelines and a 3 year self audit process on general practitioners’ diagnosis and management of gastro-oesophageal reflux disease. Methods: Nine hundred and sixty-six Australian GPs participated in a retrospective five step clinical audit reporting on data for 28 622 patients. Results: General practitioners demonstrated significant improvements in their diagnosis and management of gastro-oesophageal reflux disease across the audit period, including: - a significant 3% decrease in use of endoscopy - improved GP assessment and identification of risk factors and exacerbants - significant increases in GP recommendations for patient weight loss and dietary change (7 and 10% respectively) - a significant 4% reduction in patient use of medications that may exacerbate reflux symptoms. Discussion: The findings provide a snapshot of current diagnostic and management practices in Australian general practice, and highlight the benefits of clinical audit as a tool for eliciting evidence based, guideline driven practice change.
Keywords: Humans
Gastroesophageal Reflux
Histamine H2 Antagonists
Risk Factors
Retrospective Studies
Family Practice
Guideline Adherence
Medical Audit
Proton Pump Inhibitors
Description: Copyright © 2008 Royal Australian College of General Practitioners Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners.
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