Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/53762
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 Responsibility: | 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 Antacids Risk Factors Retrospective Studies Family Practice Guideline Adherence Medical Audit Australia 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. |
Published version: | http://www.racgp.org.au/afp/200801/29041 |
Appears in Collections: | Aurora harvest 5 Medicine publications |
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hdl_53762.pdf | 138.29 kB | Publisher's PDF | View/Open |
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