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  1. Differences between generalist and specialist physicians regarding Helicobacter pylori and peptic ulcer disease.

    Article - En anglais

    Objectives 

    To assess differences between gastroenterologists and primary care physicians in the United States in their attitudes, timing of adoption, and practice patterns concerning the use of Helicobacter pylori eradication therapy in peptic ulcer disease (PUD) patients.

    Methods 

    We surveyed a random sample of 4500 gastroenterologists, family practitioners, and general internists shortly after a National Institutes of Health Consensus Conference recommended eradication of H. pylori in PUD patients.

    Results 

    The survey response rate was 30%. Bivariate comparisons revealed significant differences between primary care physicians and gastroenterologists in sources of information about H. pylori, beliefs about the strength of the evidence supporting the relationship between H. pylori and PUD, adoption of H. pylori eradication therapy and timing of first use, and patients likely to receive eradication therapy.

    Although adoption of H. pylori eradication therapy was nearly universal among gastroenterologists by April 1994 (99%), approximately one-third of primary care providers had never prescribed H. pylori eradication therapy.

    Practice patterns of physicians using eradication therapy also varied significantly by specialty group.

    Conclusions 

    Gastroenterologists were more aware of the relationship of H. pylori to PUD and adapted their practices more quickly to this emerging information than did primary care providers. (...)

    Mots-clés Pascal : Ulcère, Gastroduodénal, Association morbide, Gastrite, Helicobacter pylori, Spirillaceae, Spirillales, Bactérie, Evaluation, Médecin, Gastroentérologie, Etude statistique, Homme, Appareil digestif pathologie, Estomac pathologie, Intestin pathologie

    Mots-clés Pascal anglais : Ulcer, Gastroduodenal, Concomitant disease, Gastritis, Helicobacter pylori, Spirillaceae, Spirillales, Bacteria, Evaluation, Physician, Gastroenterology, Statistical study, Human, Digestive diseases, Gastric disease, Intestinal disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0394097

    Code Inist : 002B05B02F. Création : 10/04/1997.