A variety of organic and non-organic diseases can present with symptoms of dyspepsia or upper abdominal pain, and a large diagnostic and therapeutic armamentarium is available to manage symptoms of dyspepsia.
How extensively should a diagnostic search be conducted ; and where does the best path run through the maze of potential combinations of tests and therapies ?
Physicians have hoped that economic and medical decision analyses would help them to find the most cost-effective and most efficacious means to deal with dyspepsia.
Because of the large variety of potential diagnoses, diagnostic procedures and therapeutic means, however, it is very doubtful that a single most effective or least expensive strategy can ever be developed to apply to every patient with dyspepsia.
Following the lines of common medical sense is probably more cost-effective than observing a rigid regimen derived from an economical analysis.
Mots-clés Pascal : Dyspepsie, Etiologie, Reflux gastrooesophagien, Ulcère, Coût, Diagnostic, Traitement, Politique sanitaire, Résultat, Homme, Appareil digestif pathologie, Oesophage pathologie
Mots-clés Pascal anglais : Dyspepsia, Etiology, Gastroesophageal reflux, Ulcer, Costs, Diagnosis, Treatment, Health policy, Result, Human, Digestive diseases, Esophageal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0311046
Code Inist : 002B30A01C. Création : 15/07/1997.