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  1. Patient response to marketing minimally invasive surgery for heartburn. Discussion.

    Article - En anglais

    Background 

    Over 40% of Americans suffer from « heart-burn » at least once a month.

    This and other manifestations of gastroesophageal reflux (GERD) are often treated with neglect by both patients and their primary care physicians.

    Diagnostic evaluation is all too often sought only in late stages of the disease.

    We studied the response to a media campaign promoting minimally invasive surgery as a cure for longstanding heartburn.

    Methods 

    The information was publicized on 14 TV and six radio stations over 4 weeks.

    Patients were referred to an 800-number and data on the following topics were obtained using a standardized questionnaire : demographics, reflux symptoms, previous specialist referral, diagnostic evaluation and treatment, insurance information, and reasons for and expectations in calling.

    All questionnaires were screened for likelihood of GERD (high, medium, low).

    A return call was placed to triage patients (surgical or medical appointment, information only, no contact).

    Results 

    We received calls from 1,389 potential patients.

    Based on symptoms, medical therapy, and previous evaluation, 891 (64%) were judged to likely have GERD and assigned high-priority status.

    Of the patients providing insurance information, 32% were enrolled in an HMO ; 29% commercial ; 16% Medicare ; 14% employer based ; and 9% had no insurance.

    Six hundred ninety-eight high-priority patients were contacted. (...)

    Mots-clés Pascal : Pyrosis, Long terme, Défaut, Intérêt, Malade, Médecin, Evaluation, Conseil clinique, Diagnostic, Chirurgie, Voie abord, Laparoscopie, Résultat, Homme, Appareil digestif pathologie, Oesophage pathologie, Endoscopie

    Mots-clés Pascal anglais : Pyrosis, Long term, Defect, Interest, Patient, Physician, Evaluation, Clinical counseling, Diagnosis, Surgery, Surgical approach, Laparoscopy, Result, Human, Digestive diseases, Esophageal disease, Endoscopy

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

    Cote : 98-0177408

    Code Inist : 002B24E06. Création : 11/09/1998.