Peer review about gastro-esophageal reflux disease in primary care: epidemiology, diagnostic and therapeutic management

Retrospective research carried out by 29 General Practitioners in their databases, in order to evaluate the prevalence of gastro-esophageal reflux disease in its different clinical outbreaks and the incidence of new diagnosis in the last quinquennium, the diagnostic approach through instrumental exa...

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Bibliographic Details
Published in:	Recenti progressi in medicina Vol. 97; no. 2; p. 74
Main Authors:	Belleri, Giuseppe, Comini, Lorenzo, Ramponi, G Pietro, Tabaglio, Erminio, Archetti, Giuseppe, Astori, Paola, Baldini, Salvatore, Baronchelli, Mario, Beltrami, Giuseppe, Benini, Fausto, Bertolotti, Bartolomea, Bettoncelli, Germano, Bonardelli, Emanuele, Bovini, Luigi, Chiappi, Alessandro, Ferrari, Albarosa, Guarnera, Lucia, Mauro, Nicola, Multineddu, Mario, Mutti, Erica, Palini, Sergio, Palumbo, Marco, Pascarella, Anna, Pellizzari, Rossella, Regazzoli, Tommaso, Sidari, Giuseppe, Terranova, F Romana, Zadra, Alessandro, Zavanella, Daniela
Format:	Journal Article
Language:	Italian
Published:	Italy 01-02-2006
Subjects:	Adult Aged Diagnosis, Differential Esophagoscopy Female Gastroesophageal Reflux - diagnosis Gastroesophageal Reflux - epidemiology Gastroesophageal Reflux - therapy Gastrointestinal Agents - therapeutic use Gastroscopy Humans Hydrogen-Ion Concentration Incidence Italy - epidemiology Male Middle Aged Prevalence Primary Health Care - statistics & numerical data Proton Pump Inhibitors Italy
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Summary:	Retrospective research carried out by 29 General Practitioners in their databases, in order to evaluate the prevalence of gastro-esophageal reflux disease in its different clinical outbreaks and the incidence of new diagnosis in the last quinquennium, the diagnostic approach through instrumental examinations (endoscopy) or empirical tests (PPI test), and the therapeutical aspects, in particular concerning the usage of PPI. The prevalence has been of 3.82%, while the data concerning the incidence have pointed out a progressive increase of the diagnosis in the last quinquennium, specially for the atypical outbreaks. Moreover, it has been noted a likely excessive use of endoscopy, in the follow up as well, while less used is the IPP test. Gastroesophageal reflux disease is the most important item in the expenditure for the usage of IPP.
ISSN:	0034-1193