Therespectiverolesofgeneralpractitioners andspecialistsinthemanagementofmostdiseasesisnotclearlyde®nedanddyspepsiaisno exception.Ideally,thedivisionoftasksshould bebasedonthecharacteristicsofdiVerentdiseasesandonspeci®cobjectives. Theprevalenceofdyspepsiarangesbetween 20and40%inindustrialisedcountriesand roughly25%ofpatientsseekmedicalhelp, whereastheremainderoftenself-medicate.1 Althoughfrequentlyidiopathic(orfunctional), dyspepsiacanbesecondarytoavarietyofserious(andsometimesfatal)organic,systemic andmetabolicdiseasesthatneedtobe identi®ed.Functionaldyspepsiaalsoprecipitatesasubstantialreductioninthequalityof lifeofaVectedpatientswithrelevantcostsfor society.Thecurrenteconomicrestrictionspreventreferralofeverypatientandcorrectmanagementofdyspepsiaisaformidabletask. Prospectivestudieshavebeenundertakento establishtherespectiveeVectivenessofdiVerentdoctorsinthemanagementofsomegastroenterologicaldiseases.Zarlingetalcompared theeYcacyofmanagementofacutediverticulitisprovidedbygeneralpractitioners,internistsandgastroenterologists,andobserved shorterhospitalstayandlowerreadmission ratesinpatientstreatedbygastroenterlogists.2 Unlikeacutediverticulitis,dyspepsiaisavery heterogeneousconditionandnosimilarstudies areavailableasyet.Tacklingthefollowing questionsmayhelptoelucidatetheremitof diVerentdoctors. +Whatdrivesadyspepticindividualto consultaphysician? +DodiVerentdoctorsseediVerenttypesof dyspepticpatients? +Whatisthediagnosticyieldofanextensive work-upbyaspecialist? +ShoulddiVerentdoctorsadoptdiVerent strategiesforthemanagementofdyspepsia? +Whatisthemostcost-eVectivewaytomanagedyspepsia?

Stanghellini V., Tosetti C., Barbara G., Salvioli B., De Giorgio R., Corinaldesi R. (1998). Management of dyspeptic patients by general practitioners and specialists. GUT, 43(1), S21-S23 [10.1136/gut.43.2008.s21].

Management of dyspeptic patients by general practitioners and specialists

Stanghellini V.;Tosetti C.;Barbara G.;Salvioli B.;De Giorgio R.;Corinaldesi R.
1998

Abstract

Therespectiverolesofgeneralpractitioners andspecialistsinthemanagementofmostdiseasesisnotclearlyde®nedanddyspepsiaisno exception.Ideally,thedivisionoftasksshould bebasedonthecharacteristicsofdiVerentdiseasesandonspeci®cobjectives. Theprevalenceofdyspepsiarangesbetween 20and40%inindustrialisedcountriesand roughly25%ofpatientsseekmedicalhelp, whereastheremainderoftenself-medicate.1 Althoughfrequentlyidiopathic(orfunctional), dyspepsiacanbesecondarytoavarietyofserious(andsometimesfatal)organic,systemic andmetabolicdiseasesthatneedtobe identi®ed.Functionaldyspepsiaalsoprecipitatesasubstantialreductioninthequalityof lifeofaVectedpatientswithrelevantcostsfor society.Thecurrenteconomicrestrictionspreventreferralofeverypatientandcorrectmanagementofdyspepsiaisaformidabletask. Prospectivestudieshavebeenundertakento establishtherespectiveeVectivenessofdiVerentdoctorsinthemanagementofsomegastroenterologicaldiseases.Zarlingetalcompared theeYcacyofmanagementofacutediverticulitisprovidedbygeneralpractitioners,internistsandgastroenterologists,andobserved shorterhospitalstayandlowerreadmission ratesinpatientstreatedbygastroenterlogists.2 Unlikeacutediverticulitis,dyspepsiaisavery heterogeneousconditionandnosimilarstudies areavailableasyet.Tacklingthefollowing questionsmayhelptoelucidatetheremitof diVerentdoctors. +Whatdrivesadyspepticindividualto consultaphysician? +DodiVerentdoctorsseediVerenttypesof dyspepticpatients? +Whatisthediagnosticyieldofanextensive work-upbyaspecialist? +ShoulddiVerentdoctorsadoptdiVerent strategiesforthemanagementofdyspepsia? +Whatisthemostcost-eVectivewaytomanagedyspepsia?
1998
GUT
Stanghellini V., Tosetti C., Barbara G., Salvioli B., De Giorgio R., Corinaldesi R. (1998). Management of dyspeptic patients by general practitioners and specialists. GUT, 43(1), S21-S23 [10.1136/gut.43.2008.s21].
Stanghellini V.; Tosetti C.; Barbara G.; Salvioli B.; De Giorgio R.; Corinaldesi R.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/914068
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