A prospective study of dyspepsia in primary care.
A prospective study of dyspepsia in primary care.
复制标题
初级保健中消化不良的前瞻性研究。
DOI：
10.1023/a:1014748202229
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发表时间：
2002
影响因子：
3.1
通讯作者：
Everhart,JamesE
中科院分区：
文献类型：
--
作者：
Kurata,JohnH;Nogawa,AkiN;Everhart,JamesE
消化不良是一种常见病，但其过程和相关的资源利用没有得到很好的描述。在这项研究中，288例成人，初级保健消化不良患者在门诊治疗前瞻性随访一年。收集病历、使用情况、基线和一年随访调查数据。这些患者在随访期间有13.3次医疗就诊（性别和年龄标准化），比对照组非消化不良患者的标准化平均就诊高55%。消化不良患者的标准化平均费用为3542美元，比非消化不良患者的费用高出126%。超过一半的患者进行了胃肠道相关的随访; 61%的患者使用胃肠道药物; 43%的患者进行了胃肠道手术。非甾体类抗炎药使用者的胃肠相关利用率高于非使用者，记录了额外的胃肠访视（P < 0.001）和678美元的费用（P = 0.03）。在189名随访调查受访者中，有86%的人在随访期间的某个时候出现过胃肠道症状。这项研究表明，大多数初级保健消化不良患者在一年后仍然有症状，并且是医疗护理的强化用户。
Dyspepsia is a common complaint, but its course and associated resource utilization have not been well described. In this study, 288 adult, primary care patients with dyspepsia treated at ambulatory clinics were followed prospectively for one year. Medical chart, utilization, and baseline and one-year follow-up survey data were collected. These patients had 13.3 medical visits (sex- and age-standardized) during the follow-up period, 55% above standardized mean visits for a comparison group of nondyspepsia patients. Standardized mean charges of $3542 for dyspeptics was 126% above nondyspepsia patient charges. Over half had gastrointestinal-related follow-up visits; 61% used gastrointestinal drugs; and 43% had gastrointestinal procedures. NSAID users had higher gastrointestinal-related utilization than did nonusers, recording an additional gastrointestinal visit(P < 0.001)and $678 more in charges(P = 0.03). Eighty-six percent of the 189 follow-up survey respondents experienced gastrointestinal symptoms at some time during the follow-up year. This study showed that most primary care dyspepsia patients remained symptomatic after one year and were intensive users of medical care.