The initial diagnosis of GERD

The initial diagnosis of GERD
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DOI:
10.1016/j.bpg.2013.06.007
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发表时间:
2013-06-01
影响因子:
3.2
通讯作者:
Vakil, Nimish
Vakil, Nimish
中科院分区:
医学3区
文献类型:
--
作者:
Vakil, Nimish

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在初级保健环境中,通过使用结构化问卷(提示GERD的高概率),可以加强GERD的诊断。通过采用这种策略,可以改善临床结果并降低成本。使用主要症状来确定治疗途径或使用质子泵抑制剂的经验性测试尚未被证明是可靠的,应该放弃。(c)2013爱思唯尔有限公司保留所有权利。
The diagnosis of GERD in primary care settings can be enhanced by the use of structured questionnaires that suggest a high probability of GERD. Clinical outcomes can be improved and costs reduced by adopting this strategy. Using predominant symptoms to determine the path of treatment or the use of an empirical test of proton pump inhibitors has not been proven to be reliable and should be abandoned. (c) 2013 Elsevier Ltd. All rights reserved.