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WFRF:(Talley Nicholas J)
 

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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003093naa a2200433 4500
001oai:DiVA.org:uu-17530
003SwePub
008080627s2008 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:117015881
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-175302 URI
024a https://doi.org/10.1159/0001213552 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1170158812 URI
040 a (SwePub)uud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Agréus, Larsu Karolinska Institutet4 aut
2451 0a Predictors and non-predictors of symptom relief in dyspepsia consultations in primary care
264 c 2008-05-07
264 1b S. Karger AG,c 2008
338 a print2 rdacarrier
520 a OBJECTIVE: We aimed to evaluate if the course of dyspepsia is influenced by medical consultation in primary care. DESIGN, SETTING AND PATIENTS: Australian general practitioners (n = 27) recruited 157 dyspeptic patients, of whom 94 were eligible for follow-up. Dyspepsia, comorbidity, quality of life, emotional status, locus of control and consultation satisfaction were measured at baseline and follow-up (mean 3 months). MAIN OUTCOME MEASURE: Response was defined as improvement of dyspepsia over time on the Nepean Dyspepsia Index score. RESULTS: Dyspepsia improved in 82% (n = 77). There was no significant change in non-gastrointestinal symptoms. Half were worried or stressed by their symptoms, and 85% wanted reassurance, a need that (univariately) differentiated responders from non-responders (p = 0.02). Most patients seen in primary care with dyspepsia improved. If the doctor believed it was likely that the patient would follow their recommendations, the patient was nearly five times as likely to be a responder (OR 4.9, 95% CI 1.2-19.0). The only other significant predictor was acid suppression therapy (OR 3.5, 95% CI 1.1-10.9). CONCLUSION: Most primary care visits for dyspepsia are followed by improvement, which may be predicted in part by indicators of patient compliance. Prescription of acid suppression therapy may also improve outcome in dyspepsia
653 a Dyspepsia
653 a Health care seeking behaviour
653 a Family practice
653 a Consultation
653 a MEDICINE
653 a MEDICIN
700a Talley, Nicholas J4 aut
700a Sheen, Adrian4 aut
700a Johansson, Sven-Eriku Karolinska Institutet4 aut
700a Jones, Michael P4 aut
700a Svärdsudd, Kurtu Uppsala universitet,Allmänmedicin och klinisk epidemiologi4 aut0 (Swepub:uu)kurtsvar
710a Karolinska Institutetb Allmänmedicin och klinisk epidemiologi4 org
773t Digestive Diseasesd : S. Karger AGg 26:3, s. 248-255q 26:3<248-255x 0257-2753x 1421-9875
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-17530
8564 8u https://doi.org/10.1159/000121355
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:117015881

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