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Gastro-oesophageal reflux disease. Impact of guidelines on GP management


Kirby, K and Piterman, L and Nelson, MR and Dent, J, Gastro-oesophageal reflux disease. Impact of guidelines on GP management, Australian Family Physician, 37, (1/2) pp. 73-77. ISSN 0300-8495 (2008) [Refereed Article]


Background: This program examined the impact of clinical guidelines and a 3 year self audit process on general practitioners' diagnosis and management of gastro-oesophageal reflux disease. Methods: Nine hundred and sixty-six Australian GPs participated in a retrospective five step clinical audit reporting on data for 28 622 patients. Results: General practitioners demonstrated significant improvements in their diagnosis and management of gastro-oesophageal reflux disease across the audit period, including: a significant 3% decrease in use of endoscopy improved GP assessment and identification of risk factors and exacerbants significant increases in GP recommendations for patient weight loss and dietary change (7 and 10% respectively) a significant 4% reduction in patient use of medications that may exacerbate reflux symptoms. Discussion: The findings provide a snapshot of current diagnostic and management practices in Australian general practice, and highlight the benefits of clinical audit as a tool for eliciting evidence based, guideline driven practice change.

Item Details

Item Type:Refereed Article
Research Division:Health Sciences
Research Group:Health services and systems
Research Field:Primary health care
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Nelson, MR (Professor Mark Nelson)
ID Code:52112
Year Published:2008
Web of Science® Times Cited:9
Deposited By:Menzies Institute for Medical Research
Deposited On:2008-05-30
Last Modified:2009-04-25

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