| Practice patterns for the evaluation and treatment of eosinophilic oesophagitis. | |
| | |
MedLine Citation:
|
PMID: 21050240 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: Although consensus guidelines for eosinophilic oesophagitis have been published, it remains unclear whether gastroenterologists follow these recommendations. AIM: To assess academic and community practice patterns for the evaluation and treatment of eosinophilic oesophagitis and to compare these practices with current guidelines. METHODS: This was a prospective study of academic and community gastroenterologists using a self-administered online survey. RESULTS: A total of 60% (34 of 57) of academic and 29% (38 of 133) of community gastroenterologists completed the survey. Only 24% of academic and 3% of community gastroenterologists follow consensus guidelines to diagnose eosinophilic oesophagitis (P = 0.007). A proton pump inhibitor trial or negative pH study prior to diagnosis was required by just 25% of all gastroenterologists. A majority (60%) do not use the recommended threshold of 15 eosinophils per high powered field to diagnosis eosinophilic oesophagitis. Half (51%) mistakenly require a positive endoscopic finding. For first-line treatment, about half of the gastroenterologists surveyed treat with a swallowed topical steroid (53% academic, 56% community; P = N.S.), consistent with the guidelines. CONCLUSIONS: There is variability in practice patterns for both diagnosis and treatment of eosinophilic oesophagitis. Ongoing education and research concerning diagnosis and treatment are needed. |
| | |
Authors:
|
A F Peery; N J Shaheen; E S Dellon |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't Date: 2010-10-05 |
Journal Detail:
|
Title: Alimentary pharmacology & therapeutics Volume: 32 ISSN: 1365-2036 ISO Abbreviation: Aliment. Pharmacol. Ther. Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-05 Completed Date: 2011-02-24 Revised Date: 2011-12-21 |
Medline Journal Info:
|
Nlm Unique ID: 8707234 Medline TA: Aliment Pharmacol Ther Country: England |
Other Details:
|
Languages: eng Pagination: 1373-82 Citation Subset: IM |
Copyright Information:
|
© 2010 Blackwell Publishing Ltd. |
Affiliation:
|
Center for Esophageal Diseases and Swallowing, University of North Carolina School of Medicine, Chapel Hill, 27599-7080, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Academic Medical Centers
/
standards Adrenal Cortex Hormones / administration & dosage* Attitude of Health Personnel* Community Health Services / standards Esophagitis / physiopathology*, therapy* Gastroenterology Guideline Adherence / standards* Humans Internet Practice Guidelines as Topic Prospective Studies Proton Pump Inhibitors / administration & dosage* Questionnaires |
| Grant Support | |
ID/Acronym/Agency:
|
KL2RR025746/RR/NCRR NIH HHS; T32 DK 07634/DK/NIDDK NIH HHS; T32 DK007634-15/DK/NIDDK NIH HHS |
| Chemical | |
Reg. No./Substance:
|
0/Adrenal Cortex Hormones; 0/Proton Pump Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Vitamin D3 treatment of Crohn's disease patients increases stimulated T cell IL-6 production and pro...
Next Document: There is an association between selective serotonin reuptake inhibitor use and uncomplicated peptic ...