PMID- 30311760
OWN - NLM
STAT- MEDLINE
DCOM- 20181211
LR  - 20181211
IS  - 0023-2149 (Print)
IS  - 0023-2149 (Linking)
VI  - 95
IP  - 2
DP  - 2017
TI  - [TYPICAL ERRORS IN THERAPY OF GASTROESOPHAGEAL REFLUX DISEASE].
PG  - 163-7
AB  - AIM: To analyze compliance of doctors with the clinical guidelines for the 
      management of patients with gastroesophageal reflux disease (GERD) under 
      outpatient clinic conditions. MATERIAL AND METHODS: An anonymous questionnaire 
      study involving 104 general practitioners was undertaken. The questionnaires 
      included items concerning lifestyle modifications, the use of proton pump 
      inhibitors (PPI), dosage and time of their administration, combined therapy and 
      endoscopic control. RESULTS: The analysis of the filled questionnaires 
      demonstrated that 15,6% of the doctors always discuss the necessity changing 
      lifestyle with GERD patients, 75% of the doctors discuss it but occasionally, and 
      9,4% never hold such discussions. 56,7% of the doctors begin treatment from 
      double doses of proton pump inhibitors regardless of the endoscopic stage of 
      esophagus damage. The mode of PPI administration is at variance with that 
      recommended by the instruction in 61,5% of the cases. The basic course of erosive 
      esophagitis treatment lasts 4, 2, and 8 weeks in 45,2%, 9,6%, and 45,2% of the 
      cases. Treatment of GERD starts from combined therapy in 14,4% of the cases. 
      Monotherapy with PPI is inefficient in 85,6% of the cases. Endoscopic control of 
      erosive esophagitis is practiced by 51,9% of the doctors, 48,1% of the 
      respondents recommend this diagnostic procedure only in the absence of clinical 
      effect. CONCLUSION: Our analysis revealed typical mistakes in the treatment of 
      patients with GERD, demonstrated the importance of expert control and support of 
      training physicians, and introduction of modern quality standards into the 
      practical management of patients with this pathology.
FAU - Chikunova, M V
AU  - Chikunova MV
FAU - Khlynov, I B
AU  - Khlynov IB
FAU - Khromtsova, D V
AU  - Khromtsova DV
LA  - rus
PT  - Journal Article
PL  - Russia (Federation)
TA  - Klin Med (Mosk)
JT  - Klinicheskaia meditsina
JID - 2985204R
SB  - IM
MH  - Adult
MH  - Ambulatory Care Facilities
MH  - Attitude of Health Personnel
MH  - Female
MH  - Gastroesophageal Reflux/*therapy
MH  - Guideline Adherence/*standards
MH  - Health Care Surveys
MH  - Humans
MH  - Male
MH  - *Medical Errors/prevention & control/statistics & numerical data
MH  - Middle Aged
MH  - *Patient Care Management/methods/standards
MH  - Practice Guidelines as Topic
MH  - Quality Improvement
MH  - Russia
MH  - Surveys and Questionnaires
EDAT- 2017/01/01 00:00
MHDA- 2018/12/12 06:00
CRDT- 2018/10/13 06:00
PHST- 2018/10/13 06:00 [entrez]
PHST- 2017/01/01 00:00 [pubmed]
PHST- 2018/12/12 06:00 [medline]
PST - ppublish
SO  - Klin Med (Mosk). 2017;95(2):163-7.