General practice and teaching hospital use of barium meal examinations in the City and Hackney Health District.
نویسندگان
چکیده
The value of barium meal examination in the management of younger patients with dyspepsia has been seriously questioned as diagnostic yield is reported to be low with only minor abnormalities detected. Our 9 month survey of general practice and hospital out-patient use of barium meal examination in the City and Hackney Health District during 1983-84 shows that 51% of patients investigated were less than 50 years and 20% less than 30 years of age, suggesting that clinicians have not heeded these warnings. However, 30% of the younger patients had barium meal mucosal abnormalities. Over all age groups abnormalities were more prevalent in men and in general practice rather than hospital out-patient referrals (59% vs 45%; P less than 0.02). Previous studies may therefore have underestimated the prevalence of barium meal abnormalities in younger patients, and continued use of this examination in such patients may indicate that clinicians have found the results helpful in patient management.
منابع مشابه
Diagnostic and therapeutic efficacy of barium meal examination: a prospective evaluation in general practice.
OBJECTIVE To assess the efficacy of barium meal examinations in managing patients with dyspepsia in general practice. DESIGN Prospective study by questionnaires completed by general practitioners before and within three to six months after the barium meal examination. Information was requested about the patients' symptoms, current treatment, reason for requesting the examination, and the work...
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 62 726 شماره
صفحات -
تاریخ انتشار 1986