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Questionnaire-based survey in a developing country showing noncompliance with paediatric gastro-oesophageal reflux

Hayat Manasfi1, Rima Hanna-Wakim1, Imad Akel1

  • 1Department of Paediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Acta Paediatrica (Oslo, Norway : 1992)
|October 30, 2016
PubMed

Insights

Few Lebanese pediatricians followed international guidelines for diagnosing and managing infant gastro-oesophageal reflux disease (GERD). This highlights a significant gap in evidence-based pediatric care and suggests a need for guideline adaptation.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Practice Guidelines
  • Evidence-Based Medicine

Background:

  • Gastro-oesophageal reflux disease (GERD) is common in infants and children.
  • International guidelines exist for GERD diagnosis and management.
  • Adherence to these guidelines ensures optimal patient outcomes.

Purpose of the Study:

  • To assess Lebanese pediatricians' adherence to 2009 North American and European Society guidelines for pediatric GERD.
  • To evaluate current diagnostic and management practices for GERD in Lebanese infants and children.

Main Methods:

  • A web-based survey was distributed to Lebanese pediatricians.
  • The survey assessed knowledge and management of GERD.
  • Data from 96 pediatricians were analyzed.

Main Results:

  • Only 2.1% of surveyed pediatricians fully complied with international GERD guidelines.
  • Most diagnosed GERD based on history and examination alone.
  • Empiric acid suppression therapy was common, with proton pump inhibitors favored.

Conclusions:

  • Significant deviation from evidence-based GERD management was observed in Lebanon.
  • Barriers to guideline implementation require further investigation.
  • Guidelines may need regional adaptation considering cost and insurance factors.
Abstract

Keywords:
Evidence-based managementPaediatric gastro-oesophageal reflux diseasePractice guidelinesProton pomp inhibitorsSurvey

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