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BRAZILIAN PHYSICIANS' PRACTICES ON THE MANAGEMENT OF SYMPTOMS SUGGESTING GASTROESOPHAGEAL REFLUX DISEASE: A
Decio Chinzon1, Joaquim Prado P Moraes-Filho1, Gerson Domingues2
1Universidade de São Paulo, Faculdade de Medicina, São Paulo, SP, Brasil.
Arquivos De Gastroenterologia
|December 17, 2020
Summary
Physician practices for managing gastroesophageal reflux disease (GERD) symptoms vary significantly across specialties in Brazil. Guidelines should encompass all relevant medical fields, not just gastroenterology.
Area of Science:
- Gastroenterology
- Internal Medicine
- Otolaryngology
- Cardiology
Background:
- Clinical guidelines exist for gastrointestinal disorders, yet physician practices for gastroesophageal reflux disease (GERD) symptoms show variability.
- This study addresses the need to understand these practice variations in GERD management.
Purpose of the Study:
- To describe the management practices of physicians from various specialties for patients presenting with typical gastroesophageal reflux disease (GERD) symptoms (heartburn and regurgitation).
- To analyze differences in diagnostic approaches and therapeutic strategies among different medical specialties in Brazil.
Main Methods:
- A national online survey was conducted among general practitioners, gastroenterologists, cardiologists, and otolaryngologists in Brazil.
- The survey collected data on physician demographics, patient characteristics, and prescribing behaviors related to GERD symptoms.
Main Results:
- A total of 400 physicians participated, with gastroenterologists reporting the highest prevalence of GERD symptoms (70.3%).
- Endoscopy was the most common diagnostic test, utilized more by gastroenterologists and general practitioners. Video nasolaryngoscopy was more frequent among otolaryngologists.
- Lifestyle modifications and proton pump inhibitors were the most reported therapeutic strategies.
Conclusions:
- Significant differences exist in the profile of patients and patterns of GERD diagnosis and management among gastroenterologists, general practitioners, otolaryngologists, and cardiologists.
- Clinical guidelines for GERD should be broadened to include recommendations for specialties beyond gastroenterology to address practice variability.
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