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Related Experiment Videos

Long term acid suppressing treatment in general practice

S D Ryder1, S O'Reilly, R J Miller

  • 1Department of Gastroenterology, Northwick Park Hospital, Harrow, Middlesex.

BMJ (Clinical Research Ed.)
|March 26, 1994
PubMed
Summary

Many patients receive long-term acid suppression therapy, often without a clear diagnosis. Improved patient education on conditions and NSAID risks is crucial for better outcomes in acid-related gastrointestinal disease.

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Area of Science:

  • Gastroenterology
  • General Practice
  • Pharmacology

Background:

  • Long-term acid suppression therapy is widely used.
  • Practices in prescribing and patient understanding vary.

Purpose of the Study:

  • To assess current practices in prescribing long-term (> 6 months) gastric acid suppressive treatment.
  • To identify indications, treatments, and investigations for patients on long-term therapy.

Main Methods:

  • Survey of seven general practices and 60,148 patients.
  • Analysis of repeat prescribing data and patient records.
  • Postal questionnaires assessed patient compliance and views.

Main Results:

  • 0.82% of patients received long-term acid suppression; duodenal ulcer and esophageal disease were common indications.

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  • 19% were treated for undiagnosed abdominal pain or gastritis.
  • 74% found treatment helpful, but 27% lacked understanding of their diagnosis.

    • Conclusions:

    • Long-term acid suppression is prevalent, with a notable proportion of patients lacking a definitive diagnosis.
    • Enhanced protocols for investigation and treatment are needed.
    • Improved patient education regarding their condition and NSAID risks is essential.