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Economic analysis of dyspepsia
1Gastroenterology Section, Department of Veterans Affairs Medical Center, Albuquerque, New Mexico 87108, USA.
European Journal of Gastroenterology & Hepatology
|April 1, 1997
Summary
Managing dyspepsia involves many diseases and treatments. A single best strategy is unlikely; common medical sense may be more cost-effective than rigid economic analysis for treating upper abdominal pain.
Area of Science:
- Gastroenterology
- Clinical Decision-Making
Background:
- Dyspepsia and upper abdominal pain stem from diverse organic and non-organic diseases.
- A wide range of diagnostic and therapeutic options exist for managing dyspepsia.
Purpose of the Study:
- To explore the optimal diagnostic and therapeutic strategies for dyspepsia.
- To evaluate the utility of economic and medical decision analyses in managing dyspepsia.
Main Methods:
- Review of diagnostic and therapeutic approaches for dyspepsia.
- Discussion of the challenges in developing a universal cost-effective strategy.
Main Results:
- The complexity of dyspepsia diagnoses and treatments makes a single best strategy improbable.
- Economic decision analyses may not yield a universally applicable or superior approach.
Conclusions:
- A rigid, economically derived regimen is unlikely to be optimal for all dyspepsia patients.
- Applying common medical sense is suggested as a potentially more cost-effective approach than strict adherence to economic models.