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Infant gastro-oesophageal reflux disease (GORD): Australian GP attitudes and practices.

Authors :
Kirby, Catherine N
Segal, Ahuva Y
Hinds, Rupert
Jones, Kay M
Piterman, Leon
Source :
Journal of Paediatrics & Child Health. Jan2016, Vol. 52 Issue 1, p47-53. 7p. 1 Illustration.
Publication Year :
2016

Abstract

<bold>Aim: </bold>The aim of this study was to evaluate the attitudes and practices of Australian general practitioners (GPs) regarding infant gastro-oesophageal reflux disease (GORD) diagnosis and management.<bold>Methods: </bold>A national cross-sectional survey, involving a random sample of currently practising Australian GPs (nā€‰=ā€‰2319) was undertaken between July and September 2011. GPs attitudes and management of infant GORD were surveyed via an online and paper-based 41-item questionnaire.<bold>Results: </bold>In total, 400 responses were analysed (17.24% response rate). The majority of GPs employed empirical trials of acid-suppression medication and/or lifestyle modifications to diagnose infant GORD. GPs frequently recommended dietary modification despite the belief that they were only moderately effective at best. In addition, GPs frequently prescribed acid-suppression medication, despite concerns regarding their safety in the infant population. Other GP concerns included the lack of clinical guidelines and education for GPs about infant GORD, as well as the level of evidence available for the safety and efficacy of diagnostic tests and treatments.<bold>Conclusion: </bold>Despite the important role Australian GPs play in the diagnosis and management of infant GORD, high-level evidence-based guidelines for GPs are lacking. Consequently, GPs engage in diagnostic and management practices despite their concerns regarding the safety and effectiveness. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
10344810
Volume :
52
Issue :
1
Database :
Academic Search Index
Journal :
Journal of Paediatrics & Child Health
Publication Type :
Academic Journal
Accession number :
112334825
Full Text :
https://doi.org/10.1111/jpc.12983