Approach to treatment of dyspepsia in primary care: a randomized trial comparing "test-and-treat" with prompt endoscopy.

@article{Arents2003ApproachTT,
  title={Approach to treatment of dyspepsia in primary care: a randomized trial comparing "test-and-treat" with prompt endoscopy.},
  author={Nicolaas L A Arents and Jacob C Thijs and Anton A van Zwet and Marco Oudkerk Pool and Jan-Mark Gotz and Ger T van de Werf and Klaas Reenders and Wim J. Sluiter and Jan H. Kleibeuker},
  journal={Archives of internal medicine},
  year={2003},
  volume={163 13},
  pages={1606-12}
}
BACKGROUND The value of the "test-and-treat" strategy in the approach to dyspepsia has been evaluated only in a few secondary care studies. Most patients with dyspepsia, however, are treated by their primary care physician. This study evaluated the test-and-treat strategy in primary care. METHODS Patients consulting their general practitioners for dyspepsia were randomized to either direct open-access endoscopy with Helicobacter pylori testing or a test-and-treat strategy by H pylori serology… CONTINUE READING

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