Article Text

Review: Initial endoscopy is not effective for management of dyspepsia

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Ofman JJ, Rabeneck L. The effectiveness of endoscopy in the management of dyspepsia: a qualitative systematic review. Am J Med. 1999 Mar;106: 335-46.

Question

Does initial endoscopy improve patient outcomes and medical decision making and reduce subsequent use of medical resources in patients with dyspepsia?

Data sources

English-language studies were identified by searching MEDLINE, HEALTH-STAR, and EMBASE/Excerpta Medica for articles from January 1985 to July 1998. Bibliographies of relevant arti- cles were reviewed, and experts were contacted.

Study selection

Clinical studies were selected if they assessed the effectiveness of endoscopy for patient outcomes, clinical decision making, resource utilization, or cost- effectiveness. Decision analyses were included if they considered initial endoscopy as a management strategy. Review articles, editorials, letters, case series, and studies of children were excluded.

Data extraction

Data were extracted on study design, patients, interventions, outcome measures, main findings, and conclusions. Individual studies were assessed for methodologic quality (i.e., inclusion and exclusion criteria, randomized design, concealment of …

View Full Text