TY - JOUR T1 - <em>Helicobactor pylori</em> testing and endoscopy were less cost-effective than usual management for patients with dyspepsia JF - Evidence Based Medicine JO - Evid Based Med SP - 189 LP - 189 DO - 10.1136/ebm.6.6.189 VL - 6 IS - 6 A2 - , Y1 - 2001/11/01 UR - http://ebm.bmj.com/content/6/6/189.abstract N2 - (2001) BMJ 322, 898. Delaney BC, Wilson S, Roalfe A, et al.. Randomised controlled trial of Helicobacter pylori testing and endoscopy for dyspepsia in primary care.. Apr 14;. :. –901.OpenUrlAbstract/FREE Full Text
 
 QUESTION: In patients who had had dyspepsia for &gt; 4 weeks, are testing and endoscopy as cost-effective as usual management for dyspepsia? Cost-effectiveness analysis from a health service perspective of a randomised (allocation concealed*), unblinded,* controlled trial with 18 months of follow up. 31 primary care centres in the UK. 478 patients (mean age 37 y, 57% men) who had had dyspepsia (epigastric pain or heartburn with or without nausea and bloating) for &gt; 4 weeks. Exclusion criteria included patients who had had endoscopy or a positive result on barium meal examination in the previous 3 years or were unable to give informed consent. 99% of patients completed the trial. Patients were allocated to testing (Helisal test), and endoscopy (n=285) or usual management (n=193). Endoscopies on patients with positive … ER -