From: Clinicians' management strategies for patients with dyspepsia: a qualitative approach
Categories | Concepts | |||
---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
Extend the examination | Exclude coeliac disease, examine colon, liver, gall bladder (6) Evaluate patient's psychosocial conditions (4) Evaluate outcome of previous treatment (3) | Oesophagogastroduodenoscopy, expiration tests for Helicobacter pylori (10) Evaluate patient's psychosocial condition (2) Evaluate outcome of previous treatment (1) | Oesophagogastroduodenoscopy, expiration tests for Helicobacter pylori (18) | Diagnostic tests for Helicobacter pylori (8) |
Prescribe non-pharmacological treatment | Reassuring information (8) Expectancy (3) Dietary advice, reduction of alcohol intake (11) Reduction of stress (7) | Reassuring information (7) Expectancy (4) Dietary advice (6) Reduction of stress (3) | Smoking cessation (2) Weight reduction (3) Dietary advice (3) Unspecific life-style changes (6) | Unspecific life-style changes (1) |
Prescribe drugs against acidity | Antacids (7) H2-receptor antagonists (13) Proton pump inhibitors (5) Sucralphate (1) | Antacids (7) H2-receptor antagonists (9) Proton pump inhibitors (6) Sucralphate (1) | Antacids (1) H2-receptor antagonists (8) Proton pump inhibitors (15) | Proton pump inhibitors (11) |
Prescribe triple treatment (antacid and antibiotics against Helicobacter pylori) | Only if patient has an ulcer (7) Yes, irrespective of whether patient has an ulcer (4) | Only if patient has oesophagitis or an ulcer (1) Yes, irrespective of whether patient has oesophagitis or an ulcer (1) | Only if patient has a positive test for Helicobacter pylori (11) Yes, irrespective of whether Helicobacter pylori serology is positive (14) | |
Prescribe other drugs | Drugs which increase gut motility (2) NSAID (1) Bulking agent (1) | Drugs which increase gut motility (1) | Alginate (6) | |
Recommend surgery | If patient has hiatus hernia (1) |