Questionnaire-based survey in a developing country showing noncompliance with paediatric gastro-oesophageal reflux practice guidelines.

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Clinical Guidelines
Authored By
Manasfi H, Hanna-Wakim R, Akel I, Yazbeck N
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Interests
Pediatric Medicine
Gastroenterology
Internal/Family Medicine
Speciality
Gastroenterology
Pediatric Medicine
Internal/Family Medicine
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volume
106
ISSN
1651-2227
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ISSN
1651-2227
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true
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Additional Info
["Manasfi H, Hanna-Wakim R, Akel I, Yazbeck N","Publisher: Wiley-Blackwell Country of Publication: Norway NLM ID: 9205968 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2227 (Electronic) Linking ISSN: 08035253 NLM ISO Abbreviation: Acta Paediatr Subsets: MEDLINE","Journal Article","2017-02-01","Acta paediatrica (Oslo, Norway : 1992) [Acta Paediatr] 2017 Feb; Vol. 106 (2), pp. 316-321. Date of Electronic Publication: 2016 Nov 23.","English","1651-2227","Gastroesophageal Reflux\/*therapy , Guideline Adherence\/*statistics & numerical data , Pediatrics\/*statistics & numerical data, Adult ; Disease Management ; Humans ; Lebanon ; Middle Aged ; Pediatrics\/standards ; Practice Guidelines as Topic ; Surveys and Questionnaires","Adult, Disease Management, Humans, Lebanon, Middle Aged, Pediatrics standards, Practice Guidelines as Topic, Surveys and Questionnaires, Gastroesophageal Reflux therapy, Guideline Adherence statistics & numerical data, Pediatrics statistics & numerical data","Acta paediatrica (Oslo, Norway : 1992)","106"]
Description
Aim: This 2015 study investigated whether Lebanese paediatricians diagnosed and managed gastro-oesophageal reflux disease (GERD) in infants and children in accordance with the 2009 guidelines from the North American and European Societies for Paediatric Gastroenterology, Hepatology and Nutrition.<br />Methods: Paediatricians members of the Lebanese Order of Physicians with updated email addresses were invited to complete a web-based survey between September and November 2015, to assess their knowledge and management of GERD.<br />Results: Responses were received from 114 of the 543 paediatricians, and 96 were analysed. Only two respondents complied fully with the international guidelines. The majority diagnosed GERD in infants based solely on their medical history and examination. Moreover, nearly two-thirds of the respondents would start an empiric trial with acid suppression. Around half of the respondents considered proton pump inhibitors to be the mainstay of GERD treatment.<br />Conclusion: This was the first Lebanese study that surveyed the management of paediatric GERD. Only 2.1% of the paediatricians followed the guidelines on the evidence-based management of GERD. This highlights the need for studies to assess barriers to guideline implementation and the development of new guidelines accounting for regional factors, mainly the cost of investigations and prevalence of medical insurance.<br /> (©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.)
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