Podcast 247: Managing dyspepsia

December 20th, 2019

A “network meta-analysis” (we’ll explain that) finds that “test and treat” is the best way forward in managing this common condition.

Patients, paradoxically, prefer immediate endoscopy to test-and-treat, but unless the patient has “alarm symptoms” (such as dysphagia, weight loss, and anemia), endoscopy is likely to add complications and costs without adding further benefit.

Our guest is Prof. Alexander Ford of Leeds, senior author on the guideline-affirming study in The BMJ.

Links:

Article in The BMJ

Physician’s First Watch summary

NEJM Journal Watch Gastroenterology summary of 2017 joint U.S. – Canadian guideline

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Clinical Conversations

This podcast features lively interviews, concise summaries, and expert commentary that busy clinicians need to stay current and improve patient care.

December 20th, 2019