Niv Yaron, Birkenfield Shlomo
Department of Gastroenterology, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel.
Isr Med Assoc J. 2002 Sep;4(9):684-6.
Guidelines are important for keeping family physicians informed of the constant developments in many fields of medicine.
To compare the knowledge of gastroenterologists and family physicians regarding the diagnosis and treatment of gastroesophageal reflux disease in order to determine the need for expert guidelines.
A 25 item questionnaire on the definition, diagnosis and treatment of GERD was presented to 35 gastroenterologists and 35 family physicians. Each item was rated on a four point scale from 1 = highly recommended to 4 = not recommended. A voting system was used for each group on separate occasions. The proportions of correct answers according to the level of recommendation were compared between the groups.
The groups' responses agreed on only 4 of the 25 items; differences between the remaining 21 were all statistically significant. For 14 items, 70% of the gastroenterologists chose the grade 1 recommendation, whereas more than 70% of the family physicians chose mostly grade 2.
The gap in knowledge on gastroesophageal reflux disease between gastroenterologists and family physicians is significant and may have a profound impact on diagnosis and treatment. Clear and accurate guidelines may improve patient evaluation in the community.
指南对于让家庭医生了解医学众多领域的不断发展非常重要。
比较胃肠病学家和家庭医生在胃食管反流病诊断和治疗方面的知识，以确定是否需要专家指南。
向35名胃肠病学家和35名家庭医生发放了一份关于胃食管反流病定义、诊断和治疗的25项问卷。每个项目按1 = 强烈推荐到4 = 不推荐的四点量表进行评分。每组在不同时间使用投票系统。比较两组根据推荐水平得出的正确答案比例。
两组在25个项目中仅在4个项目上达成一致；其余21个项目的差异均具有统计学意义。对于14个项目，70%的胃肠病学家选择了1级推荐，而超过70%的家庭医生大多选择了2级。
胃肠病学家和家庭医生在胃食管反流病知识方面的差距很大，可能对诊断和治疗产生深远影响。清晰准确的指南可能会改善社区中的患者评估。
