 |
|
Distinguishing Organic and Functional Dyspepsia by History—Reply
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
In Reply: Dr Badgett raises questions about the ability of the studies we reviewed to identify patients at very low risk of organic disease. The studies we selected in our systematic review dichotomized patients with dyspepsia into organic vs functional and did not report the data in terms of low, intermediate, and high risk of organic disease. Badgett points out that this has been performed for pulmonary embolism and myocardial infarction. However, those studies evaluated the combination of clinical findings and results of diagnostic tests rather than just relying on clinical impression alone. The approaches are therefore not completely analogous. Furthermore, many of the dyspepsia articles were evaluating whether the clinician could distinguish among esophagitis, peptic ulcer, gastrointestinal cancer, and functional gastrointestinal disease. A 3-point scale for all of these disorders would be difficult to interpret.
It is unlikely that attempting to identify those patients at very low risk of . . . [Full Text of this Article]
Paul Moayyedi, MD
moayyep@mcmaster.ca
McMaster University
Hamilton, Ontario
Nicholas J. Talley, MD, PhD
Mayo Clinic
Rochester, Minn
M. Brian Fennerty, MD
Oregon Health and Science University
Portland
Nimish Vakil, MD
University of Wisconsin Medical School
Milwaukee
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
RELATED ARTICLES
Distinguishing Organic and Functional Dyspepsia by History
Robert Badgett
JAMA. 2006;296(11):1352.
EXTRACT
| FULL TEXT
Can the Clinical History Distinguish Between Organic and Functional Dyspepsia?
Paul Moayyedi, Nicholas J. Talley, M. Brian Fennerty, and Nimish Vakil
JAMA. 2006;295(13):1566-1576.
ABSTRACT
| FULL TEXT
|
