September 2010. Volume 6. Number 3

Is a convenience study of help in the practice to correctly indicate an endoscopy in children with dyspepsia?

 
 
 
 
 
 
 
 
 
 
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AVC | Critically appraised articles

Guariso G, Meneghel A, Visona` Dalla Pozza L, RomanoC, Dall’Oglio L, Lombardi G, et al.. Indications to Upper Gastrointestinal Endoscopy in Children With Dyspepsia. J Pediatr Gastroenterol Nutr. 2010;50:493–9
Reviewers: Ortega Páez E1, Cuestas Montañés E2.
1CS Maracena. Distrito metropolitano. Granada. España.
2Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
Correspondence: Eduardo Ortega Páez. Email: eortega_paez@gmail.com
Reception date: 22/07/2010
Acceptance date: 28/07/2010
Publication date: 10/08/2010

Abstract

Authors´ conclusions: they are the result of a multidisciplinary expert consensus developed by the method RAND/ UCLA, stating that UGI endoscopy is not appropriate for all children with dyspeptic symptoms, but only for cases with a family history of peptic ulcer and/or Helicobacter pylori infection, older than 10 years of age, with symptoms persisting for more than 6 months and severe enough to affect activities of daily living.

Reviewers´ commentary: the methodological weaknesses of criteria according RAND/UCLA method, do not seem satisfactory to establish if an endoscopy indication is appropriate or inappropriate in a patient with dyspepsia, but physicians should use them as one factor among the many that contribute to any decision. Research should continue on way to improve the development of criteria and best way to incorporate them in clinical practice.

How to cite this article

Ortega Páez E, Cuestas Montañés E.¿Ayuda en la práctica un estudio de conveniencia a indicar adecuadamente una endoscopía en niños con dispepsia?. Evid Pediatr. 2010;6:55.

AVC | Critically appraised articles

Guariso G, Meneghel A, Visona` Dalla Pozza L, RomanoC, Dall’Oglio L, Lombardi G, et al.. Indications to Upper Gastrointestinal Endoscopy in Children With Dyspepsia. J Pediatr Gastroenterol Nutr. 2010;50:493–9
Reviewers: Ortega Páez E1, Cuestas Montañés E2.
1CS Maracena. Distrito metropolitano. Granada. España.
2Servicio de Pediatría y Neonatología. Hospital Privado. Centro Formador. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba. Córdoba. Argentina.
Correspondence: Eduardo Ortega Páez. Email: eortega_paez@gmail.com
Reception date: 22/07/2010
Acceptance date: 28/07/2010
Publication date: 10/08/2010

How to cite this article

Ortega Páez E, Cuestas Montañés E.¿Ayuda en la práctica un estudio de conveniencia a indicar adecuadamente una endoscopía en niños con dispepsia?. Evid Pediatr. 2010;6:55.

References

  1. Phelps CE. The methodologic foundations of studies of the appropriateness of medical care. N Engl J Med. 1993;329:1241-5.
10/08/2010

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