Knowledge, Attitudes and Practice Styles of North American Pediatricians Regarding Gastroesophageal Reflux Disease

Abstract

Pediatric providers appear to frequently order diagnostic testing and treatment for GERD, yet knowledge about evidence-based GERD management among this random sample appeared limited. Moreover, a significant number of providers were not aware of different guideline publications.

Variations in preoperative decision making for antireflux procedures in pediatric gastroesophageal reflux disease: a survey of pediatric surgeons

“…A recent survey of members of the American Academy of Pediatrics found a wide variety of professional opinions with regard to the diagnosis and management of GERD and reported that the awareness of evidence-based practices for GERD was lacking among practitioners [8]. Although guidelines for the evaluation and management of GERD exist, there is little evidence to support that such recommendations are being followed with any consistency [9].…”

Gastroesophageal reflux scintigraphy: interpretation methods and inter-reader agreement

“…Such comparison has been discussed in the literatures. [23] In conclusion, GERS has been validated as a tool for the evaluation of patients with suspected GER. VI is better than the CI and TAC methods in terms of accuracy and inter-observer reproducibility.…”

Guidelines for Surveys of the American Pediatric Surgical Association

“…A less ambiguous option is, "In what state do you practice pediatric general surgery?" Questions written with a clear focus will yield responses that are informative, accurate, and reliable [11]. Questionnaire items should limit the outside information participants must rely on to give an accurate response [12].…”