Medical and Endoscopic Treatment in Peptic Ulcer Bleeding: a National German Survey

Maiß, J.; Schwab, Dieter; Ludwig, Alfred O.; Naegel, Andreas; Ende, Arie van der; Hahn, George A.; Zopf, Y

doi:10.1055/s-0028-1109783

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Similar surveys were performed previously in the Netherlands, France, and recently in Germany with the response rates of 73%, 34%, and 49%, respectively, positioning our survey with a 71% response rate in between these other surveys [15–17]. …”

Section: Discussionsupporting

confidence: 73%

Management of Peptic Ulcer Bleeding in Different Case Volume Workplaces: Results of a Nationwide Inquiry in Hungary

Rácz

Kárász

Lukács

et al. 2012

Gastroenterology Research and Practice

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The aim of this study was to conduct a national survey to evaluate the recent endoscopic treatment and drug therapy of peptic ulcer bleeding (PUB) patients and to compare practices in high and low case volume Hungarian workplaces. A total of 62 gastroenterology units participated in the six-month study. A total of 3033 PUB cases and a mean of 8.15 ± 3.9 PUB cases per month per unit were reported. In the 23 high case volume units (HCV), there was a mean of 12.9 ± 5.4 PUB cases/month, whereas in the 39 low case volume units (LCV), a mean of 5.3 ± 2.9 PUB cases/month were treated during the study period. In HCV units, endoscopic therapies for Forrest Ia, Ib, and IIa ulcers were significantly more often used than in LCV units (86% versus 68%; P = 0.001). Among patients with stigmata of recent haemorrhage (Forrest I, II), bolus + continuous infusion PPI was given significantly more frequently in HCV than in LCV units (49.6% versus 33.2%; P = 0.001). Mortality in HCV units was less than in LCV units (2.7% versus 4.3%; P = 0.023). The penetration of evidence-based recommendations for PUB management is stronger in HCV units resulting lower mortality.

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Section: Discussionsupporting

confidence: 73%