Physician perspectives of Helicobacter pylori diagnostic and treatment practices in Canada: results of a Canadian survey

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dc.contributor.authorCadogan, Kianna
dc.contributor.authorShaffer, Seth R.
dc.contributor.authorSinger, Alexander
dc.contributor.authorReimer, Aleisha
dc.contributor.authorKnox, Natalie
dc.contributor.authorRumore, Jillian
dc.contributor.authorChristianson, Sara
dc.contributor.authorAlexander, David C.
dc.contributor.authorForbes, Jessica D.
dc.contributor.authorBernstein, Charles N.
dc.date.accessioned2024-07-08T15:49:43Z
dc.date.available2024-07-08T15:49:43Z
dc.date.issued2024-06-17
dc.date.updated2024-07-01T03:30:51Z
dc.description.abstractAbstract Background Helicobacter pylori infection is prevalent worldwide and can lead to peptic ulcer disease (PUD) and gastric cancer. Effective diagnosis and treatment of H. pylori infection by gastroenterologists and family physicians is crucial. However, there are differing views on optimal diagnosis and treatment. The objective of this study is to understand the impressions of Canadian physicians regarding H. pylori diagnosis and treatment and whether impressions differ between gastroenterologists and family physicians. A second objective is to understand physician perspectives on rising antibiotic resistance and how that guides empiric management. Methods A survey facilitated via REDCap was administered to Canadian gastroenterologists and family physicians. A total of 105 participants completed the survey, including 43 gastroenterologists and 62 family physicians. Gastroenterologists were recruited from across the country and family physicians were recruited from Manitoba. Results For diagnosis of H. pylori, 67% of gastroenterologists reported endoscopic biopsies for histology assessment as most common and 73% of family physicians reported serology as their main diagnostic test. While nearly all gastroenterologists believed antibiotic resistance to be a problem, nearly one quarter of family physicians did not believe it was a problem. Conclusions There is variability in practices among both gastroenterologists and family physicians regarding diagnosis of H. pylori infection. There was consensus that local antibiotic resistance patterns should guide management. If known, the degree and patterns of antibiotic resistance could bring a more uniform consensus to H. pylori management. Greater education of physicians, especially family physicians regarding management of H pylori is needed.
dc.identifier.citationBMC Gastroenterology. 2024 Jun 17;24(1):204
dc.identifier.doi10.1186/s12876-024-03293-w
dc.identifier.urihttp://hdl.handle.net/1993/38309
dc.language.isoeng
dc.language.rfc3066en
dc.publisherBMC
dc.rightsopen accessen_US
dc.rights.holderThe Author(s)
dc.subjectHelicobacter pylori
dc.subjectPeptic ulcer disease
dc.subjectAntibiotic resistance
dc.titlePhysician perspectives of Helicobacter pylori diagnostic and treatment practices in Canada: results of a Canadian survey
dc.typeJournal Article
local.author.affiliationRady Faculty of Health Sciences::Max Rady College of Medicine::Department of Internal Medicine
oaire.citation.issue204
oaire.citation.titleBMC Gastroenterology
oaire.citation.volume24
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