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Practice Pattern of Gastroenterologists for the Management of GERD Under the Minimal Influence of the Insurance Reimbursement Guideline: A Multicenter Prospective Observational Study

Authors
Lee, Kwang JaeKim, Jin IlPark, Ju SangMoon, Byung SikKim, Sang-GyunChun, Jae HeeJung, Hoon-YongChoi, Chang HwanChun, Seong WooSong, Geun AmChoi, Myung GyuChun, Hoon Jai
Issue Date
12월-2011
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Gastroesophageal Reflux Disease; Korea; Proton Pump Inhibitors
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.26, no.12, pp.1613 - 1618
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
26
Number
12
Start Page
1613
End Page
1618
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/110958
DOI
10.3346/jkms.2011.26.12.1613
ISSN
1011-8934
Abstract
The objective of the study was to document practice pattern of gastroenterologists for the management of gastroesophageal reflux disease (GERD) under the minimal influence of the insurance reimbursement guideline. Data on management for 1,197 consecutive patients with typical GERD symptoms were prospectively collected during 16 weeks. In order to minimize the influence of reimbursement guideline on the use of proton pump inhibitors (PPIs), rabeprazole was used for the PPI treatment. A total of 861 patients (72%) underwent endoscopy before the start of treatment. PPIs were most commonly prescribed (87%). At the start of treatment, rabeprazole 20 mg daily was prescribed to 94% of the patients who received PPI treatment and 10 mg daily to the remaining 6%. At the third visits, rabeprazole 20 mg daily was prescribed to 70% of those who were followed and 10 mg daily for the remaining 30%. Continuous PPI treatment during the 16-week period was performed in 63% of the study patients. In conclusion, a full-dose PPI is preferred for the initial and maintenance treatment of GERD under the minimal influence of the insurance reimbursement guideline, which may reflect a high proportion of GERD patients requiring a long-term treatment of a full-dose PPI.
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