Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Dyspeptic symptoms | |||||
Systematic review |
2222 people with dyspeptic symptoms including those of GORD 5 RCTs in this analysis |
Proportion of people with dyspeptic symptoms
264/836 (31%) with test-and-treat strategy 283/846 (33%) with endoscopy-based management |
RR 0.95 95% CI 0.79 to 1.15 Calculated using random effects model Significant statistical heterogeneity among studies; see further information on studies for full details Results may not be generalisable to primary care; see further information on studies for full details |
Not significant | |
Systematic review |
1924 people with dyspeptic symptoms including those of GORD 5 RCTs in this analysis |
Dyspeptic symptoms
1 year
with test-and-treat strategy with endoscopy-based management Absolute results reported graphically |
RR 0.95 95% CI 0.2 to 0.99 Individual patient data meta-analysis No heterogeneity among RCTs; see further information on studies for full details |
Small effect size | endoscopy-based management |
RCT 3-armed trial |
234 people with dyspeptic symptoms |
Decrease in mean dyspepsia severity score (assessed on a 12-item dyspepsia symptom severity score)
6 weeks
5.6 with empirical endoscopy 5.6 with eradication treatment 4.4 with empirical treatment with cisapride |
Significance not assessed |
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RCT 3-armed trial |
234 people with dyspeptic symptoms |
Decrease in mean dyspepsia severity score (assessed on a 12-item dyspepsia symptom severity score)
1 year
with empirical endoscopy with eradication treatment with empirical treatment with cisapride |
Among-group difference reported as not significant P value not reported |
Not significant | |
RCT 3-armed trial |
722 people with dyspeptic symptoms Data from 1 RCT |
Proportion of people who were asymptomatic
1 year
26% with test-and-eradicate strategy 23% with empirical proton pump inhibitor for 1 week 22% with empirical proton pump inhibitor for 1 week, plus, if symptoms improved, test-and-eradicate strategy as needed Absolute numbers not reported |
Among-group difference reported as not significant P value not reported |
Not significant |