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. 2009 Oct 1;2009:0406.
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

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