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LETTER
Reducing dyspepsia costs in the community
  1. A Duggan1,
  2. J Westbrook2
  1. 1John Hunter Hospital, Locked Bag 1, Hunter Region Mail Centre, NSW 2310, Australia
  2. 2Centre for Health Informatics, University of NSW, Kensington, NSW 2052, Australia
  1. Correspondence to:
    A Duggan;
    aduggan{at}hunter.health.nsw.gov.au

https://doi.org/10.1136/gut.51.4.613

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    Valori and colleagues (Gut 2001;49:495–501) assessed the effectiveness of an educational programme to reduce dyspepsia costs in the community.

    Given one of the hypotheses was that quality of care would be improved because of “a more active stepdown approach for reflux symptoms and a switch from ranitidine to generic cimetidine” an analysis of changes in the type and volume of specific drugs would appear warranted to support the authors conclusions. It would also provide much needed data on the effectiveness of the “stepdown” approach recommended for the management of gastro-oesophageal reflux disease.1

    The authors …

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