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Table 3 Diagnostic and therapeutic modalities in patients with chronic non-specific abdominal pain in general practice (reported by the GPs).1

From: Chronic non-specific abdominal complaints in general practice: a prospective study on management, patient health status and course of complaints

 

Baseline

1 1/2 years

 

Total (n = 619)

NUD (n = 93)

IBS (n = 244)

Other (n = 282)

Total (n = 571)

NUD (n = 85)

IBS (n = 230)

Other (n = 256)

Physical examination

42.0

47.3

37.7

44.0

35.7

41.2

36.5

33.2

Laboratory examination

11.6

7.5

9.4

15.0

1.9

0.0

2.6

2.0

X-ray

5.0

3.4

4.5

5.7

3.2

1.2

2.2

4.7

Endoscopy

6.3

15.1

3.3a

6.1a

4.4

3.5

4.3

4.7

Reassurance

25.4

15.1

26.6a

27.5a

22.4

18.8

24.8

21.5

Counseling concerning psychosocial stress

9.7

7.5

10.7

9.6

8.1

9.4

8.3

7.4

Dietary advice

14.5

14.0

18.0c

11.4

10.3

5.9

14.3

8.2

Medication

50.1

66.7

44.3

49.3

35.7

40.0

34.3

35.5

Paracetamol/aspirin

4.8

5.4

4.5

5.0

4.6

4.7

5.2

3.9

Antacids

16.0

31.2b

7.0c

18.2a

9.8

10.6

7.8

11.3

Antispasmodics

18.6

14.0

23.8c

15.7

16.6

9.4b

22.2c

14.1

Laxantia

5.0

5.4

4.1

5.0

3.3

1.2

4.3

3.1

Fiber supplements

5.5

1.1b

8.6c

3.9

5.8

1.2b

7.4

5.9

Antidepressants

3.7

3.2

3.7

3.9

2.6

3.5

3.0

2.0

Proton pump inhibitors

3.9

6.5

2.0

4.6

11.0

12.9b

5.2c

15.6

H2-receptor antagonist

6.9

10.8

4.1a

7.9

12.1

17.6b

8.7

13.3

Anti emetics

2.6

3.2

1.6

3.2

3.0

5.9

2.6

2.3

  1. Percentage of patients who underwent at least once a specific diagnostic modality or were treated at least once with one therapeutic modality during the twelve-month period before baseline and during the 18 months prospective follow-up.
  2. Note that since more than one modality can be applied in one patient, the sum of the column percentages may exceed 100%.
  3. a Significant difference with regards to NUD (p < 0.05)
  4. b Significant difference with regards to IBS (p < 0.05)
  5. c Significant difference with regards to Other (p < 0.05)