AIM: To audit the results of a nurse-led @entity2210 clinic. METHODS: Referrals to the Gastroenterology Department at Auckland Hospital for gastroscopy were assessed in a @entity2210 clinic. Initial evaluation included consultation and a @entity1133 breath test (UBT). @entity1 given eradication treatment prior to initial clinic assessment were excluded. @entity1 with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. @entity1 with a negative UBT were usually referred back to the GP. RESULTS: There were 173 @entity1 ; mean age 38 years; 73 had a positive UBT (42%). A positive UBT was significantly associated with place of birth (NZ 16%; other place of birth 60%; p = 0.001). If the dominant symptom was @entity158 54% had a positive UBT; if it was reflux or bloating 29% were positive, p = 0.005. Forty nine UBT-positive @entity1 had follow-up data and of these 43 had successful eradication (88%). Of @entity1 with successful eradication, 40% had an excellent response, 38% improved, and 22% were not improved. After a mean follow up of 3.3 years 42/173 (24%) @entity1 had a gastroscopy. Of these, 30 were initially UBT negative and 12 were UBT positive (9 had been successfully eradicated). The endoscopic findings were normal in 27, @entity354 in 13, @entity2203 in one, and @entity2275 (HP+ve) in one. @entity1534 status by biopsy was consistent with the UBT result. One hundred and thirteen @entity1 also had @entity1534 serology (Cobas Core, Roche) performed. There were three false negatives (negative predictive value of 94% [51/54]) and seven false positives (positive predictive value of 88% [52/59]). CONCLUSIONS: The @entity1133 breath test was found to be useful as part of the initial assessment of selected @entity1 who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in @entity1 who have a relatively high chance of being @entity1534 positive.

Nurse-led XXXX clinic using the @entity1133 breath test for @entity1534 .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity1133 :: ('MESH:D014508', 'Chemical') :: ['urea'] @entity2203 :: ('MESH:D011707', 'Disease') :: ['pyloric stenosis'] @entity354 :: ('MESH:D005764', 'Disease') :: ['reflux oesophagitis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['epigastric pain'] @entity2210 :: ('MESH:D004415', 'Disease') :: ['dyspepsia'] @entity1534 :: ('210', 'Species') :: ['H. pylori', 'Helicobacter pylori'] @entity2275 :: ('MESH:D013276', 'Disease') :: ['gastric ulcer']
@entity2210 :: (MESH:D004415,Disease) :: ['dyspepsia']
