Article
Optimizing the Cost-Effective Evaluation of Gastroesophageal Reflux by Typical Symptom Phenotypes After Failure of Empiric Acid Suppression Trial.
The American journal of gastroenterology - 1 Mar 2026
Shah Eric D, Gyawali C Prakash, Chan Walter W
Abstract excerpt
INTRODUCTION: Concern for gastroesophageal reflux disease (GERD) is the most common reason to consult gastroenterology. We aimed to optimize routine GERD evaluation on cost-effectiveness according to the dominant typical symptom among patients with persistent symptoms failing empiric proton-pump inhibitors (PPI). METHODS: We developed a decision analytic model evaluating all permutations of GERD diagnostics...
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