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Dispepsia (NICE)

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Dispepsia
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    Clinical Guideline 17  August 2004 Developed by the Newcastle Guideline Development and Research Unit  Dyspepsia Management of dyspepsia in adults in primary care June 2005. The recommendations on referral for endoscopy in this NICE guideline have been amended in line with the recommendation in the NICE Clinical Guideline on referral for suspected cancer ( NICE Clinical Guideline  no. 27: referral guidelines for suspected cancer. June 2005. See www.nice.org.uk/CG027). The amended sections are on pages 5, 6, 11,12, 14, 21, 44 and 45. For ease of reference, the srcinal text in this document has been struck through and the revised text has been set in bold  below it.    Clinical Guideline 17 Dyspepsia: management of dyspepsia in adults in primary care Issue date:  August 2004 This document, which contains the Institute's full guidance on the management of dyspepsia in adults in primary care, is available from the NICE website (www.nice.org.uk/CG017NICEguideline). Information for the Public is available from the NICE website  www.publications.nice.org.uk/IFP19 .   This guidance is written in the following context: This guidance represents the view of the Institute, which was arrived at after careful consideration of the evidence available. Health professionals are expected to take it fully into account when exercising their clinical judgement. The guidance does not, however, override the individual responsibility of health professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer. National Institute for Clinical Excellence MidCity Place 71 High Holborn London WC1V 6NA www.nice.org.uk ISBN: 1-84257-762-X Published by the National Institute for Clinical Excellence  August 2004 © Copyright National Institute for Clinical Excellence, August 2004. All rights reserved. This material may be freely reproduced for educational and not-for-profit purposes within the NHS. No reproduction by or for commercial organisations is allowed without the express written permission of the National Institute for Clinical Excellence.    The quick reference guide for this guideline has been distributed to the following: ã  NHS trust chief executives in England and Wales ã  Primary Care Trust (PCT) chief executives ã  Local Heath Group general managers ã  Local Health Board (LHB) chief executives ã  Strategic health authority chief executives in England and Wales ã  Medical and nursing directors in England and Wales ã  Clinical governance leads in England and Wales ã  Audit leads in England and Wales ã  NHS trust, PCT and LHB libraries in England and Wales ã  Patient advice and liaison co-ordinators in England and Wales ã  Community Health Councils in Wales ã  Consultant gastroenterologists in England and Wales ã  General Practitioners in England and Wales ã  Community pharmacists in England and Wales ã  Senior practice nurses in England and Wales ã  Directors of health and social care ã  NHS Director Wales ã  Chief Executive of the NHS in England ã  Chief Medical, Nursing and Pharmaceutical Officers in England and Wales ã  Medical Director & Head of NHS Quality – Welsh Assembly Government ã  NHS Clinical Governance Support Team ã  Patient advocacy groups ã  Representative bodies for health services, professional organisations and statutory bodies, and the Royal Colleges ã  Senior pharmacists and pharmaceutical advisors in England and Wales ã  Directors of directorates of health and social care National Institute for Clinical Excellence  MidCity Place 71 High Holborn London WC1V 6NA www.nice.org.uk    Contents Key priorities for implementation.................................................................5   1   Guidance.................................................................................................9   1.1   The community pharmacist................................................................9   1.2    Referral guidance for endoscopy.....................................................11   1.3   Common elements of care...............................................................15    1.4   Interventions for uninvestigated dyspepsia......................................17    1.5    Reviewing patient care....................................................................20    1.6    Interventions for gastro-oesophageal reflux disease.......................21   1.7    Interventions for peptic ulcer disease..............................................25    1.8    Interventions for non-ulcer dyspepsia..............................................30    1.9   Helicobacter pylori: testing and eradication.....................................33   2   Notes on the scope of the guidance...................................................35   3   Implementation in the NHS..................................................................35   3.1   In general.........................................................................................35    3.2     Audit................................................................................................36    4   Research recommendations................................................................36   5   Other versions of this guideline ..................................................................37   6   Related NICE guidance.........................................................................38   7   Review date...........................................................................................38   Appendix A: Grading scheme.....................................................................40   Appendix B: The Guideline Development Group......................................41   Appendix C: The Guideline Review Panel.................................................42   Appendix D: Technical detail on the criteria for audit..............................43  
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