Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia: A comparison of public and private patients

Research output: Contribution to journalArticle

Linda Rabeneck, Kimberly Wristers, Catherine Campbell, Julianne Souchek, Terri Menke, Nelda Wray

Goals: To compare the dyspepsia severity, general health, and psychologic health of patients with uninvestigated dyspepsia presenting in private and public settings. Study: Patients in this cross-sectional study were recruited from the Houston Veterans Administration (VA) General Medicine Outpatient Clinic and from the nearby private practice of a family physician. To be included, patients had to be at least 18 years of age and had to report a history of dyspepsia (epigastric discomfort) without alarm of at least 1 week's duration. Clinical information was obtained. Dyspepsia severity was measured using dyspepsia-related health scales, general health was measured using the Short Form 36, and psychologic health was measured using six scales. Results: The authors enrolled 159 patients (59 VA). There were no differences in VA and private patients in most of the clinical characteristics related to dyspepsia. Compared with the private patients, the VA patients had worse scores on all Short Form 36 subscales, had lower expectations for treatment outcome, were more depressed, and had less optimism about life. Conclusions: Burden of illness and psychologic factors such as patient expectations are known to have important effects on patient outcomes. Striking differences in these factors exist in patients with uninvestigated dyspepsia seen in private and public settings. In the future, these factors must be taken into account both in conducting studies in dyspepsia and in interpreting the results for different practice settings.

Original languageEnglish (US)
Pages (from-to)516-522
Number of pages7
JournalJournal of Clinical Gastroenterology
Volume34
Issue number5
DOIs
StatePublished - May 4 2002

PMID: 11960061

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Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia : A comparison of public and private patients. / Rabeneck, Linda; Wristers, Kimberly; Campbell, Catherine; Souchek, Julianne; Menke, Terri; Wray, Nelda.

In: Journal of Clinical Gastroenterology, Vol. 34, No. 5, 04.05.2002, p. 516-522.

Research output: Contribution to journalArticle

Harvard

Rabeneck, L, Wristers, K, Campbell, C, Souchek, J, Menke, T & Wray, N 2002, 'Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia: A comparison of public and private patients' Journal of Clinical Gastroenterology, vol. 34, no. 5, pp. 516-522. https://doi.org/10.1097/00004836-200205000-00007

APA

Rabeneck, L., Wristers, K., Campbell, C., Souchek, J., Menke, T., & Wray, N. (2002). Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia: A comparison of public and private patients. Journal of Clinical Gastroenterology, 34(5), 516-522. https://doi.org/10.1097/00004836-200205000-00007

Vancouver

Rabeneck L, Wristers K, Campbell C, Souchek J, Menke T, Wray N. Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia: A comparison of public and private patients. Journal of Clinical Gastroenterology. 2002 May 4;34(5):516-522. https://doi.org/10.1097/00004836-200205000-00007

Author

Rabeneck, Linda ; Wristers, Kimberly ; Campbell, Catherine ; Souchek, Julianne ; Menke, Terri ; Wray, Nelda. / Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia : A comparison of public and private patients. In: Journal of Clinical Gastroenterology. 2002 ; Vol. 34, No. 5. pp. 516-522.

BibTeX

@article{a6eacd7bd638453eb0bfe1f748bef73d,
title = "Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia: A comparison of public and private patients",
abstract = "Goals: To compare the dyspepsia severity, general health, and psychologic health of patients with uninvestigated dyspepsia presenting in private and public settings. Study: Patients in this cross-sectional study were recruited from the Houston Veterans Administration (VA) General Medicine Outpatient Clinic and from the nearby private practice of a family physician. To be included, patients had to be at least 18 years of age and had to report a history of dyspepsia (epigastric discomfort) without alarm of at least 1 week's duration. Clinical information was obtained. Dyspepsia severity was measured using dyspepsia-related health scales, general health was measured using the Short Form 36, and psychologic health was measured using six scales. Results: The authors enrolled 159 patients (59 VA). There were no differences in VA and private patients in most of the clinical characteristics related to dyspepsia. Compared with the private patients, the VA patients had worse scores on all Short Form 36 subscales, had lower expectations for treatment outcome, were more depressed, and had less optimism about life. Conclusions: Burden of illness and psychologic factors such as patient expectations are known to have important effects on patient outcomes. Striking differences in these factors exist in patients with uninvestigated dyspepsia seen in private and public settings. In the future, these factors must be taken into account both in conducting studies in dyspepsia and in interpreting the results for different practice settings.",
keywords = "Burden of illness, Dyspepsia, Health outcomes, Psychology",
author = "Linda Rabeneck and Kimberly Wristers and Catherine Campbell and Julianne Souchek and Terri Menke and Nelda Wray",
year = "2002",
month = "5",
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doi = "10.1097/00004836-200205000-00007",
language = "English (US)",
volume = "34",
pages = "516--522",
journal = "Journal of clinical gastroenterology",
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publisher = "Lippincott Williams and Wilkins",
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}

RIS

TY - JOUR

T1 - Sociodemographics, general health, and psychologic health in uninvestigated dyspepsia

T2 - Journal of clinical gastroenterology

AU - Rabeneck, Linda

AU - Wristers, Kimberly

AU - Campbell, Catherine

AU - Souchek, Julianne

AU - Menke, Terri

AU - Wray, Nelda

PY - 2002/5/4

Y1 - 2002/5/4

N2 - Goals: To compare the dyspepsia severity, general health, and psychologic health of patients with uninvestigated dyspepsia presenting in private and public settings. Study: Patients in this cross-sectional study were recruited from the Houston Veterans Administration (VA) General Medicine Outpatient Clinic and from the nearby private practice of a family physician. To be included, patients had to be at least 18 years of age and had to report a history of dyspepsia (epigastric discomfort) without alarm of at least 1 week's duration. Clinical information was obtained. Dyspepsia severity was measured using dyspepsia-related health scales, general health was measured using the Short Form 36, and psychologic health was measured using six scales. Results: The authors enrolled 159 patients (59 VA). There were no differences in VA and private patients in most of the clinical characteristics related to dyspepsia. Compared with the private patients, the VA patients had worse scores on all Short Form 36 subscales, had lower expectations for treatment outcome, were more depressed, and had less optimism about life. Conclusions: Burden of illness and psychologic factors such as patient expectations are known to have important effects on patient outcomes. Striking differences in these factors exist in patients with uninvestigated dyspepsia seen in private and public settings. In the future, these factors must be taken into account both in conducting studies in dyspepsia and in interpreting the results for different practice settings.

AB - Goals: To compare the dyspepsia severity, general health, and psychologic health of patients with uninvestigated dyspepsia presenting in private and public settings. Study: Patients in this cross-sectional study were recruited from the Houston Veterans Administration (VA) General Medicine Outpatient Clinic and from the nearby private practice of a family physician. To be included, patients had to be at least 18 years of age and had to report a history of dyspepsia (epigastric discomfort) without alarm of at least 1 week's duration. Clinical information was obtained. Dyspepsia severity was measured using dyspepsia-related health scales, general health was measured using the Short Form 36, and psychologic health was measured using six scales. Results: The authors enrolled 159 patients (59 VA). There were no differences in VA and private patients in most of the clinical characteristics related to dyspepsia. Compared with the private patients, the VA patients had worse scores on all Short Form 36 subscales, had lower expectations for treatment outcome, were more depressed, and had less optimism about life. Conclusions: Burden of illness and psychologic factors such as patient expectations are known to have important effects on patient outcomes. Striking differences in these factors exist in patients with uninvestigated dyspepsia seen in private and public settings. In the future, these factors must be taken into account both in conducting studies in dyspepsia and in interpreting the results for different practice settings.

KW - Burden of illness

KW - Dyspepsia

KW - Health outcomes

KW - Psychology

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U2 - 10.1097/00004836-200205000-00007

DO - 10.1097/00004836-200205000-00007

M3 - Article

VL - 34

SP - 516

EP - 522

JO - Journal of clinical gastroenterology

JF - Journal of clinical gastroenterology

SN - 0192-0790

IS - 5

ER -

ID: 3233080