Korean J Helicobacter Up Gastrointest Res.  2015 Jun;15(2):95-102. 10.7704/kjhugr.2015.15.2.95.

Web Survey of Society Members' Recognition of Guidelines for the Diagnosis and Treatment of Helicobacter pylori Infection in Korea, 2013 Revised Edition

• Song HJ
• Shim KN
• Kim BW

• KMID: 2249856
• DOI: http://doi.org/10.7704/kjhugr.2015.15.2.95

Abstract

BACKGROUND/AIMS
We aimed to evaluate recognition of the 2013 revised guidelines for diagnosis and treatment of Helicobacter pylori infection in Korea by members of the society through a web survey.
MATERIALS AND METHODS
We analyzed the respondents' agreement with the 19 guidelines in terms of awareness and adherence. Among 718 physicians, 149 (20.8%) answered the questionnaire by e-mail between October and November 2013.
RESULTS
The mean age of the respondents was 40+/-7 years, and the ratio of men to women were 74.5:25.5. The respondents were as follows: professors (36.2%), fellows (31.5%), salaried doctors (17.4%), private practitioners (11.4%), and screening center clinicians (3.4%). Among the 141 respondents, 69.1% had read, 17.3% agreed completely, and 77.3% agreed generally with the guidelines. The respondents indications for eradication were peptic ulcer disease (77.2%), MALT lymphoma (89.3%), and following endoscopic therapy for early gastric cancer (71.1%). However, 42.3% and 48.3% of the physicians administered H. pylori eradication treatment for patients with atrophic gastritis and a family history of gastric cancer, respectively. Triple therapy as first line regimens was administered by 81.2% of the respondents. The duration was one-week for 77.7% and two-weeks for 13.4%. A total of 55.7% prescribed a bismuth-based secondary treatment. When bismuth-based initial therapy failed, a combination of 2 antibiotics that were not used as first-line therapy were used (37.6%).
CONCLUSIONS
This web survey was very helpful for analyzing society members' recognition of 2013 revised guidelines. Generally, all the society members followed the guidelines.

Keyword

Helicobacter pylori; Guideline; Internet; Data collection; Societies

MeSH Terms

Anti-Bacterial Agents
Surveys and Questionnaires
Diagnosis*
Electronic Mail
Female
Gastritis, Atrophic
Helicobacter pylori*
Humans
Internet
Korea
Lymphoma, B-Cell, Marginal Zone
Male
Mass Screening
Peptic Ulcer
Stomach Neoplasms
Anti-Bacterial Agents