The Clinical Value of the Upper Gastrointestinal: Tract Roentgenogram Series

doi:10.1001/archinte.1980.00330140049017

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Vol. 140 No. 2, February 1980

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The Clinical Value of the Upper Gastrointestinal

Tract Roentgenogram Series

Keith I. Marton, MD; Harold C. Sox, Jr, MD; John Wasson, MD; Charles E. Duisenberg, MD

Arch Intern Med. 1980;140(2):191-195.

Abstract

• We studied the role of the upper gastrointestinal tractroentgenogram series (UGI) in the care of 483 ambulatory patientswith varied abdominal complaints. The test was significantlyabnormal about 20% of the time, rarely led to changes in therapy,and was ordered inappropriately 30% of the time (according tocriteria devised by experts). Regardless of their test results,most patients' symptoms improved in the several months afterthe test. We created a simple rule, based on the patient's history,that would have led to a decrease in the number of inappropriatelyordered tests without significantly compromising care. Thisdecision rule may help to improve the utilization of the UGIby identifying patients who are unlikely to benefit from thetest.

(Arch Intern Med 140:191-195, 1980)

Author Affiliations

From the Department of Medicine, Veterans Administration Medical Center, Palo Alto, and Stanford (Calif) Medical School (Drs Marton and Sox); Department of Medicine, Veterans Administration Hospital, White River Junction, Vt (Dr Wasson); and Department of Radiology, Kaiser Foundation Hospital, Santa Clara, Calif (Dr Duisenberg).

Footnotes

Accepted for publication July 2, 1979.

Deceased.

Reprint requests to the VA Medical Center, 3801 Miranda Ave,Palo Alto, CA 94307 (Dr Marton.)

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