Survey of the adherence to the consensus of gastroesophageal reflux disease before and after the implementation course

Jyh Ming Liou, Bor-Shyang Sheu, Yi Chia Lee, Hsiu-Chi Cheng, Wei-Lun Chang, Deng Chyang Wu, Ping I. Hsu, Chun Ying Wu, Ming Shiang Wu, Cheng Tang Chiu, Jaw Town Lin

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Abstract

Background/Purpose: The prevalence of Gastroesophageal reflux disease (GERD) is increasing worldwide, including Asia. Although several consensus reports have been published, little is known regarding the adherence of the physicians on the consensus of GERD. We aimed to survey the agreements and adherence of physicians to the Taiwan GERD consensus before and after the continual medical education (CME) courses. Methods: Two-hundred and twenty-seven physicians, including 81 fellows of gastroenterology, 135 qualified gastroenterologists, and 11 non-gastroenterologist attending physicians were invited to the CME course. Their agreements and adherence to the statements before and after the CME course were assessed by the pre-defined questionnaire with the aid of electronic keypads. The adherence rate before and after the CME course were compared by the McNemar test to indicate the changes in their willingness to follow the statements in clinical practice. Results: The rates of agreement of the 227 participating physicians were uniformly greater than 80% for all of the 22 statements. However, the adherence rates were lower than 80% in 16 statements before the CME intervention. The adherence rates were significantly (p < 0.05) increased in 15 of these 16 statements after the CME intervention. The adherence rate can be improved to greater than 80% for those statements with high level of evidence. Conclusion: Although physicians agreed with the statements, the pre-CME survey disclosed limited adherence rates to the statements. The education intervention through the CME courses can improve the adherence of consensus statement, especially for those with higher level of evidence.

Original languageEnglish
Pages (from-to)440-449
Number of pages10
JournalJournal of the Formosan Medical Association
Volume117
Issue number5
DOIs
Publication statusPublished - 2018 May 1

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Gastroesophageal Reflux
Medical Education
Physicians
Surveys and Questionnaires
Gastroenterology
Taiwan
Education

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Liou, Jyh Ming ; Sheu, Bor-Shyang ; Lee, Yi Chia ; Cheng, Hsiu-Chi ; Chang, Wei-Lun ; Wu, Deng Chyang ; Hsu, Ping I. ; Wu, Chun Ying ; Wu, Ming Shiang ; Chiu, Cheng Tang ; Lin, Jaw Town. / Survey of the adherence to the consensus of gastroesophageal reflux disease before and after the implementation course. In: Journal of the Formosan Medical Association. 2018 ; Vol. 117, No. 5. pp. 440-449.
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Survey of the adherence to the consensus of gastroesophageal reflux disease before and after the implementation course. / Liou, Jyh Ming; Sheu, Bor-Shyang; Lee, Yi Chia; Cheng, Hsiu-Chi; Chang, Wei-Lun; Wu, Deng Chyang; Hsu, Ping I.; Wu, Chun Ying; Wu, Ming Shiang; Chiu, Cheng Tang; Lin, Jaw Town.

In: Journal of the Formosan Medical Association, Vol. 117, No. 5, 01.05.2018, p. 440-449.

Research output: Contribution to journalArticle

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AU - Liou, Jyh Ming

AU - Sheu, Bor-Shyang

AU - Lee, Yi Chia

AU - Cheng, Hsiu-Chi

AU - Chang, Wei-Lun

AU - Wu, Deng Chyang

AU - Hsu, Ping I.

AU - Wu, Chun Ying

AU - Wu, Ming Shiang

AU - Chiu, Cheng Tang

AU - Lin, Jaw Town

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N2 - Background/Purpose: The prevalence of Gastroesophageal reflux disease (GERD) is increasing worldwide, including Asia. Although several consensus reports have been published, little is known regarding the adherence of the physicians on the consensus of GERD. We aimed to survey the agreements and adherence of physicians to the Taiwan GERD consensus before and after the continual medical education (CME) courses. Methods: Two-hundred and twenty-seven physicians, including 81 fellows of gastroenterology, 135 qualified gastroenterologists, and 11 non-gastroenterologist attending physicians were invited to the CME course. Their agreements and adherence to the statements before and after the CME course were assessed by the pre-defined questionnaire with the aid of electronic keypads. The adherence rate before and after the CME course were compared by the McNemar test to indicate the changes in their willingness to follow the statements in clinical practice. Results: The rates of agreement of the 227 participating physicians were uniformly greater than 80% for all of the 22 statements. However, the adherence rates were lower than 80% in 16 statements before the CME intervention. The adherence rates were significantly (p < 0.05) increased in 15 of these 16 statements after the CME intervention. The adherence rate can be improved to greater than 80% for those statements with high level of evidence. Conclusion: Although physicians agreed with the statements, the pre-CME survey disclosed limited adherence rates to the statements. The education intervention through the CME courses can improve the adherence of consensus statement, especially for those with higher level of evidence.

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