Is therapy based on endoscopy (results) better than empiric therapy for dyspepsia?
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Is therapy based on endoscopy (results) better than empiric therapy for dyspepsia? Evidence-Based Answer: Prompt endoscopy for dyspepsia leads to a small decrease in the proportion of patients who are symptomatic at 1 year, but it is not cost-effective (SOR: A, meta-analysis of RCTs). A test-and-treat strategy is less expensive, results in fewer patients receiving endoscopy, and results in similar long-term symptom control (SOR: B, RCTs.)
Evidence Based Practice 16(11): 12