{"version":"1.0","provider_name":"The Medical Xchange","provider_url":"https:\/\/themedicalxchange.com\/en\/","title":"Suboptimal Adherence to Canadian GERD Guidelines: Opportunity for Improved Symptom Control and Patient Care - The Medical Xchange","type":"rich","width":600,"height":338,"html":"<blockquote class=\"wp-embedded-content\" data-secret=\"4a45t1gK86\"><a href=\"https:\/\/themedicalxchange.com\/en\/2012\/11\/21\/american-college-of-gastroenterology-acg-2012-an-2\/\">Suboptimal Adherence to Canadian GERD Guidelines:  Opportunity for Improved Symptom Control and Patient Care<\/a><\/blockquote><iframe sandbox=\"allow-scripts\" security=\"restricted\" src=\"https:\/\/themedicalxchange.com\/en\/2012\/11\/21\/american-college-of-gastroenterology-acg-2012-an-2\/embed\/#?secret=4a45t1gK86\" width=\"600\" height=\"338\" title=\"&#8220;Suboptimal Adherence to Canadian GERD Guidelines:  Opportunity for Improved Symptom Control and Patient Care&#8221; &#8212; The Medical Xchange\" data-secret=\"4a45t1gK86\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\" class=\"wp-embedded-content\"><\/iframe><script>\n\/*! This file is auto-generated *\/\n!function(d,l){\"use strict\";l.querySelector&&d.addEventListener&&\"undefined\"!=typeof URL&&(d.wp=d.wp||{},d.wp.receiveEmbedMessage||(d.wp.receiveEmbedMessage=function(e){var t=e.data;if((t||t.secret||t.message||t.value)&&!\/[^a-zA-Z0-9]\/.test(t.secret)){for(var s,r,n,a=l.querySelectorAll('iframe[data-secret=\"'+t.secret+'\"]'),o=l.querySelectorAll('blockquote[data-secret=\"'+t.secret+'\"]'),c=new RegExp(\"^https?:$\",\"i\"),i=0;i<o.length;i++)o[i].style.display=\"none\";for(i=0;i<a.length;i++)s=a[i],e.source===s.contentWindow&&(s.removeAttribute(\"style\"),\"height\"===t.message?(1e3<(r=parseInt(t.value,10))?r=1e3:~~r<200&&(r=200),s.height=r):\"link\"===t.message&&(r=new URL(s.getAttribute(\"src\")),n=new URL(t.value),c.test(n.protocol))&&n.host===r.host&&l.activeElement===s&&(d.top.location.href=t.value))}},d.addEventListener(\"message\",d.wp.receiveEmbedMessage,!1),l.addEventListener(\"DOMContentLoaded\",function(){for(var e,t,s=l.querySelectorAll(\"iframe.wp-embedded-content\"),r=0;r<s.length;r++)(t=(e=s[r]).getAttribute(\"data-secret\"))||(t=Math.random().toString(36).substring(2,12),e.src+=\"#?secret=\"+t,e.setAttribute(\"data-secret\",t)),e.contentWindow.postMessage({message:\"ready\",secret:t},\"*\")},!1)))}(window,document);\n\/\/# sourceURL=https:\/\/themedicalxchange.com\/wp-includes\/js\/wp-embed.min.js\n<\/script>\n","thumbnail_url":"https:\/\/themedicalxchange.com\/wp-content\/uploads\/2012\/11\/ACG_2334_Figure_1_EN.PNG","thumbnail_width":960,"thumbnail_height":720,"description":"Las Vegas \u2013 Patients being treated for gastroesophageal reflux disease (GERD) often fail to receive adequate therapy, according to an audit of care by primary care physicians in Canada. Although all of the 500 cases in this series were receiving a proton pump inhibitor (PPI), 92% had persistent symptoms. The fact that 86% were taking a standard dose once-daily suggests published guidelines are not being followed. While the Canadian Association of Gastroenterology (CAG) guidelines recommend a standard PPI dose as initial therapy, they also endorse increasing acid suppression for those whose symptoms are not adequately controlled after a trial of 4 to 8 weeks. The goal of these recommendations is to relieve the large adverse effect that persistent GERD symptoms impose on quality of life. The evidence that physicians are not adhering to guidelines was further reinforced by the overuse of endoscopy in comparison to the CAG guidelines which limit this diagnostic tool for specific indications, such as evaluation of Barrett\u2019s esophagus."}