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	Author	Fraser, A.G.; Williamson, S.; Lane, M.; Hollis, B.
	Title	Nurse-led dyspepsia clinic using the urea breath test for Helicobacter pylori			Type	Journal Article
	Year	2003	Publication	New Zealand Medical Journal	Abbreviated Journal	Access is free to articles older than 6 months, and abstracts.
	Volume	116	Issue	1176	Pages
	Keywords	Advanced nursing practice; Hospitals; Clinical assessment; Evaluation
	Abstract	Reports the audit of a nurse-led dyspepsia clinic at Auckland Hospital. Referrals to the Gastroenterology Department for gastroscopy were assessed in a dyspepsia clinic. Initial evaluation included consultation and a urea breath test (UBT). Patients given eradication treatment prior to initial clinic assessment were excluded. Patients with a positive UBT were given eradication treatment and were reviewed two months later for symptom assessment and follow-up UBT. Patients with a negative UBT were usually referred back to the GP. There were 173 patients with a mean age 38 years. The urea breath test was found to be useful as part of the initial assessment of selected patients who would otherwise have been referred for endoscopy. It is likely that the need for gastroscopy was reduced, but longer follow up will be required to determine whether or not this effect is simply due to delayed referral. This approach is likely to have value only in patients who have a relatively high chance of being H. pylori positive.
	Call Number	NRSNZNO @ research @ 625			Serial	611
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