Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Original Article

Volume 12, Number 6, December 2019, pages 305-311

Educational Intervention Improves Proton Pump Inhibitor Stewardship in Outpatient Gastroenterology Clinics

Figure

Figure 1.
Figure 1. Algorithm of interventions based on PPI indication. PPI: proton pump inhibitor; GERD: gastroesophageal reflux disease; BE: Barrett’s esophagus; EoE: eosinophilic esophagitis; PUD: peptic ulcer disease; PCP: primary care provider; GI: gastrointestinal.

Tables

Table 1. PPI Usage With Drug Indication and Appropriateness of Use During the 8-Week Pre-Intervention Period
 
IndicationTotal number of patients on PPI (% of all patients on PPIs)Number of patients with appropriate use (% of cases for this indication)Number of patients with inappropriate use (% of cases for this indication)Percentage of all patients with inappropriate use
PPI: proton pump inhibitor; GERD: gastroesophageal reflux disease; PUD: peptic ulcer disease; BE: Barrett’s esophagus; EoE: eosinophilic esophagitis.
GERD167 (64%)103 (62%)64 (38%)50%
Dyspepsia27 (10%)16 (59%)11 (41%)9%
PUD14 (5%)4 (29%)10 (71%)8%
BE chemoprevention22 (8%)9 (41%)13 (59%)10%
EoE2 (1%)2 (100%)0 (0%)0%
Other13 (5%)0 (0%)13 (100%)10%
Unknown18 (7%)0 (0%)18 (100%)14%
Total263 (100%)134129100%

 

Table 2. PPI Appropriateness of Use During the 8-Week Intervention Period
 
IndicationTotal number of patients on PPI due to indicationNumber of patients with inappropriate use prior to interventionNumber of patients successfully converted to appropriate use by intervention
PPI: proton pump inhibitor; GERD: gastroesophageal reflux disease; BE: Barrett’s esophagus.
Well-controlled GERD1013723
BE chemoprevention1522
Unknown171717