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 11, Number 1, February 2018, pages 11-17

Internists’ Perceptions of Proton Pump Inhibitor Adverse Effects and Impact on Prescribing Practices: Results of a Nationwide Survey

Figures

Figure 1.
Figure 1. Respondents’ familiarity with and concern about PPI harms, and changes in prescribing practices on seven-point scale. Dashed line represents median score.
Figure 2.
Figure 2. Respondents’ perceived likelihood that long-term PPI use increases the risk of specific adverse effects on seven-point scale. Dashed line represents median score.

Tables

Table 1. Demographic and practice Characteristics of Respondents (N = 487)
 
Characteristicn (%)
#Attending physicians only.
Age
  < 40182 (37.4%)
  40 - 59225 (46.2%)
  > 5980 (16.4%)
Sex
  Male343 (70.4%)
  Female144 (29.6%)
Training level
  Residency80 (16.4%)
  Fellowship26 (5.3%)
  Attending381 (78.2%)
Specialty#
  Internal medicine (general medicine or hospitalist)282 (74.0%)
  Gastroenterology11 (2.9%)
  Other medical subspecialist88 (23.1%)
Board certification#
  No10 (2.6%)
  Yes371 (97.4%)
Years in practice#
  < 5 years43 (11.3%)
  5 - 1071 (18.7%)
  11 - 1546 (12.1%)
  16 - 2053 (14.0%)
  > 20167 (44.0%)
Patients seen per week#
 < 2631 (8.2%)
  26 - 50107 (28.2%)
51 - 75108 (28.4%)
76 - 10083 (21.8%)
> 10051 (13.4%)
Practice setting#
  All outpatient137 (36.1%)
  Primarily outpatient140 (36.8%)
  All inpatient63 (16.6%)
  Primarily inpatient40 (10.5%)
Medical school affiliation#
  No195 (51.3%)
  Yes185 (48.7%)

 

Table 2. Association of Physician Characteristics With Sometimes or Often Reducing PPI in Logistic Regression Model
 
VariableUnadjusted OR (95% CI)P-valueAdjusted OR (95% CI)P-value
Female1.56 (0.98 - 2.49)0.061.67 (0.98 - 2.83)0.06
Years in practice (per decade)0.99 (0.90 - 1.10)0.901.06 (0.94 - 1.19)0.33
Familiarity with PPI harms (1-point change on seven-point scale)1.87 (1.51 - 2.31)< 0.0011.66 (1.31 - 2.10)< 0.001
Concern about PPI harms (1-point change on seven-point scale)2.26 (1.87 - 2.74)< 0.0012.14 (1.76 - 2.61)< 0.001