ArticleDigestive diseases and sciences2013
Physicians' opinions of stress ulcer prophylaxis: survey results from a large urban medical center.
Article in Digestive diseases and sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Proton Pump Inhibitor Safety Knowledge and Stress Ulcer Prophylaxis Appropriateness Among Resident Physicians: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Characteristics of Pharmacists' Interventions Related to Proton-Pump Inhibitors in French Hospitals: An Observational Study.International journal of clinical practice · 2022Observational
- Physicians' knowledge, attitude, and prescribing behavior regarding stress ulcer prophylaxis in China: a multi-center study.BMC gastroenterology · 2021Article
- Continuous improvement on the rationality of prophylactic injectable PPIs usage by a clinical pharmacist-led guidance team at a Chinese tertiary teaching hospital.The Journal of international medical research · 2020Article
- Assessment of pharmacologic prophylaxis use against stress ulcer in the medical wards of University of Gondar Hospital.SAGE open medicine · 2019Article
- Critical Care Pharmacists and Medication Management in an ICU Recovery Center.The Annals of pharmacotherapy · 2018Observational
- Changes in proton pump inhibitor prescribing trend over the past decade and pharmacists' effect on prescribing practice at a tertiary hospital.BMC health services research · 2018Observational
- The Italian Society of Internal Medicine choosing wisely campaign.Internal and emergency medicine · 2016Article
- Use of proton pump inhibitors for the provision of stress ulcer prophylaxis: clinical and economic consequences.PharmacoEconomics · 2014Review
- The distressing overuse of gastric acid inhibitors.Digestive diseases and sciences · 2013Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStress ulcer prophylaxis (SUP) has been increasingly prescribed for patients admitted to medical wards. The knowledge, attitudes, and practices of those in the healthcare profession regarding use of SUP in medical wards are understudied.
methodsA survey consisting of closed-ended questions and multiple-choice queries was handed out during grand rounds.
resultsOne hundred people (39 attending physicians, 61 residents) completed the survey. More attending physicians (41 vs. 30 %) believed SUP was indicated for patients treated in a non-intensive-care medical ward (P = 0.2357). All residents preferred a proton-pump inhibitor (PPI) for SUP compared with 85 % of attending physicians (P < 0.05). Despite equal agreement that PPIs were not harmless, more attending physicians than residents agreed that using PPIs increased the risk of community-acquired pneumonia (P < 0.05). More residents than attending physicians agreed on the use of SUP for patients suffering from major burns and for those with liver failure. In situations of respiratory distress not requiring intubation and in cases of steroid treatment for a chronic obstructive pulmonary disease flare, more attending physicians than residents felt SUP was required. Approaching a statistically significant difference, more attending physicians than residents felt that being too busy to question SUP indication and the perception of PPIs as harmless affected decision making.
conclusionDespite the publication of guidelines, misuse of gastric acid suppressants continues to occur, even by attending physicians. More complete understanding of the need and occasion for SUP use should result in more cautious use.
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