PRIMARY CARE RESEARCH
Primary care research and clinical practice: gastroenterology
Correspondence to:
Professor R Jones, Kings College London, Department of General Practice & Primary Care, 5 Lambeth Walk, London SE11 6SP, UK; roger.jones{at}kcl.ac.uk
Gastrointestinal problems account for a significant proportion of general practitioners workload, and gastrointestinal cancers, taken together, make up the largest group of malignancies. Approximately 10% of consultations in general practice in the UK are for gastrointestinal symptoms or problems, split roughly equally between the upper and lower gastrointestinal tract. Gastroenterology represents about 10% of the work of hospital specialists and the prescribing costs involved in the management of gastrointestinal disorders in general practice are around 14% of the drug budget. These disorders range from relatively minor and self limiting conditions such as acute gastritis and acute gastroenteritis, through the more significant, chronic digestive disorders such as gastro-oesophageal reflux disease (GORD), irritable bowel syndrome (IBS) and coeliac disease, to much more serious problems including inflammatory bowel disease (IBD) and upper gastrointestinal and colorectal cancer.
Keywords: gastroenterology; primary care; research
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