Publications by authors named "D Campbell-Scherer"
Background: Dyspepsia is a common, generally low-risk gastrointestinal condition. The American College of Gastroenterology and Canadian Association of Gastroenterology recommend avoiding gastroscopy in healthy patients <60 years old. Many dyspeptic patients can be effectively managed in primary care.
View Article and Find Full Text PDFBackground: Clinical practice guidelines (CPGs) synthesize high-quality information to support evidence-based clinical practice. In primary care, numerous CPGs must be integrated to address the needs of patients with multiple risks and conditions. The BETTER program aims to improve prevention and screening for cancer and chronic disease in primary care by synthesizing CPGs into integrated, actionable recommendations.
View Article and Find Full Text PDFArticle Synopsis
- The BETTER WISE study aimed to evaluate a cancer and chronic disease prevention program's effectiveness by comparing outcomes between participants facing financial difficulties versus those who did not.
- The study analyzed data from a cluster-randomized trial involving 596 participants from 59 physicians across 13 clinics, comparing a 1-hour intervention visit to usual care.
- Results indicated that participants without financial difficulties in the intervention group had a higher completion rate of eligible preventive actions (29%) compared to the control group (23%), while there was no significant difference in those with financial difficulties.
Article Synopsis
- - The Canadian Adult Obesity Clinical Practice Guideline (CPG), released in August 2020, redefined obesity based on health rather than size and aimed to reduce weight bias and stigma, emphasizing the lived experiences of affected individuals.
- - A pilot project was carried out in Chile and Ireland to test the feasibility of adapting these guidelines, utilizing different frameworks for their specific contexts, and showing quicker adaptation times compared to the original Canadian process.
- - The successful adaptation proves that such guidelines can be modified for use in diverse healthcare systems while preserving core principles, including treating obesity as a chronic disease and focusing on health improvements over mere weight loss.
Background: Gastroscopy to investigate dyspepsia without alarm symptoms rarely results in clinically actionable findings or sustained health-related quality-of-life improvements among patients aged 18-60 years and is, therefore, not recommended. Despite this, referrals for and performance of gastroscopy among this patient population remain high. The purpose of this study was to understand family physicians' and gastroenterologists' mental models of dyspepsia and the drivers behind referring or performing gastroscopy.
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