TY - JOUR T1 - Low-value care and endoscopy in dyspepsia: A retrospective observational study from a metropolitan Australian hospital JF - Future Healthcare Journal JO - Future Healthc J SP - s49 LP - s49 DO - 10.7861/fhj.7.1.s49 VL - 7 IS - Suppl 1 AU - Lei Lin AU - Myat Myat Khaing AU - Vinny Ea AU - Petrina Kellar AU - Felicity Hartnell AU - John Croese AU - Ruth Hodgson AU - Thomas James AU - Robert Franz AU - Andrew Hughes AU - Harish Iswariah AU - Ian Shaw AU - Ann Vandeleur AU - Tony Rahman Y1 - 2020/02/01 UR - http://www.rcpjournals.org/content/7/Suppl_1/s49.abstract N2 - Recent literature suggests that young patients aged <55 years without any alarm features are at low risk of having significant endoscopic findings (SEF) including malignancy, ulceration and erosive oesophagitis. Guidelines recommend that this patient subgroup should undergo a trial of proton pump inhibitors (PPIs) and potentially Helicobacter pylori testing before being considered for endoscopy. Hence, endoscopy has been identified as a potential source of unnecessary expense and low-value care for health services.We sought to assess the yield of performing endoscopy in young patients aged <55 years with dyspepsia referred by primary care physicians; and to assess … ER -