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问题:在初诊的消化不良患者中,行即刻内镜检查与化验后进行经验性治疗相比,哪一个方案对减轻其症状的费用一效果比更好? 方法数据来源:截至2003年12月以前,在 Cochrane database和Medline中检索由消化不良研究协作组进行的针对消化不良的随机对照试验。研究选择及评估:在初级保健或第一次转至二级保健机构就诊的成人消化不良患者中进行的随机对照试验,对立即进行内镜检查和化验加经验性治疗两种方法进行比较,报告相关的结果。预后判断:所有消化不良症状积分,消化不良症状有无,费用(以2003年美元标准),12个月内的净增效益。
Question: Which of these options is better at reducing the cost of symptomatic treatment in patients with newly diagnosed dyspepsia undergoing immediate endoscopy compared with empirical therapy after the test? Source of data: As of December 2003 , A randomized controlled trial of dyspepsia conducted by the Cooperative Dyspepsia Study Group was retrieved in the Cochrane database and Medline. Study Selection and Assessment: Randomized controlled trials of primary care or first-responders to secondary dyspepsia at a secondary care facility compare and report on both immediate endoscopy and laboratory plus empirical therapy Related results. Prognosis: All indigestion symptom score, indigestion symptom, cost (in 2003 US dollar standard), net benefit in 12 months.