{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T06:23:20Z","timestamp":1775975000137,"version":"3.50.1"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background:<\/jats:title><jats:p>According to a recent survey, the 2009 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition\u2013European Society for Pediatric Gastroenterology, Hepatology, and Nutrition gastroesophageal reflux guidelines are poorly adhered to by European primary care pediatricians. The main issue raised from the survey was the prescription of unnecessary acid suppressive medications, especially in infants. No inquiry into the reasons was made. The primary objective of the present study was to assess the applicability of the guidelines in European primary care pediatricians undergoing specific trainings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>One hundred pediatricians involved in the previous survey agreed to participate and were randomly divided into 2 groups: one group was trained in the guidelines through an online podcast and the other group was trained through a synopsis. During the following 3 months, each involved pediatrician was asked to enroll every consecutive infant, child, or adolescent with suggestive reflux symptoms. For every enrolled patient, pediatricians filled in a report concerning their diagnostic and therapeutic choices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>A total of 382 patients (boys\/girls 186\/196, infants\/children\/adolescents 194\/123\/65) were enrolled by pediatricians. Infants with unexplained crying and\/or distressed behavior who were prescribed proton\u2010pump inhibitors were 3.7% compared with 45.2% of the survey data obtained before the training (<jats:italic>P<\/jats:italic> &lt; 0.05). Infants with uncomplicated recurrent regurgitation and vomiting who were prescribed proton\u2010pump inhibitors were 4.5% against 37.1% of the baseline survey data (<jats:italic>P<\/jats:italic> &lt; 0.05). The overall rate of children managed in full compliance with the guidelines was 46.1% after the training compared with 1.8% before the training (<jats:italic>P<\/jats:italic> &lt; 0.05). No significant differences were seen between pediatricians from podcast and synopsis group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition\u2013European Society for Pediatric Gastroenterology, Hepatology, and Nutrition gastroesophageal reflux guidelines have good applicability, despite that they are presently poorly adhered to by European primary care pediatricians. Simple, inexpensive trainings were proven to be effective in increasing adherence by pediatricians. The increase in compliance clearly favors the role of continuous medical education through simple educational tools and subsequent assessment of practice.<\/jats:p><\/jats:sec>","DOI":"10.1097\/mpg.0000000000000408","type":"journal-article","created":{"date-parts":[[2014,4,24]],"date-time":"2014-04-24T12:14:50Z","timestamp":1398341690000},"page":"356-359","source":"Crossref","is-referenced-by-count":24,"title":["Do Pediatricians Apply the 2009 NASPGHAN\u2013ESPGHAN Guidelines for the Diagnosis and Management of Gastroesophageal Reflux After Being Trained?"],"prefix":"10.1002","volume":"59","author":[{"given":"Paolo","family":"Quitadamo","sequence":"first","affiliation":[{"name":"Department of Translational Medical Science Section of Pediatrics University \u201cFederico II,\u201d Naples Italy"}]},{"given":"Vaidotas","family":"Urbonas","sequence":"additional","affiliation":[{"name":"Vilnius University Clinic of Children's Diseases Vilnius University Vilnius Lithuania"}]},{"given":"Alexandra","family":"Papadopoulou","sequence":"additional","affiliation":[{"name":"First Department of Pediatrics University of Athens Athens Children's Hospital \u201cAgia Sophia,\u201d Athens Greece"}]},{"given":"Enriqueta","family":"Roman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hospital Universitario Puerta de Hierro Majadahonda Madrid Spain"}]},{"given":"Danijela J.","family":"Pavkov","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Institute for Child and Youth Health Care of Vojvodina Medical Faculty Novi Sad Novi Sad Serbia"}]},{"given":"Rok","family":"Orel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology, Hepatology, and Nutrition Children's Hospital University Medical Centre Ljubljana Slovenia"}]},{"given":"Jorge A.","family":"Dias","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Hospital S Jo\u00e3o Alameda Portugal"}]},{"given":"Aco","family":"Kostovski","sequence":"additional","affiliation":[{"name":"University Children's Hospital Skopje Macedonia"}]},{"given":"Erasmo","family":"Miele","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Science Section of Pediatrics University \u201cFederico II,\u201d Naples Italy"}]},{"given":"Alberto","family":"Villani","sequence":"additional","affiliation":[{"name":"Ospedale Pediatrico Bambino Ges\u00f9 Rome Italy"}]},{"given":"Annamaria","family":"Staiano","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Science Section of Pediatrics University \u201cFederico II,\u201d Naples Italy"}]}],"member":"311","published-online":{"date-parts":[[2014,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2009.129"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3181b7f563"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e3182a69912"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e31812e0149"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.11.037"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0b013e318054b0dd"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.2165\/00128072-200204100-00004"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2009.07.065"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2008.09.054"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1067\/S0022-3476(03)00207-5"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2719"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1870180605"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.1022"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(87)80027-6"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.10482"}],"container-title":["Journal 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