Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia.

M. V. Kudva, M. Zawawi, N. Rafee, O. Ismail, J. R. Muda

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The objective of the study was to determine whether discriminant analysis of characteristics of dyspepsia can differentiate peptic ulcer from non-ulcer dyspepsia in a Malaysian population. Two hundred and twenty six patients with dyspepsia were interviewed using a standard history questionnaire before undergoing upper gastrointestinal endoscopy. Forty seven patients had peptic ulcer while 149 others were classified as having non-ulcer dyspepsia. Stepwise logistic regression analysis was done on 25 variables. The study showed that only five of these variables could differentiate peptic ulcer from non-ulcer dyspepsia, namely, nocturnal pain, pain before meals or when hungry, absence of nausea, age and sex. A scoring system was devised based on these discriminant symptoms. At a sensitivity of 51%, the specificity for peptic ulcer was 83%, but only prospective studies will determine if this scoring system is of actual clinical value.

Original languageEnglish
Pages (from-to)236-242
Number of pages7
JournalMedical Journal of Malaysia
Volume44
Issue number3
Publication statusPublished - Sep 1989
Externally publishedYes

Fingerprint

Dyspepsia
Peptic Ulcer
Pain
Gastrointestinal Endoscopy
Discriminant Analysis
Nausea
Meals
Logistic Models
History
Regression Analysis
Prospective Studies
Sensitivity and Specificity
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Kudva, M. V., Zawawi, M., Rafee, N., Ismail, O., & Muda, J. R. (1989). Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia. Medical Journal of Malaysia, 44(3), 236-242.

Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia. / Kudva, M. V.; Zawawi, M.; Rafee, N.; Ismail, O.; Muda, J. R.

In: Medical Journal of Malaysia, Vol. 44, No. 3, 09.1989, p. 236-242.

Research output: Contribution to journalArticle

Kudva, MV, Zawawi, M, Rafee, N, Ismail, O & Muda, JR 1989, 'Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia.', Medical Journal of Malaysia, vol. 44, no. 3, pp. 236-242.
Kudva MV, Zawawi M, Rafee N, Ismail O, Muda JR. Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia. Medical Journal of Malaysia. 1989 Sep;44(3):236-242.
Kudva, M. V. ; Zawawi, M. ; Rafee, N. ; Ismail, O. ; Muda, J. R. / Discriminant value of dyspeptic symptoms in peptic ulcer and non-ulcer dyspepsia. In: Medical Journal of Malaysia. 1989 ; Vol. 44, No. 3. pp. 236-242.
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