Effectiveness of disseminating consensus management recommendations for ulcer bleeding: a cluster randomized trial

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.

From the Divisions of Gastroenterology (Barkun, Bhat), Clinical Epidemiology (Barkun) and Family Medicine (Dawes), McGill University Health Centre, McGill University, Montréal, Que.; the Division of Gastroenterology (Armstrong, Moayyedi), McMaster University, Hamilton, Ont.; the Department of Epidemiology and Biostatistics and Robarts Clinical Trials (Donner, Stitt), Robarts Research Institute, University of Western Ontario, London, Ont.; the Division of Gastroenterology (Enns), University of British Columbia, Vancouver, BC; the Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics (Martin), University of Western Ontario, London, Ont.; and the Division of Gastroenterology and Hepatology (Romagnuolo), Medical University of South Carolina, Charleston, South Carolina.