Comparative study of characteristics and disease management between subjects with frequent and occasional gastro-oesophageal reflux symptoms.

Abstract:

BACKGROUND:Little is known about the distinctive characteristics of subjects with frequent (at least weekly) and occasional gastro-oesophageal reflux symptoms. AIM:To compare the characteristics and disease management of subjects complaining of at least weekly and less frequent gastro-oesophageal reflux symptoms. METHODS:Population-based postal survey carried out in France in 2003 among a representative sample of 8000 subjects. RESULTS:The prevalence of frequent and occasional gastro-oesophageal reflux symptoms was 7.8% and 23.4%, respectively. Compared to subjects with occasional gastro-oesophageal reflux symptoms, those with frequent symptoms were older, suffered from more severe symptoms and felt greater impact on daily living, despite a slightly shorter duration of symptoms. These subjects more often sought medical advice. Most of them had treated the last episode of symptoms primarily with a proton-pump inhibitor and less often with antacids/alginates. The degree of treatment satisfaction was lower in subjects with frequent gastro-oesophageal reflux symptoms, in relation to a more frequently observed persistence of symptoms irrespective of the medication used except for proton-pump inhibitors. CONCLUSIONS:This survey suggests that subjects complaining of frequent or occasional gastro-oesophageal reflux symptoms constitute two distinctive groups. Despite greater healthcare use, the former group shows a lower level of satisfaction with disease management. Nevertheless, a substantial subset of subjects with occasional symptoms also complained of impaired health-related quality of life and sought health care.

journal_name

Aliment Pharmacol Ther

authors

Bretagne JF,Honnorat C,Richard-Molard B,Caekaert A,Barthélemy P

doi

10.1111/j.1365-2036.2006.02811.x

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

607-16

issue

5

eissn

0269-2813

issn

1365-2036

pii

APT2811

journal_volume

23

pub_type

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