Abstract:
BACKGROUND:Diagnosis of gastroesophageal reflux disease (GERD) based on subjective evaluation of symptoms alone is challenging. GOALS:To test the validity and reliability of a graded response questionnaire to identify patients with GERD. STUDY:Patients presenting with upper abdominal symptoms for more than a month, and without alarm features were consecutively recruited. They completed a 12-item questionnaire encompassing 6 symptoms presented either in Chinese or English language. Scores were analyzed for validity in diagnosis of GERD, using gastroenterologist's diagnosis as reference standard. Receiver operating characteristic (ROC) analysis, predictive values, likelihood ratios, and diagnostic odds ratio were used to evaluate diagnostic accuracy. RESULTS:Of 209 patients studied, 163 (78%) answered the English whereas 45 (21.5%) answered the Chinese version. At a cut-off of > or =28.5 in total symptom scores, the Chinese version had a sensitivity of 87.5% and specificity of 75.7% with an area under the ROC curve (AUCROC) of 0.824 for diagnosis of GERD. Corresponding sensitivity and specificity for the English version were 76.9% and 50.8%, respectively, with an AUCROC of 0.760. Positive predictive value, negative predictive value, positive likelihood ratio (+LR), negative likelihood ratio (-LR), and diagnostic odds ratio were 0.438, 0.966, 3.597, 0.165, and 21.778 and 0.330, 0.875, 1.564, 0.454, and 3.443 for the Chinese and English versions, respectively. CONCLUSIONS:The questionnaires demonstrated good construct reliability, which were highly sensitive and reasonably specific for the detection of GERD. They are useful tools to help primary care physicians in identifying GERD in patients presenting with uninvestigated upper abdominal symptoms.
journal_name
J Clin Gastroenteroljournal_title
Journal of clinical gastroenterologyauthors
Ho KY,Gwee KA,Khor JL,Selamat DS,Yeoh KGdoi
10.1097/MCG.0b013e3180653613subject
Has Abstractpub_date
2008-07-01 00:00:00pages
680-6issue
6eissn
0192-0790issn
1539-2031journal_volume
42pub_type
杂志文章abstract:INTRODUCTION:Endoscopic ultrasound (EUS)-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) is a minimally invasive option for pancreaticobiliary access in patients with Roux-en-Y anatomy. The procedure involves creating a fistulous tract between the remnant stomach or jejunum and the bypassed ...
journal_title:Journal of clinical gastroenterology
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abstract::A 54-year-old man with chronic hepatitis C virus (HCV) developed quadrihemianopsia caused by lacunar brain infarction. Extensive evaluation revealed high titers of anticardiolipin antibodies (ACA). Following interferon treatment (6 x 10(6), three times a week for 2 months and 3 x 10(6) for another 7 months), liver tra...
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journal_title:Journal of clinical gastroenterology
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journal_title:Journal of clinical gastroenterology
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journal_title:Journal of clinical gastroenterology
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journal_title:Journal of clinical gastroenterology
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journal_title:Journal of clinical gastroenterology
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abstract:BACKGROUND:The current prevalence of primary antibiotic resistance of H. pylori is not known in Korea. This study was done to evaluate the prevalence of primary antibiotic resistance of H. pylori, and to evaluate the effect of point mutations of 23S rRNA on the rate of eradication of H. pylori. METHODS:H. pylori were ...
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