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Development and evaluation of FSSG: frequency scale for the symptoms of GERD.
J Gastroenterol. 2004 Sep; 39(9):888-91.JG

Abstract

BACKGROUND

The aim of this study was to produce a simplified questionnaire for evaluation of the symptoms of gastroesophageal reflux disease (GERD).

METHODS

A total of 124 patients with an endoscopic diagnosis of GERD completed a 50-part questionnaire, requiring only "yes" or "no" answers, that covered various symptoms related to the upper gastrointestinal tract, as well as psychosomatic symptoms. The 12 questions to which patients most often answered "yes" were selected, and were assigned scores (never = 0; occasionally = 1; sometimes = 2; often = 3; and always = 4) to produce a frequency scale for symptoms of GERD (FSSG). Sensitivity, specificity, and accuracy of the FSSG questionnaire were evaluated in another group of patients with GERD and non-GERD. The usefulness of this questionnaire was evaluated in 26 other GERD patients who were treated with proton pump inhibitors for 8 weeks.

RESULTS

When the cutoff score was set at 8 points, the FSSG showed a sensitivity of 62%, a specificity of 59%, and an accuracy of 60%, whereas a cutoff score of 10 points altered these values to 55%, 69%, and 63%. The score obtained using the questionnaire correlated well with the extent of endoscopic improvement in patients with mild or severe GERD.

CONCLUSIONS

This new questionnaire is useful for the objective evaluation of symptoms in GERD patients.

Authors+Show Affiliations

Department of Endoscopy and Endoscopic Surgery, Gunma University Hospital, 3-39-15 Showamachi Maebashi, 371-8511 Gunma, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15565409

Citation

Kusano, Motoyasu, et al. "Development and Evaluation of FSSG: Frequency Scale for the Symptoms of GERD." Journal of Gastroenterology, vol. 39, no. 9, 2004, pp. 888-91.
Kusano M, Shimoyama Y, Sugimoto S, et al. Development and evaluation of FSSG: frequency scale for the symptoms of GERD. J Gastroenterol. 2004;39(9):888-91.
Kusano, M., Shimoyama, Y., Sugimoto, S., Kawamura, O., Maeda, M., Minashi, K., Kuribayashi, S., Higuchi, T., Zai, H., Ino, K., Horikoshi, T., Sugiyama, T., Toki, M., Ohwada, T., & Mori, M. (2004). Development and evaluation of FSSG: frequency scale for the symptoms of GERD. Journal of Gastroenterology, 39(9), 888-91.
Kusano M, et al. Development and Evaluation of FSSG: Frequency Scale for the Symptoms of GERD. J Gastroenterol. 2004;39(9):888-91. PubMed PMID: 15565409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Development and evaluation of FSSG: frequency scale for the symptoms of GERD. AU - Kusano,Motoyasu, AU - Shimoyama,Yasuyuki, AU - Sugimoto,Sayaka, AU - Kawamura,Osamu, AU - Maeda,Masaki, AU - Minashi,Keiko, AU - Kuribayashi,Shiko, AU - Higuchi,Tatsuya, AU - Zai,Hiroaki, AU - Ino,Kyoko, AU - Horikoshi,Tsutomu, AU - Sugiyama,Tadashi, AU - Toki,Munetoshi, AU - Ohwada,Tsuneo, AU - Mori,Masatomo, PY - 2004/01/22/received PY - 2004/04/30/accepted PY - 2004/11/27/pubmed PY - 2005/1/19/medline PY - 2004/11/27/entrez SP - 888 EP - 91 JF - Journal of gastroenterology JO - J. Gastroenterol. VL - 39 IS - 9 N2 - BACKGROUND: The aim of this study was to produce a simplified questionnaire for evaluation of the symptoms of gastroesophageal reflux disease (GERD). METHODS: A total of 124 patients with an endoscopic diagnosis of GERD completed a 50-part questionnaire, requiring only "yes" or "no" answers, that covered various symptoms related to the upper gastrointestinal tract, as well as psychosomatic symptoms. The 12 questions to which patients most often answered "yes" were selected, and were assigned scores (never = 0; occasionally = 1; sometimes = 2; often = 3; and always = 4) to produce a frequency scale for symptoms of GERD (FSSG). Sensitivity, specificity, and accuracy of the FSSG questionnaire were evaluated in another group of patients with GERD and non-GERD. The usefulness of this questionnaire was evaluated in 26 other GERD patients who were treated with proton pump inhibitors for 8 weeks. RESULTS: When the cutoff score was set at 8 points, the FSSG showed a sensitivity of 62%, a specificity of 59%, and an accuracy of 60%, whereas a cutoff score of 10 points altered these values to 55%, 69%, and 63%. The score obtained using the questionnaire correlated well with the extent of endoscopic improvement in patients with mild or severe GERD. CONCLUSIONS: This new questionnaire is useful for the objective evaluation of symptoms in GERD patients. SN - 0944-1174 UR - https://www.unboundmedicine.com/medline/citation/15565409/Development_and_evaluation_of_FSSG:_frequency_scale_for_the_symptoms_of_GERD_ L2 - https://dx.doi.org/10.1007/s00535-004-1417-7 DB - PRIME DP - Unbound Medicine ER -