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Routine management of gastro-oesophageal reflux disease by gastroenterologists in France: a prospective observational study.
Dig Liver Dis 2005; 37(8):566-70DL

Abstract

AIMS

To obtain data on routine care of gastro-oesophageal reflux disease by French gastroenterologists.

PATIENTS

Five thousand and forty-five adults with gastro-oesophageal reflux disease.

METHODS

Patients were recruited by a representative sample of 598 French gastroenterologists. A full disease history, with treatments given/investigations undertaken, was obtained from all patients. The patients' expectations with regard to the improvement of the symptoms' control and the corresponding assessments made by the gastroenterologists were recorded on a 4-point scale.

RESULTS

The mean time since diagnosis was approximately 4 years. The most commonly presented symptom was heartburn (79% of patients). A total of 3735 patients (74%) underwent endoscopy because of gastro-oesophageal reflux disease. Erosive oesophagitis was present in 38% and Barrett's oesophagus in 8%. Medical therapy for gastro-oesophageal reflux disease was prescribed in 92% of patients, of whom 86% received proton pump inhibitors. Lifestyle advice was given to 73% of patients. Overall, 84% of patients and 72% of physicians expected 'highly' or 'moderately' improved control of gastro-oesophageal reflux disease. Gastroenterologists underrated the need for improvement of the symptoms' control as expressed by 'de novo' as well as 'previously diagnosed' patients.

CONCLUSIONS

This study provides cross-sectional data on the management of gastro-oesophageal reflux disease by gastroenterologists in France. Most patients have high expectations of an improvement in their management, but gastroenterologists generally underrate these expectations.

Authors+Show Affiliations

Service des Maladies de l'Appareil Digestif, University Hospital Pontchaillou, 2 rue Henri Le Guilloux, 35033 Rennes Cedex 9, France. jean-francois.bretagne@chu-rennes.frNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15886080

Citation

Bretagne, J F., et al. "Routine Management of Gastro-oesophageal Reflux Disease By Gastroenterologists in France: a Prospective Observational Study." Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, vol. 37, no. 8, 2005, pp. 566-70.
Bretagne JF, Rey JF, Caekaert A, et al. Routine management of gastro-oesophageal reflux disease by gastroenterologists in France: a prospective observational study. Dig Liver Dis. 2005;37(8):566-70.
Bretagne, J. F., Rey, J. F., Caekaert, A., & Barthélemy, P. (2005). Routine management of gastro-oesophageal reflux disease by gastroenterologists in France: a prospective observational study. Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver, 37(8), pp. 566-70.
Bretagne JF, et al. Routine Management of Gastro-oesophageal Reflux Disease By Gastroenterologists in France: a Prospective Observational Study. Dig Liver Dis. 2005;37(8):566-70. PubMed PMID: 15886080.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Routine management of gastro-oesophageal reflux disease by gastroenterologists in France: a prospective observational study. AU - Bretagne,J F, AU - Rey,J-F, AU - Caekaert,A, AU - Barthélemy,P, PY - 2004/08/27/received PY - 2005/02/15/accepted PY - 2005/5/12/pubmed PY - 2005/12/15/medline PY - 2005/5/12/entrez SP - 566 EP - 70 JF - Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver JO - Dig Liver Dis VL - 37 IS - 8 N2 - AIMS: To obtain data on routine care of gastro-oesophageal reflux disease by French gastroenterologists. PATIENTS: Five thousand and forty-five adults with gastro-oesophageal reflux disease. METHODS: Patients were recruited by a representative sample of 598 French gastroenterologists. A full disease history, with treatments given/investigations undertaken, was obtained from all patients. The patients' expectations with regard to the improvement of the symptoms' control and the corresponding assessments made by the gastroenterologists were recorded on a 4-point scale. RESULTS: The mean time since diagnosis was approximately 4 years. The most commonly presented symptom was heartburn (79% of patients). A total of 3735 patients (74%) underwent endoscopy because of gastro-oesophageal reflux disease. Erosive oesophagitis was present in 38% and Barrett's oesophagus in 8%. Medical therapy for gastro-oesophageal reflux disease was prescribed in 92% of patients, of whom 86% received proton pump inhibitors. Lifestyle advice was given to 73% of patients. Overall, 84% of patients and 72% of physicians expected 'highly' or 'moderately' improved control of gastro-oesophageal reflux disease. Gastroenterologists underrated the need for improvement of the symptoms' control as expressed by 'de novo' as well as 'previously diagnosed' patients. CONCLUSIONS: This study provides cross-sectional data on the management of gastro-oesophageal reflux disease by gastroenterologists in France. Most patients have high expectations of an improvement in their management, but gastroenterologists generally underrate these expectations. SN - 1590-8658 UR - https://www.unboundmedicine.com/medline/citation/15886080/Routine_management_of_gastro_oesophageal_reflux_disease_by_gastroenterologists_in_France:_a_prospective_observational_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1590-8658(05)00142-8 DB - PRIME DP - Unbound Medicine ER -