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Routine management of gastro-oesophageal reflux disease by gastroenterologists in France: a prospective observational study.

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.

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  • 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.fr

    , ,

    Source

    MeSH

    Barrett Esophagus
    Cross-Sectional Studies
    Endoscopy, Digestive System
    Esophagitis
    Female
    France
    Gastroenterology
    Gastroesophageal Reflux
    Gastrointestinal Agents
    Heartburn
    Histamine H2 Antagonists
    Humans
    Life Style
    Male
    Middle Aged
    Patient Satisfaction
    Practice Patterns, Physicians'
    Prospective Studies
    Proton Pump Inhibitors
    Severity of Illness Index

    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 -