Anti-reflux Surgery Versus Proton Pump Inhibitors for Severe Gastroesophageal Reflux Disease: A Cost-Effectiveness Study in Korea

Park, Susan; Park, Joong-Min; Ryu, Soorack; Hwang, Jinseub; Kwon, Jin-Won; Seo, Kyung Won

doi:10.5056/jnm19188

Cited by 16 publications

(13 citation statements)

References 42 publications

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“…[250][251][252][253][254][255][256][257][258][259] Also, several studies demonstrated that anti-reflux surgery was likely to be cost-effective compared to medical treatment. 255,257,260 From the Statement 22: Anti-reflux surgery can be recommended as an alternative to proton pump inhibitor maintenance therapy to improve symptoms and quality of life in patients with proven gastroesophageal reflux disease.…”

Section: Anti-reflux Surgerymentioning

confidence: 99%

“…256 Recently, a Korean cost-effectiveness study reported that the anti-reflux surgery was less expensive and more effective therapy over the PPI pharmacotherapy after 9 years of follow-up. 260 Physiological tests, such as a 24hour esophageal pH study, should be performed to prove GERD before surgery, and other esophageal motility disorders should be excluded by conducting esophageal manometry. Anti-reflux surgery is an excellent treatment option with a better long-term effect and cost-effectiveness compared to the PPI therapy.…”

Section: Anti-reflux Surgerymentioning

confidence: 99%

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2020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

Jung

Tae

Song

et al. 2021

J Neurogastroenterol Motil

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Based on a meta-analysis of 19 estimated acid-exposure time values in Asians, the reference range upper limit for esophageal acid exposure time was 3.2% (95% confidence interval, 2.7-3.9%) in the Asian countries. Esophageal manometry and novel impedance measurements, including mucosal impedance and a post-reflux swallow-induced peristaltic wave, are promising in discrimination of GERD among different reflux phenotypes, thus increasing its diagnostic yield. We also propose a long-term strategy of evidence-based GERD treatment with proton pump inhibitors and other drugs.

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Section: Anti-reflux Surgerymentioning

confidence: 99%

Section: Anti-reflux Surgerymentioning

confidence: 99%

2020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

Jung

Tae

Song

et al. 2021

J Neurogastroenterol Motil

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“…Inpatient and day case hospital costs are calculated using detailed bottom-up methods and there are plans to expand activity-based funding to acute outpatient services 2 . Several Irish costing studies have used the casemix costs published by the HPO (e.g., Butler et al, 2016;Connolly et al, 2015;O'Sullivan et al, 2016).…”

Section: Why Unit Costs For Non-acute Care In Ireland?mentioning

confidence: 99%

Unit costs for non-acute care in Ireland 2016—2019

et al. 2021

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Background: This paper presents detailed unit costs for 16 healthcare professionals in community-based non-acute services in Ireland for the years 2016—2019. Unit costs are important data inputs for assessments of health service performance and value for money. Internationally, while some countries have an established database of unit costs for healthcare, there is need for a more coordinated approach to calculating healthcare unit costs. In Ireland, detailed cost analysis of acute care is undertaken by the Healthcare Pricing Office but to date there has been no central database of unit costs for community-based non-acute healthcare services. Methods: Unit costs for publicly employed allied healthcare professionals, Public Health Nurses and Health Care Assistant staff are calculated using a bottom-up micro-costing approach, drawing on methods outlined by the Personal Social Services Research Unit in the UK, and on available Irish and international costing guidelines. Data on salaries, working hours and other parameters are drawn from secondary datasets available from Department of Health, Health Service Executive and other public sources. Unit costs for public and private General Practitioner, dental, and long-term residential care (LTRC) are estimated drawing on available administrative and survey data. Results: The unit costs for the publicly employed non-acute healthcare professionals have changed by 2–6% over the timeframe 2016–2019 while larger percentage changes are observed in the unit costs for public GP visits and public LTRC (14-15%). Conclusions: The costs presented here are a first step towards establishing a central database of unit costs for non-acute healthcare services in Ireland. The database will help ensure consistency across Irish health costing studies and facilitate cross-study and cross-country comparisons. Future work will be required to update and expand on the range of services covered and to incorporate new data and methodological developments in cost estimation as they become available.

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“…GERD is conventionally treated with medications, such as PPIs and antacids and more recently, anti-reflux surgery has been suggested 11 . However, GERD is still regarded as a highly prevalent and frequently recurrent and refractory disorder.…”

mentioning

confidence: 99%

The Clinical Feature of Reflux Esophagitis Patients Visiting a Single Korean Medicine Hospital: A Retrospective Study

Lee¹,

Choi²,

Lee³

et al. 2021

J Int Korean Med

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Objectives: This study investigated the clinical characteristics and symptoms of patients with reflux esophagitis (RE) visiting a Korean medicine hospital.Methods: We retrospectively reviewed the medical records of patients with an RE diagnosis who visited a Korean medicine hospital from June 15, 2020, to April 15, 2021. We analyzed the clinical characteristics and the results of a symptoms questionnaire.Results: Our sample included 1,151 patients (711 females). The median age was 58 years; the most common age bracket was 60-69 years. A total of 837 patients (72.7%) presented with symptoms lasting more than one year, and 1,035 (89.9%) had been prescribed medications for more than three months before visiting a Korean medicine hospital. Belching (77.6%) and acid regurgitation (70.9%) were the most frequent symptoms, followed by epigastric pain (61.6%) and throat globus (58.5%). Throat globus was the most bothersome symptom, and 72.4% of the patients experienced the symptom on more than five days in the preceding two weeks. Patients with a longer symptom duration were older (p<0.01) and more likely to be overweight (p=0.03). Patients experiencing symptoms for more than five years were more likely to report throat globus (p=0.02), hoarseness (p<0.01), and coughing (p<0.01).Conclusions: Most RE patients visiting a Korean medicine hospital were females in their sixties with chronic and refractory RE. Atypical symptoms (belching, epigastric pain, and throat globus) were common. Throat globus was highly prevalent in severe cases, suggesting that it warrants attention when treating RE patients.

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Anti-reflux Surgery Versus Proton Pump Inhibitors for Severe Gastroesophageal Reflux Disease: A Cost-Effectiveness Study in Korea

Cited by 16 publications

References 42 publications

2020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

2020 Seoul Consensus on the Diagnosis and Management of Gastroesophageal Reflux Disease

Unit costs for non-acute care in Ireland 2016—2019

The Clinical Feature of Reflux Esophagitis Patients Visiting a Single Korean Medicine Hospital: A Retrospective Study

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