Is Esophageal pH Monitoring Used Appropriately in an Open-Access System? A Prospective Multicenter Study

Radaelli, Franco; Strocchi, Enrico; Passaretti, Sandro; Strada, E.; Frego, Roberto; Dinelli, M.; Fossati, Daniela; Barzaghi, F.; Limido, E.; Bortoli, A.; Casa, Domenico Della; Missale, Guido; Snider, Licia; Noris, R.; Viviani, G; Minoli, Giorgio

doi:10.1111/j.1572-0241.2004.40175.x

Cited by 6 publications

(1 citation statement)

References 27 publications

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“…In a prospective multicenter study done in Italy and published in 2004, only 323 examinations (38%) performed were for appropriate indications, and the vast majority for pH monitoring indications were inconsistent with the guidelines. 31 In contrast, Ali, et al found that that pH monitoring is underutilized in the evaluation of persistent GERD symptoms after anti-reflux surgery. 32 …”

Section: Diagnostic Testing and Endoscopic Interventionsmentioning

confidence: 99%

The Quality of Care for Gastroesophageal Reflux Disease

Yadlapati¹,

Dakhoul

Pandolfino³

et al. 2016

Dig Dis Sci

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Section: Diagnostic Testing and Endoscopic Interventionsmentioning

confidence: 99%

The Quality of Care for Gastroesophageal Reflux Disease

Yadlapati¹,

Dakhoul

Pandolfino³

et al. 2016

Dig Dis Sci

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Microelectrodes for in-vivo determination of pH

Zhou¹

2008

Electrochemical Sensors, Biosensors and Their Biomedical Applications

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Reflux and sex

Nusrat

Bielefeldt

2012

European Journal of Gastroenterology & Hepatology

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Gastroesophageal reflux (GER) affects ∼10-20% of American adults. Although symptoms are equally common in men and women, we hypothesized that sex influences diagnostic and therapeutic approaches in patients with GER. PubMed database between 1997 and October 2011 was searched for English language studies describing symptoms, consultative visits, endoscopic findings, use and results of ambulatory pH study, and surgical therapy for GER. Using data from Nationwide Inpatient Sample, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, we determined the sex distribution for admissions and reflux surgery between 1997 and 2008. Studies on symptoms or consultative visits did not show sex-specific differences. Even though women are less likely to have esophagitis or Barrett's esophagus, endoscopic studies enrolled as many women as men, and women were more likely to undergo ambulatory pH studies with a female predominance in studies from the US. Surgical GER treatment is more commonly performed in men. However, studies from the US showed an equal sex distribution, with Nationwide Inpatient Sample data demonstrating an increase in women who accounted for 63% of the annual fundoplications in 2008. Despite less common or severe mucosal disease, women are more likely to undergo invasive diagnostic testing. In the US, women are also more likely to undergo antireflux surgery. These results suggest that healthcare-seeking behavior and socioeconomic factors rather than the biology of disease influence the clinical approaches to reflux disease.

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Is Esophageal pH Monitoring Used Appropriately in an Open-Access System? A Prospective Multicenter Study

Cited by 6 publications

References 27 publications

The Quality of Care for Gastroesophageal Reflux Disease

The Quality of Care for Gastroesophageal Reflux Disease

Microelectrodes for in-vivo determination of pH

Reflux and sex

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