Laryngopharyngeal Reflux: Correlation Between Symptoms and Signs by Means of Clinical Assessment Questionnaires and Fibroendoscopy. Is This Sufficient for Diagnosis?

Iglesia, F. Vázquez de la; González, Secundino Fernández; Gómez, María de la Cámara

doi:10.1016/s2173-5735(07)70381-2

Cited by 12 publications

(12 citation statements)

References 13 publications

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“…The RFS and RSI were found to have limited value, particularly in symptomatic patients in three other studies, in concordance with the results of our study . Park reviewing a group of globus patients concluded that the RSI and RFS were less valid as diagnostic tools for LPR when used independently .…”

Section: Discussionsupporting

confidence: 90%

“…Park reviewing a group of globus patients concluded that the RSI and RFS were less valid as diagnostic tools for LPR when used independently . A Spanish group found the RFS and RSI to be particularly limited in symptomatic patients who actually attend clinics and therefore suggested the RFS and RSI should not be used in isolation . Keichner et al .…”

Section: Discussionmentioning

confidence: 99%

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Comparing the diagnosis of laryngopharyngeal reflux between the reflux symptom index, clinical consultation and reflux finding score in a group of patients presenting to an ENT clinic with an interest in voice disorders: a pilot study in thirty‐five patients

Watson

Kwame

Oakeshott

et al. 2013

Clinical Otolaryngology

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Comparing the diagnosis of laryngopharyngeal reflux between the reflux symptom index, clinical consultation and reflux finding score in a group of patients presenting to an ENT clinic with an interest in voice disorders: a pilot study in thirty‐five patients

Watson

Kwame

Oakeshott

et al. 2013

Clinical Otolaryngology

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“…[16] In contrast to the above studies, in our study we observed no statistically significant correlation between RSI and RFS (r = 0.078; P = 0.501) at baseline, as well as on follow-up after treatment (r = 0.172, P = 0.136). We have also observed that patients with a high symptom score (RSI > 13) had no corresponding signs or high RFS.…”

Section: Discussioncontrasting

confidence: 99%

Correlation between reflux symptom index and reflux finding score in patients with laryngopharyngeal reflux: Our experience

Satish¹,

Datta²,

B³

et al. 2016

JCRI

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Background: Laryngopharyngeal reflux (LPR) also known as extraesophageal reflux disease refers to retrograde flow of gastric contents to the upper aero-digestive tract. Belafsky, Postma, and Koufman have developed the reflux symptom index (RSI) and the reflux finding score (RFS) to diagnose LPR. Although both have been widely used, there is some controversy about their sensitivity and specificity in LPR diagnosis. Materials and Methods:Patients who presented with symptoms of LPR were prospectively evaluated to study the correlation between scoring systems of RSI and RFS and also to assess the change in scores of RSI and RFS following 1 month of treatment with proton pump inhibitors (PPIs). Wilcoxon signed rank test and Student's t-test (paired) have been used to find the significance of RSI and RFS components at baseline and follow-up. Pearson correlation of RSI and RFS scores are done at baseline and follow-up. Results: In our study, we found no correlation between the RSI and RFS at baseline (P = 0.501) as well as on follow-up after treatment (P = 0.136). A significant improvement was noted in the RSI following treatment with PPIs for 1 month but no improvement was noted in the signs following treatment. Conclusion: Based on our analysis, RSI scoring alone is fast and convenient to start treatment for patients with LPR medically along with lifestyle modifications.

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“…11 similarly, in another study done by Vázquez de la Iglesia et al on 34 patients, a statistically significant correlation was found between the RSI and RFS (r = 0.3, p = 0.007). 12 Unlike all these studies, Satish et al study result shows no correlation between the RSI and RFS (p=0.501). 4…”

Section: Discussionmentioning

confidence: 83%

Correlation between Reflux Symptom Index and Reflux Finding Score in Laryngopharyngeal Reflux

Sharma

Paudel

2021

J. Nepalgunj Med. College

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Introduction: Laryngopharyngeal reflux is an extra esophageal variant of gastro esophageal reflux disease and is characterized by change in voice, recurrent throat clearing, chronic cough, discomfort in throat, globus. The larynx and pharynx are devoid of the normal acid clearance mechanism even three episodes of reflux per week seems to be associated with a significant disease. Aims: The aim of the study was to evaluate the correlation between the reflux symptom index and reflux finding score in patients with Laryngopharyngeal reflux. Methods: This prospective analytical study was conducted from November 2019 to October 2020 in total of 65 patients presented in department of Otorhinolaryngology, Nepalgunj Medcial College and Teaching Hospital, Nepalgunj. Reflux symptom index questionnaire with nine Questions were answered by patients on a 5 point scale. Reflux symptom index of more than 13 out of total score of 45 was considered to indicate Laryngopharyngeal reflux were as, reflux finding score was based on laryngoscopic findings after evaluating 8 items. Score more than 7 out of 26 was taken as an indicator for presence of Laryngopharyngeal reflux. Results: The reflux symptom index was more than 13 on 22 patients withmean11.85±3.48 and reflux finding score was more than 7 on 11 patients with mean 5.02±3.23 with statistically moderate correlation between reflux symptom index and reflux finding score (p=0.000,r=0.595). Conclusion: There is moderate correlation between the reflux symptom index and reflux finding score. The combined use of these questionnaires and laryngoscopic findings can be more precise, practical and cost effective in the diagnosis of laryngopharyngeal reflux.

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Laryngopharyngeal Reflux: Correlation Between Symptoms and Signs by Means of Clinical Assessment Questionnaires and Fibroendoscopy. Is This Sufficient for Diagnosis?

Cited by 12 publications

References 13 publications

Comparing the diagnosis of laryngopharyngeal reflux between the reflux symptom index, clinical consultation and reflux finding score in a group of patients presenting to an ENT clinic with an interest in voice disorders: a pilot study in thirty‐five patients

Comparing the diagnosis of laryngopharyngeal reflux between the reflux symptom index, clinical consultation and reflux finding score in a group of patients presenting to an ENT clinic with an interest in voice disorders: a pilot study in thirty‐five patients

Correlation between reflux symptom index and reflux finding score in patients with laryngopharyngeal reflux: Our experience

Correlation between Reflux Symptom Index and Reflux Finding Score in Laryngopharyngeal Reflux

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