Prevalence and Characteristics of Symptomatic Gastroesophageal Reflux Disease in the Elderly

Räihä, Ismo; Impivaara, Olli; Seppälä, M; Sourander, L.

doi:10.1111/j.1532-5415.1992.tb03643.x

Cited by 67 publications

(18 citation statements)

References 13 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the 20 symptom scales, there were five evaluative scales (see below). The other scales were designed and validated for use as diagnostic tools (n = 7) [23, 24,33,34,35,38,39,40, 47] or for epidemiological studies (n = 8) [25,30,31,32, 36, 41, 43, 44, 48]. As this review focuses on instruments that are responsive to treatment effects, evaluative scales are discussed in more detail.…”

Section: Review Of the Literature: Methods And Resultsmentioning

confidence: 99%

“…Several studies used QoL assessments and, as symptoms are one of the four components of health-related QoL, QoL instruments were considered if they had been used in patient populations with gastrointestinal disease. A summary of the content and psychometric properties demonstrated for all identified questionnaires and scales to date is shown in table 2[23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65]. …”

Section: Review Of the Literature: Methods And Resultsmentioning

confidence: 99%

“…There are several scales that have identified key items able to separate GERD patients from healthy subjects in epidemiological studies. These key items are heartburn, acid regurgitation, medication use and respiratory symptoms [32, 48]. Other symptoms resulting from oesophageal motor disorders or pharyngo-oesophageal motility disorders have been found to be somewhat more prevalent or severe in GERD patients [12], although they cannot be significantly correlated with the presence of GERD.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review: Do We Need a New Gastro-Oesophageal Reflux Disease Questionnaire?

et al. 2007

View full text Add to dashboard Cite

Background: Gastro-oesophageal reflux disease (GERD) is highly prevalent in Western countries. Because the majority of patients do not present with endoscopic abnormalities, the assessment of the symptom severity and quality of life, and their response to treatment, has become increasingly important. Self-assessed symptom questionnaires are now key instruments in clinical trials. Aim: To evaluate the validity of available GERD measurement tools. Methods: An ideal GERD symptom assessment instrument, suitable as a primary end-point for clinical trials, should possess the following characteristics: (i) be sensitive in patients with GERD; (ii) cover the frequency and intensity of typical and atypical GERD symptoms; (iii) be multidimensional (cover all symptom dimensions); (iv) have proven psychometric properties (validity, reliability and responsiveness); (v) be practical and economical; (vi) be self-assessed; (vii) use ‘word pictures’ which are easy to understand for patients; (viii) respond rapidly to changes (responsiveness over short time intervals); (ix) be used daily to assess changes during and after therapy; and (x) be valid in different languages for international use. Results: A literature review revealed five scales that met some of the above characteristics, but did not fulfil all criteria. Conclusion: There is a need for a new evaluative tool for the assessment of GERD symptoms and their response to therapy.

show abstract

Section: Review Of the Literature: Methods And Resultsmentioning

confidence: 99%

Section: Review Of the Literature: Methods And Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review: Do We Need a New Gastro-Oesophageal Reflux Disease Questionnaire?

et al. 2007

View full text Add to dashboard Cite

show abstract

“…The correlation between GERD and symptoms in younger and middle-aged patients is weak and extremely variable, [8][9][10][11] and the symptoms vary even more widely among older patients, whose perception of pain and discomfort may differ. [12][13][14][15] Multiple comorbid conditions may also mask reflux symptoms in older patients, and this increases the complexity of diagnosis and treatment. 16 There are divergent views in the published literature regarding the relationship between age and gastric acidity.…”

Section: Introductionmentioning

confidence: 99%

Non-acid Gastroesophageal Reflux Measured Using Multichannel Intraluminal Impedance in Older Patients

Schneider

Küper

Königsrainer

et al. 2010

Journal of Gastrointestinal Surgery

View full text Add to dashboard Cite

show abstract

“…Extraoesophageal symptoms are also common in older patients with GORD [24]. These are chiefly oropharyngeal or respiratory, which may lead to confusion over the exact diagnosis.…”

Section: Prevalence and Presentationmentioning

confidence: 99%

Managing Gastro-Oesophageal Reflux Disease in the Older Patient

Hungin

Raghunath²

2004

Digestion

View full text Add to dashboard Cite

Gastro-oesophageal reflux disease (GORD) in older patients presents particular problems for the clinician. Older patients may present with complications rather than with symptoms, which may be less marked than in younger patients. Extraoesophageal symptoms are also more common in this group, and this may lead to confusion over the exact diagnosis. The increased likelihood of co-pathologies and concomitant medication complicate diagnosis and management further. GORD tends to be more severe for any level of symptom severity in the older patient. Erosive oesophagitis is more common among older people with GORD, meaning that this group is more likely to require aggressive therapy for both symptom relief and oesophagitis healing – full or high doses of acid suppression therapy may be necessary.

show abstract

Prevalence and Characteristics of Symptomatic Gastroesophageal Reflux Disease in the Elderly

Abstract: Symptoms suggestive of gastroesophageal reflux disease are common in elderly subjects. Women suffer from these symptoms more frequently than men. Typical reflux symptoms are often associated with atypical complaints, such as abdominal symptoms, chest pain, or respiratory symptoms.

Cited by 67 publications

References 13 publications

Systematic Review: Do We Need a New Gastro-Oesophageal Reflux Disease Questionnaire?

Systematic Review: Do We Need a New Gastro-Oesophageal Reflux Disease Questionnaire?

Non-acid Gastroesophageal Reflux Measured Using Multichannel Intraluminal Impedance in Older Patients

Managing Gastro-Oesophageal Reflux Disease in the Older Patient

Contact Info

Product

Resources

About