The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

Karakaya, Nermin Erdas; Akbulut, Sevtap; Altintaş, Hande; Demir, Mehmet Gökhan; Demır, Necdet; Berk, Derya

doi:10.5152/jarem.2015.698

Cited by 16 publications

(26 citation statements)

References 20 publications

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“…5 Karakaya et al also demonstrated high intra rater and inter rater reliability for RFS score; findings of Vocal fold edema and the thick endolaryngeal mucus showed highest intra rater and inter rater agreement. 6 Study by Branski et al noted relatively poor inter and intra rater agreement for the variables of the laryngeal findings. 7 Only finding of edema of the musculo membranous fold exhibited fair reliability.…”

Section: Resultsmentioning

confidence: 96%

Laryngopharyngeal Reflux: Inter-rater Reliability of Reflux Finding Score in Clinical Practice

Keshavamurthy¹,

Sadashivappa²,

Harsham³

2019

BJOHNS

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Introduction Laryngopharyngeal reflux (LPR) is a clinical entity, caused due to retrograde flow of gastric content into the larynx. It imposes great diagnostic challenge to clinicians because of lack of specific symptoms, signs and validated tool. Reflux Finding Score (RFS) has been proposed for clinical diagnosis of LPR. Inter observer reliability of RFS tool was found out using two independent observers Materials and Methods In this Cross sectional study, ninety LPR subjects were subjected to 90° rigid endoscopic examination of larynx and RFS scores were calculated by two observers. Inter observer reliability of RFS was calculated using Kappa value. Results Most commonly observed laryngeal findings were erythema/hyperemia, posterior commissure hypertrophy, and vocal fold edema. Subglottic edema, thick endolaryngeal mucus and erythema had fair agreement. Conclusion There was a poor agreement between observers for total RFS score. The variables like subglottic edema, erythema/hyperemia, and thick endolaryngeal mucus showed fair agreement between the raters. The findings of diffuse laryngeal edema and posterior commissure hypertrophy showed poor inter rater reliability.

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Section: Resultsmentioning

confidence: 96%

Laryngopharyngeal Reflux: Inter-rater Reliability of Reflux Finding Score in Clinical Practice

Keshavamurthy¹,

Sadashivappa²,

Harsham³

2019

BJOHNS

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“…Research into early detection and diagnosis of LPRD with a simple, economical and non invasive instrument led Belfasky et al to develop the RFS an 8-item, validated, reliable, easily administered clinical severity scale used to interpret the most common laryngoscopic findings related to LPRD. As subtle findings of LPRD are present in most individuals, RFS [ 7 indicates that the patient has LPRD with 95% certainty [16,17], and is thus a part of the standard diagnostic protocol for patients with dysphonia in our Department. Twenty-four-hour ambulatory dual-probe pH monitoring is currently the gold standard for the objective diagnosis of LPRD [16].…”

Section: Discussionmentioning

confidence: 99%

“…As subtle findings of LPRD are present in most individuals, RFS [ 7 indicates that the patient has LPRD with 95% certainty [16,17], and is thus a part of the standard diagnostic protocol for patients with dysphonia in our Department. Twenty-four-hour ambulatory dual-probe pH monitoring is currently the gold standard for the objective diagnosis of LPRD [16]. Multichannel intraluminal impedance measurement has been added to pH monitoring (MII-pH) and may improve diagnostic accuracy.…”

Section: Discussionmentioning

confidence: 99%

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Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

Mathew

Shilpa

2018

Indian J Otolaryngol Head Neck Surg

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To establish the prevalence of etiological factors for dysphonia in elderly individuals in rural India. Hundred adults aged C 65 years, who presented with dysphonia for C 4 weeks and underwent detailed clinical evaluation including videolaryngoscopic assessment and other appropriate investigations/evaluation, were included in a retrospective cohort clinical study. Patients were classified into eight groups for further descriptive statistical analysis based on standard diagnostic criteria/guidelines i.e. benign vocal cord lesions, inflammatory disorders of the larynx, laryngeal and hypopharyngeal neoplasms, isolated vocal cord palsy/paresis, presbylaryngis, central neurological disorders affecting laryngeal function, impaired pulmonary function and non specific dysphonia. Mean age was 70.73 ± 4.29 years. 58% were aged between 65 and 69 years. Overall, the common causes for dysphonia were laryngopharyngeal reflux disease (23%), carcinoma larynx (12%) and presbylaryngis (8%). Inflammatory disorders of the larynx, benign vocal cord lesions and laryngeal/hypopharyngeal malignancies were the commonest causes for dysphonia in individuals aged between 65 and 74 years. Presbylaryngis and systemic causes were the commonest among individuals aged 75-89 years. 63 males and 37 females met the inclusion criteria. The most common cause for dysphonia among females was laryngopharyngeal reflux disease (17%), followed by vocal palsy (5%) and spasmodic dysphonia (4%). Carcinoma larynx (12%) was the most common cause for dysphonia among males, followed by laryngopharyngeal reflux (6%) and presbylaryngis (6%). Geriatric dysphonia is an often overlooked symptom of greater underlying disease as evidenced in this study. With its impact on the quality of life in this age group and life expectancy in the rural population, dysphonia requires early detection, prompt evaluation and appropriate management.

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“…LPR is a big problem for public health because of its high incidence, which is about 10% of all patients who come to the ENT doctor's practice. 1,5,6 Previous studies reported that risk factors for age, sex, BMI, smoking history and diet determine the severity of LPR, which can lead to mental problems in patients. Duration of symptoms may be a risk factor because it can aggravate LPR.…”

Section: Introductionmentioning

confidence: 99%

The association of risk factors with psychiatric symptoms and quality of life in laryngopharyngeal reflux disease patients

et al. 2020

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Background: Risk factors for laryngopharyngeal reflux (LPR), such as age, gender, BMI, smoking history and dietary habit affect the severity of LPR. These risk factors have a clinical impact on both social and emotional aspects, which can reduce the quality of life. Thus led the researchers to analyse association between these risk factors with psychiatric symptoms and quality of life for LPR sufferers.Methods: Analytical descriptive research with cross-sectional approach to LPR patients in ENT clinic RSUP Dr. Kariadi Semarang. Sixty six samples aged 18-60 years and met the criteria of the researcher were measured using the DASS 21 questionnaire and the RQS questionnaire. Statistical analysis used the chi-square test.Results: Obtained 66 subjects with a mean age of 45.1 years, there were more women than men (75.8%). Analysis of risk factors associated with depression found gender (p=1.000), age (p=1.000), duration of symptoms (p=1.000), BMI (p=0.132), smoking (p=0.452), and diet (p=1.000). Analysis of risk factors with anxiety obtained gender (p=0.340), age (p=0.743), duration of symptoms (p=0.085), BMI (p=0.322), smoking history (p=1.000), and diet (p=1.000). Analysis of risk factors with stress obtained gender (p=0.798), age (p=0.088), duration of symptoms (p=0.324), BMI (p=0.276), smoking history (p=0.606) and diet (p=0.538). Analysis of the gender association related to the quality of life LPR patients (p=0.032).Conclusions: Duration of symptoms, age, BMI, smoking history and diet were not associated with psychiatric symptoms and quality of life in LPR sufferers. Gender is not associated with psychiatric symptoms but is related to quality of life.

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The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

Cited by 16 publications

References 20 publications

Laryngopharyngeal Reflux: Inter-rater Reliability of Reflux Finding Score in Clinical Practice

Laryngopharyngeal Reflux: Inter-rater Reliability of Reflux Finding Score in Clinical Practice

Geriatric Dysphonia: Etiological Analysis in a Rural Hospital in India

The association of risk factors with psychiatric symptoms and quality of life in laryngopharyngeal reflux disease patients

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