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Vol. 70, No. 3, 2004
Issue release date: 2004
Section title: Original Paper
Digestion 2004;70:173–177
(DOI:10.1159/000081626)

Medical Consultation for Gastro-Oesophageal Reflux Symptoms: Reasons and Associated Factors

Rey E.a · Moreno-Elola-Olaso C.a · Rodriguez-Artalejo F.b · Diaz-Rubio M.a
aService of Digestive Diseases, Hospital Clínico San Carlos, Universidad Complutense, Madrid, and bDepartment of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 3/23/2004
Accepted: 8/13/2004
Published online: 1/19/2005
Issue release date: 2004

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: http://www.karger.com/DIG

Abstract

Objectives: To evaluate the frequency of medical consultation for gastro-oesophageal reflux symptoms (GORS) and to ascertain reasons for consultation and associated factors. Methods: Telephone survey of 2,500 persons using a validated questionnaire. Data were analyzed using multiple logistic regression, in which the dependent variable was consultation for GORS and the independent variables were sociodemographic factors and the clinical characteristics of GORS. Results: Of those reporting GORS, 28% had consulted their physician about them in the last year. Main reasons for seeking medical advice were GORS-induced concern in 48%, and intensity of GORS in 42.6%. Factors independently associated with medical consultation were: housewife (odds ratio (OR) 1.9; 95% CI 1.1–3.4) or retired status (OR 2.3; 95% CI 1.3–4.1), frequent GORS (OR 2.4; 95% CI 1.6–3.5), severe GORS (OR 2.4; 95% CI 1.4–4.2), nocturnal GORS (OR 1.6; 95% CI 1.1–2.3), and association of epigastric pain (OR 1.7; 95% CI 1.0–2.7) or nausea (OR 1.7; 95% CI 1.1–2.8). Conclusion: The high frequency of medical consultation for GORS in Spain makes it an important healthcare problem. The fact that half the patients seek medical advice due to concern about the nature of GORS illustrates the benefits of explaining the nature, treatment and prognosis of GORS. The clinical relevance of GORS does not reside in its frequency alone, since severe or nocturnal symptoms, albeit occasional, are also associated with medical consultation.

© 2004 S. Karger AG, Basel


  

Author Contacts

Dr. Enrique Rey
Servicio de Aparato Digestivo, Hospital Clínico San Carlos
c/ Martín Lagos s/n
ES–28040 Madrid (Spain)
Tel. +34 913303053, E-Mail erey.hcsc@salud.madrid.org

  

Article Information

Received: March 23, 2004
Accepted: August 13, 2004
Published online: October 18, 2004
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 1, Number of References : 17

  

Publication Details

Digestion (International Journal of Gastroenterology)

Vol. 70, No. 3, Year 2004 (Cover Date: 2004)

Journal Editor: C. Beglinger, Basel; B. Göke, Munich
ISSN: 0012–2823 (print), 1421–9867 (Online)

For additional information: http://www.karger.com/dig


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 3/23/2004
Accepted: 8/13/2004
Published online: 1/19/2005
Issue release date: 2004

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0012-2823 (Print)
eISSN: 1421-9867 (Online)

For additional information: http://www.karger.com/DIG


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