Changing patterns in reflux care: 10-year comparison of ABEA members

Zhen Gooi, Stacey L. Ishman, Jonathan M. Bock, Joel H. Blumin, Lee M Akst

Research output: Contribution to journalArticle

Abstract

Objectives: To compare patterns of laryngopharyngeal reflux (LPR) diagnosis and management over time by American Broncho-Esophagological Association (ABEA) members. Methods: American Broncho-Esophagological Association members completed an online questionnaire focused on LPR evaluation and management in 2012; responses were compared to a 2002 survey. Results: Four hundred twenty-six members were emailed, of whom 63 (14.8%) responded. In both time periods, throat clearing, heartburn, globus, arytenoid edema, and erythema were considered highly related to LPR. Management in 2012 differed as respondents more commonly treated LPR empirically (82.6% vs 56.3%, P = .036). When adjunctive testing was ordered, dual pH probe were less frequently utilized in 2012 (61.5% vs 78.3%, P = .029). Either esophagogastroduodenoscopy (EGD) or transnasal esophagoscopy (TNE) was used more often in 2012 compared to EGD alone in 2002 (63.8% vs 42.4%, P = .020). Dual pH probe was regarded as the most sensitive and specific evaluation for LPR in both surveys, while the perceived sensitivity/specificity of EGD in 2012 was half that reported in 2002 (28.0% vs 56.3%, P = .003). Conclusion: Attitudes of ABEA members toward empiric treatment and adjunctive tests have changed between 2012 and 2002. While pH probe testing remains the test regarded as most sensitive/specific for evaluation of LPR, empiric management has become more common. Meanwhile, EGD use has increased despite a significant decrease in its perceived sensitivity/specificity.

Original languageEnglish (US)
Pages (from-to)940-946
Number of pages7
JournalAnnals of Otology, Rhinology and Laryngology
Volume124
Issue number12
DOIs
StatePublished - Dec 1 2015

Fingerprint

Laryngopharyngeal Reflux
Digestive System Endoscopy
Esophagoscopy
Time Management
Sensitivity and Specificity
Heartburn
Erythema
Pharynx
Edema
Surveys and Questionnaires

Keywords

  • Diagnosis
  • Gastroesophageal reflux
  • Laryngopharyneal reflux
  • Test
  • Treatment

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Medicine(all)

Cite this

Changing patterns in reflux care : 10-year comparison of ABEA members. / Gooi, Zhen; Ishman, Stacey L.; Bock, Jonathan M.; Blumin, Joel H.; Akst, Lee M.

In: Annals of Otology, Rhinology and Laryngology, Vol. 124, No. 12, 01.12.2015, p. 940-946.

Research output: Contribution to journalArticle

Gooi, Zhen ; Ishman, Stacey L. ; Bock, Jonathan M. ; Blumin, Joel H. ; Akst, Lee M. / Changing patterns in reflux care : 10-year comparison of ABEA members. In: Annals of Otology, Rhinology and Laryngology. 2015 ; Vol. 124, No. 12. pp. 940-946.
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abstract = "Objectives: To compare patterns of laryngopharyngeal reflux (LPR) diagnosis and management over time by American Broncho-Esophagological Association (ABEA) members. Methods: American Broncho-Esophagological Association members completed an online questionnaire focused on LPR evaluation and management in 2012; responses were compared to a 2002 survey. Results: Four hundred twenty-six members were emailed, of whom 63 (14.8{\%}) responded. In both time periods, throat clearing, heartburn, globus, arytenoid edema, and erythema were considered highly related to LPR. Management in 2012 differed as respondents more commonly treated LPR empirically (82.6{\%} vs 56.3{\%}, P = .036). When adjunctive testing was ordered, dual pH probe were less frequently utilized in 2012 (61.5{\%} vs 78.3{\%}, P = .029). Either esophagogastroduodenoscopy (EGD) or transnasal esophagoscopy (TNE) was used more often in 2012 compared to EGD alone in 2002 (63.8{\%} vs 42.4{\%}, P = .020). Dual pH probe was regarded as the most sensitive and specific evaluation for LPR in both surveys, while the perceived sensitivity/specificity of EGD in 2012 was half that reported in 2002 (28.0{\%} vs 56.3{\%}, P = .003). Conclusion: Attitudes of ABEA members toward empiric treatment and adjunctive tests have changed between 2012 and 2002. While pH probe testing remains the test regarded as most sensitive/specific for evaluation of LPR, empiric management has become more common. Meanwhile, EGD use has increased despite a significant decrease in its perceived sensitivity/specificity.",
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