Shaw M
Park Nicollet Institute, Minneapolis, MN 55416-2699, USA.
Gut. 2004 May;53 Suppl 4(Suppl 4):iv25-7. doi: 10.1136/gut.2003.034280.
Symptom assessment, by structured interview or questionnaire, is central to the diagnosis of gastro-oesophageal reflux disease (GORD). However, empiric support for the diagnostic utility of reflux symptom measures is lacking. Reliable reflux symptom questionnaires have been developed with content validity. These questionnaires need to be evaluated in terms of diagnostic accuracy, support for application of specific treatment, and improved outcomes resulting from their use. The impact on clinical outcomes of GORD diagnosis by valid questionnaires or structured interview has not been studied.
通过结构化访谈或问卷进行症状评估是胃食管反流病(GORD)诊断的核心。然而,目前缺乏对反流症状测量诊断效用的实证支持。已经开发出了具有内容效度的可靠反流症状问卷。这些问卷需要在诊断准确性、对特定治疗应用的支持以及使用问卷带来的改善结果方面进行评估。有效问卷或结构化访谈对GORD诊断临床结果的影响尚未得到研究。