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意大利医生对胃食管反流症状的评估——反流病问卷调查

Assessment of gastro-oesophageal reflux symptoms in Italian physicians -- a survey by Reflux Disease Questionnaire.

作者信息

Pace F, Molteni P, Casini V, Pallotta S, Bianchi Porro G

机构信息

Chair and Division of Gastroenterology, Department of Clinical Sciences "L. Sacco", University of Milan, Milan, Italy.

出版信息

Dig Liver Dis. 2008 Apr;40(4):235-9. doi: 10.1016/j.dld.2007.11.027. Epub 2008 Feb 1.

Abstract

BACKGROUND

The prevalence of gastro-oesophageal reflux disease symptoms in physicians, as compared to that of the general population, is not known.

METHODS

We submitted a validated Italian version of a simple questionnaire (Reflux Disease Questionnaire) to 490 physicians and 430 controls to assess: (i) the presence, frequency and severity of gastro-oesophageal reflux disease symptoms in the two populations; (ii) how the self-assessment of troublesome gastro-oesophageal reflux disease symptoms by physicians correlate with a pathological Reflux Disease Questionnaire, judged on the basis of a total Reflux Disease Questionnaire score >or=8.

RESULTS

A valid and complete questionnaire was obtained in 456/490 (93.1%) physicians and 367/430 (85.3%) controls. Between the two groups there were no differences in terms of total Reflux Disease Questionnaire score or individual items, with the only exception of "severity of burning feeling behind breastbone" which was significantly higher in the physician group. An excellent correlation was found between the self-assessment by physician and the total Reflux Disease Questionnaire score.

CONCLUSIONS

The prevalence of gastro-oesophageal reflux disease symptoms among Italian doctors is not different from that reported by a matched control group, and that their ability in self-assessing a troublesome gastro-oesophageal reflux disease is optimal.

摘要

背景

与普通人群相比,医生中胃食管反流病症状的患病率尚不清楚。

方法

我们向490名医生和430名对照者发放了一份经过验证的意大利语版简单问卷(反流病问卷),以评估:(i)这两个人群中胃食管反流病症状的存在情况、频率和严重程度;(ii)医生对困扰性胃食管反流病症状的自我评估与基于反流病问卷总分≥8判定的病理性反流病问卷之间的相关性。

结果

456/490(93.1%)名医生和367/430(85.3%)名对照者获得了有效且完整的问卷。两组之间在反流病问卷总分或单个项目方面没有差异,唯一的例外是“胸骨后烧灼感的严重程度”,医生组明显更高。医生的自我评估与反流病问卷总分之间存在极好的相关性。

结论

意大利医生中胃食管反流病症状的患病率与匹配对照组报告的患病率没有差异,并且他们自我评估困扰性胃食管反流病的能力是最佳的。

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