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系统评价:用于评估胃食管反流病的问卷

Systematic review: questionnaires for assessment of gastroesophageal reflux disease.

作者信息

Bolier E A, Kessing B F, Smout A J, Bredenoord A J

机构信息

Academic Medical Centre Amsterdam, Amsterdam, The Netherlands.

出版信息

Dis Esophagus. 2015 Feb-Mar;28(2):105-20. doi: 10.1111/dote.12163. Epub 2013 Dec 18.

Abstract

Numerous questionnaires with a wide variety of characteristics have been developed for the assessment of gastroesophageal reflux disease (GERD). Four well-defined dimensions are noticeable in these GERD questionnaires, which are symptoms, response to treatment, diagnosis, and burden on the quality of life of GERD patients. The aim of this review is to develop a complete overview of all available questionnaires, categorized per dimension of the assessment of GERD. A systematic search of the literature up to January 2013 using the Pubmed database and the Embase database, and search of references and conference abstract books were conducted. A total number of 65 questionnaires were extracted and evaluated. Thirty-nine questionnaires were found applicable for the assessment of GERD symptoms, three of which are generic gastrointestinal questionnaires. For the assessment of response to treatment, 14 questionnaires were considered applicable. Seven questionnaires with diagnostic purposes were found. In the assessment of quality of life in GERD patients, 18 questionnaires were found and evaluated. Twenty questionnaires were found to be used for more than one assessment dimension, and eight questionnaires were found for GERD assessment in infants and/or children. A wide variety of GERD questionnaires is available, of which the majority is used for assessment of GERD symptoms. Questionnaires differ in aspects such as design, validation and translations. Also, numerous multidimensional questionnaires are available, of which the Reflux Disease Questionnaire is widely applicable. We provided an overview of GERD questionnaires to aid investigators and clinicians in their search for the most appropriate questionnaire for their specific purposes.

摘要

为评估胃食管反流病(GERD),人们已经开发出了众多具有各种各样特征的问卷。在这些GERD问卷中,可以明显看出四个明确的维度,即症状、治疗反应、诊断以及GERD患者生活质量所受负担。本综述的目的是全面概述所有可用问卷,并按照GERD评估的各个维度进行分类。我们利用PubMed数据库和Embase数据库对截至2013年1月的文献进行了系统检索,并对参考文献和会议摘要书籍进行了搜索。总共提取并评估了65份问卷。发现有39份问卷适用于评估GERD症状,其中3份是通用的胃肠道问卷。对于治疗反应的评估,有14份问卷被认为适用。发现了7份具有诊断目的的问卷。在GERD患者生活质量评估方面,找到了18份问卷并进行了评估。发现有20份问卷用于不止一个评估维度,还有8份问卷用于婴儿和/或儿童的GERD评估。有各种各样的GERD问卷可供使用,其中大多数用于评估GERD症状。问卷在设计、验证和翻译等方面存在差异。此外,有许多多维问卷,其中反流病问卷应用广泛。我们提供了一份GERD问卷综述,以帮助研究人员和临床医生为其特定目的寻找最合适的问卷。

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