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. 2006 Mar;30(3):364-70.
doi: 10.1016/s0399-8320(06)73189-x.

Gastroesophageal reflux disease in primary care. Prevalence, epidemiology and Quality of Life of patients

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Free article

Gastroesophageal reflux disease in primary care. Prevalence, epidemiology and Quality of Life of patients

Stanislas Bruley Des Varannes et al. Gastroenterol Clin Biol. 2006 Mar.
Free article

Abstract

Aim: To determine the prevalence of typical symptoms of gastroesophageal reflux disease in a large group of patients consulting their general practitioners (GP) for diverse reasons, as well as the quality-of-life (QoL) of patients with such symptoms.

Patients and methods: During the same day, participating GPs (N=3 200) systematically asked all of their patients about the presence of heartburn and regurgitation. For all patients who responded positively, the GPs filled in a questionnaire and the patient a specific QoL questionnaire.

Results: Among 40 982 patients attending GP consultations, 4 124 (10.1%) had one or both symptoms. Prevalence was higher in men (11.1%) than in women (9.3%, P<0.001), and increased with age up to 50-59 yrs then slowly declined. Symptoms were present on a weekly basis in 72.8% of patients. Smoking, frequent or nocturnal occurrence of symptoms, regurgitation, and esophagitis were significantly linked up with a higher occurrence of extra-digestive symptoms (cough, ENT symptoms, chest pain). QoL declined with increasing frequency of symptoms, which especially affected food intake, psychology, well-being and daily life.

Conclusion: In France, typical symptoms of gastroesophageal reflux disease are observed in 10% of the adult population, and markedly alter their QoL.

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