Changing Patterns in Reflux Care: 10-Year Comparison of ABEA Members. Ann Otol Rhinol Laryngol 2015 Dec;124(12):940-6
Date
06/21/2015Pubmed ID
26091843DOI
10.1177/0003489415592407Scopus ID
2-s2.0-84953432824 (requires institutional sign-in at Scopus site) 22 CitationsAbstract
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.
Author List
Gooi Z, Ishman SL, Bock JM, Blumin JH, Akst LMAuthors
Joel H. Blumin MD Chief, Professor in the Otolaryngology department at Medical College of WisconsinJonathan Bock MD Professor in the Otolaryngology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Esophageal pH MonitoringEsophagoscopy
Humans
Laryngopharyngeal Reflux
Otolaryngology
Practice Patterns, Physicians'
Proton Pump Inhibitors
Referral and Consultation
Sensitivity and Specificity
Societies, Medical
Surveys and Questionnaires
United States
