Review ArticleClinical Review

Managing Gastroesophageal Reflux Disease in Primary Care: The Patient Perspective

Harley Liker, Pali Hungin and Ingela Wiklund
The Journal of the American Board of Family Practice September 2005, 18 (5) 393-400; DOI: https://doi.org/10.3122/jabfm.18.5.393

Article Figures & Data

Figures

  • Figure 1.
    Figure 1.

    Flow diagram showing the selection of articles. The abstracts and titles of references within the Medline database were searched using PubMed with the terms (reflux or GERD or GORD or esophagitis or oesophagitis or heartburn and [quality of life or productivity or sleep]), and the search was limited to articles published in English with abstracts.

  • Figure 2.
    Figure 2.

    HRQL dimensions (assessed by SF-36) in German patients with reflux disease, compared with those of the German general population (adapted with permission from Kulig et al, 200310).

  • Figure 3.
    Figure 3.

    Activities affected by frequent heartburn among a community-based sample of 130,000 individuals experiencing heartburn in the United States.12

  • Figure 4.
    Figure 4.

    Effect of GERD on quality of life parameters in 1000 adult Americans experiencing heartburn at least once a week.13

Tables

  • Table 1.

    Proposed Checklist for Evaluating the Impact of GERD

    Physical activities and function
        Impaired in sport and exercise
        Daily activities limited (housework, bending, lifting)
        Avoidance of exertion
    Emotional and social well-being
        Avoidance of social situations triggering heartburn
        Food/alcohol restrictions
        Impaired sexual function
        Feelings of pain and discomfort leading to low mood
        Worry over general health status (anxiety)
    Productivity—work and daily living activities
        Symptoms leading to time off work
        Symptoms impacting on productivity at work
        Avoidance of activities that precipitate symptoms
        Nocturnal symptoms affecting next-day performance
    Sleep disturbances
        Nocturnal heartburn present
        Nighttime cough or asthma
        Sleep disturbed by symptoms
        Impact on next-day well-being and functioning
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