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|Title:||Natural history of gastro-oesophageal reflux disease diagnosed in general practice|
Garcia Rodriguez, A.
|Citation:||Alimentary Pharmacology & Therapeutics, 2004; 20(7):751-760|
|Publisher:||Blackwell Publishing Ltd|
|Abstract:||Cross-sectional studies indicate that gastro-oesophageal reflux disease symptoms have a prevalence of 10-20% in Western countries and are associated with obesity, smoking, oesophagitis, chest pain and respiratory disease.To determine the natural history of gastro-oesophageal reflux disease presenting in primary care in the UK.Patients with a first diagnosis of gastro-oesophageal reflux disease during 1996 were identified in the UK General Practice Research Database and compared with age- and sex-matched controls. We investigated the incidence of gastro-oesophageal reflux disease, potential risk factors and comorbidities, and relative risk for subsequent oesophageal complications and mortality.The incidence of a gastro-oesophageal reflux disease diagnosis was 4.5 per 1000 person-years (95% confidence interval: 4.4-4.7). Prior use of non-steroidal anti-inflammatory drugs, smoking, excess body weight and gastrointestinal and cardiac conditions were associated with an increased risk of gastro-oesophageal reflux disease diagnosis. Subjects with gastro-oesophageal reflux disease had an increased risk of respiratory problems, chest pain and angina in the year after diagnosis, and had a relative risk of 11.5 (95% confidence interval: 5.9-22.3) of being diagnosed with an oesophageal complication. There was an increase in mortality in the gastro-oesophageal reflux disease cohort only in the year following the diagnosis.Gastro-oesophageal reflux disease is a disease associated with a range of potentially serious oesophageal complications and extra-oesophageal diseases.|
|Keywords:||Humans; Gastroesophageal Reflux; Nitrates; Steroids; Anti-Inflammatory Agents, Non-Steroidal; Antirheumatic Agents; Risk Factors; Cohort Studies; Family Practice; Adolescent; Adult; Aged; Middle Aged; Child; Child, Preschool; Infant; Patient Acceptance of Health Care; Female; Male; United Kingdom|
|Appears in Collections:||Medicine publications|
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