生活质量表及其在评估无严重食管炎的胃食管反流病的局部治疗中的影响:MOSSF-36问卷的重要性

来源 :世界核心医学期刊文摘(胃肠病学分册) | 被引量 : 0次 | 上传用户:wyn44298
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Objective - Restoring a normal quality of life (QOL) should be the goal of treatments of gastro-esophageal reflux (GER) without severe esophagitis. In this analysis, carried out within the frame of a clinical study comparing a topical anti-inflammatory gel to a placebo, we assessed the relevance of the MOS SF-36 questionnaire in patients suffering from GER without severe esophagitis, and compared the scores of the studied patients to those of a representative sample of the French general population. Patients and methods - The patients had to suffer from GER symptoms for at least 2 months, with no or mild (≤ grade 1) esophagitis endoscopy. They were randomized to be given a 4 week treatment either with a topical gel containing gaiazulene and dimeticone or a placebo gel. Patients were asked to complete a symptom diary during the study, which allowed the calculation of mean symptom scores. The MOS SF-36 questionnaire was administered at baseline (d0) and after 4 weeks of treatment (d28). Results-Two hundred and thirty three patients were enrolled in the sudy. At baseline, QOL scores were impaired in both groups. After 4 weeks of treatment: the treated patients displayed better improvement in all MOS SF-36 domains compared with the placebo group. The QOL profile in the treated group reached the level of the French reference population, while it remained impaired in the placebo group. Conclusion - This analysis evidenced the relevancy of the MOS SF-36 questionnaire to assess the impact of GER without severe esophagitis on QOL.Moreover, it demonstrated the capacity of the studied topical treatment to restore a normal QOL to the patients. Objective-Restoring a normal quality of life (QOL) should be the goal of treatments of gastro-esophageal reflux (GER) without severe esophagitis. In this analysis, carried out within the frame of a clinical study comparing a topical anti-inflammatory gel to a placebo, we assessed the relevance of the MOS SF-36 questionnaire in patients suffering from GER without severe esophagitis, and compared the scores of the studied patients to those of a representative sample of the French general population. Patients and methods - The patients had to suffer from GER symptoms for at least 2 months, with no or mild (≤ grade 1) esophagitis endoscopy. They were randomized to be given a 4 week treatment either with a topical gel containing gaiazulene and dimeticone or a placebo gel. Patients were asked to complete a symptom diary during the study, which allowed the calculation of mean symptom scores. The MOS SF-36 questionnaire was administered at baseline (d0) and after 4 weeks of treatment (d28) Results-Two hundred and thirty three patients were enrolled in the sudy. At baseline, QOL scores were impaired in both groups. After 4 weeks of treatment: the treated patients showed better improvement in all MOS SF-36 domains compared with the placebo group . The QOL profile in the treated group reached the level of the French reference population, while it remained impaired in the placebo group. Conclusion - This analysis evidence of the relevancy of the MOS SF-36 questionnaire to assess the impact of GER without severe esophagitis on QOL.Moreover, it demonstrated the capacity of the studied topical treatment to restore a normal QOL to the patients.
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