Development of the GerdQ, a tool for the diagnosis and management of gastro-oesophageal reflux disease in primary care
Development of the GerdQ, a tool for the diagnosis and management of gastro-oesophageal reflux disease in primary care
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DOI：
10.1111/j.1365-2036.2009.04142.x
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发表时间：
2009-11-15
影响因子：
7.6
通讯作者：
Lind, T.
中科院分区：
文献类型：
--
作者：
Jones, R.;Junghard, O.;Lind, T.
胃食管反流病（GERD）的准确诊断和有效治疗对临床医生和其他卫生保健专业人员来说是具有挑战性的。目的编制以病人为中心的自我评估问卷，协助医护人员诊断和有效管理胃食管反流病人。方法利用患者报告的GERD工具的问题，先前在内容效度和心理测量特性（RDQ， GSRS和GIS）方面记录的问题，以及初级和二级保健中GERD诊断的数据，用于正式开发诊断和管理工具GerdQ，包括心理测量验证和患者焦点小组的试点。结果对来自300多名初级保健患者的数据进行分析，并通过定性访谈对患者的输入进行调节，从现有仪器中选择特定项目，创建新的六项诊断和管理工具（GerdQ）。ROC分析显示，诊断GerdQ的敏感性为65%，特异性为71%，与胃肠病学家的结果相似。结论GerdQ对于家庭医生和其他卫生保健专业人员在没有初步专科转诊或内窥镜检查的情况下诊断和治疗GERD是一个潜在的有用工具。
P>BackgroundAccurate diagnosis and effective management of gastro-oesophageal reflux disease (GERD) can be challenging for clinicians and other health care professionals.AimTo develop a patient-centred, self-assessment questionnaire to assist health care professionals in the diagnosis and effective management of patients with GERD.MethodsQuestions from patient-reported GERD instruments, previously documented in terms of content validity and psychometric properties (RDQ, GSRS and GIS) and data on the diagnosis of GERD in primary and secondary care were used in the formal development of a diagnostic and management tool, the GerdQ, involving psychometric validation and piloting in patient focus groups.ResultsAnalyses of data from over 300 primary care patients, moderated by patient input from qualitative interviews, were used to select specific items from the existing instruments to create a new six-item diagnostic and management tool (GerdQ). ROC analysis indicated a sensitivity for GerdQ of 65% and a specificity of 71% for the diagnosis of GERD, similar to that achieved by gastroenterologists.ConclusionThe GerdQ is a potentially useful tool for family practitioners and other health care professionals in diagnosing and managing GERD without initial specialist referral or endoscopy.