Quality of life in patients with Barrett’s esophagus undergoing surveillance

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  • معلومة اضافية
    • Abstract:
      OBJECTIVES:Practice guidelines recommend surveillance for Barrett’s esophagus (BE) because of the risk of esophageal cancer. The quality of life of patients undergoing surveillance is unknown. The objectives of this study were to develop a new utility instrument to measure quality of life of patients undergoing BE surveillance and determine if Quality of Life in Reflux and Dyspepsia (QOLRD) scores correlate with utility ratings.METHODS:Fifteen patients were administered 16 scenarios describing possible BE surveillance outcomes. Each scenario was rated from 0 (equivalent to being dead) to 10 (equivalent to being in perfect health). Each patient also completed the QOLRD, a validated instrument. A t test was performed to compare the QOLRD means with published means. The Spearman’s rank correlation coefficient was calculated for the median QOLRD score and the median utility rating.RESULTS:QOLRD means ranged from 5.80 to 6.65 (previously published means 4.3–5.4). Lower scores denoted a worsened quality of life. The difference was significant (p < 0.001). The correlation coefficient of median QOLRD score (6.8) and median utility rating (4.0) was 0.10 (p = 0.71).CONCLUSIONS:This population of BE patients had significantly higher QOLRD scores than a previously published population referred for endoscopy. Quality of life using the utility measure was reduced. The utility measure did not correlate with the disease-specific instrument, suggesting that the concerns of patients undergoing surveillance are distinct from their reflux symptoms. [Copyright &y& Elsevier]
    • Abstract:
      Copyright of American Journal of Gastroenterology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Durham Veterans Affairs Medical Center, Institute for Clinical and Epidemiological Research, Durham, North Carolina, USA
      2Duke University Medical Center, Division of Gastroenterology, Durham, North Carolina, USA
      3National Cancer Institute, Bethesda, Maryland, USA
    • ISSN:
      0002-9270
    • Accession Number:
      10.1111/j.1572-0241.2002.05972.x
    • Accession Number:
      7885898
  • Citations
    • ABNT:
      FISHER, D. et al. Quality of life in patients with Barrett’s esophagus undergoing surveillance. American Journal of Gastroenterology, [s. l.], v. 97, n. 9, p. 2193, 2002. DOI 10.1111/j.1572-0241.2002.05972.x. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=7885898&custid=s8280428. Acesso em: 18 jan. 2020.
    • AMA:
      Fisher D, Jeffreys A, Bosworth H, Wang J, Lipscomb J, Provenzale D. Quality of life in patients with Barrett’s esophagus undergoing surveillance. American Journal of Gastroenterology. 2002;97(9):2193. doi:10.1111/j.1572-0241.2002.05972.x.
    • APA:
      Fisher, D., Jeffreys, A., Bosworth, H., Wang, J., Lipscomb, J., & Provenzale, D. (2002). Quality of life in patients with Barrett’s esophagus undergoing surveillance. American Journal of Gastroenterology, 97(9), 2193. https://doi.org/10.1111/j.1572-0241.2002.05972.x
    • Chicago/Turabian: Author-Date:
      Fisher, Deborah, Amy Jeffreys, Hayden Bosworth, Jennifer Wang, Joseph Lipscomb, and Dawn Provenzale. 2002. “Quality of Life in Patients with Barrett’s Esophagus Undergoing Surveillance.” American Journal of Gastroenterology 97 (9): 2193. doi:10.1111/j.1572-0241.2002.05972.x.
    • Harvard:
      Fisher, D. et al. (2002) ‘Quality of life in patients with Barrett’s esophagus undergoing surveillance’, American Journal of Gastroenterology, 97(9), p. 2193. doi: 10.1111/j.1572-0241.2002.05972.x.
    • Harvard: Australian:
      Fisher, D, Jeffreys, A, Bosworth, H, Wang, J, Lipscomb, J & Provenzale, D 2002, ‘Quality of life in patients with Barrett’s esophagus undergoing surveillance’, American Journal of Gastroenterology, vol. 97, no. 9, p. 2193, viewed 18 January 2020, .
    • MLA:
      Fisher, Deborah, et al. “Quality of Life in Patients with Barrett’s Esophagus Undergoing Surveillance.” American Journal of Gastroenterology, vol. 97, no. 9, Sept. 2002, p. 2193. EBSCOhost, doi:10.1111/j.1572-0241.2002.05972.x.
    • Chicago/Turabian: Humanities:
      Fisher, Deborah, Amy Jeffreys, Hayden Bosworth, Jennifer Wang, Joseph Lipscomb, and Dawn Provenzale. “Quality of Life in Patients with Barrett’s Esophagus Undergoing Surveillance.” American Journal of Gastroenterology 97, no. 9 (September 2002): 2193. doi:10.1111/j.1572-0241.2002.05972.x.
    • Vancouver/ICMJE:
      Fisher D, Jeffreys A, Bosworth H, Wang J, Lipscomb J, Provenzale D. Quality of life in patients with Barrett’s esophagus undergoing surveillance. American Journal of Gastroenterology [Internet]. 2002 Sep [cited 2020 Jan 18];97(9):2193. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=7885898&custid=s8280428