Evidence map›Paper›PMID 18474703›Full record

ReviewCanadian family physician Medecin de famille canadien2008

Approach to gastroesophageal reflux disease in primary care: Putting the Montreal definition into practice.

Nigel Flook, Roger Jones, Nimish Vakil

Abstract readCase ReportsReview
In one paragraph

Review in Canadian family physician Medecin de famille canadien, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Gastroesophageal reflux disease in COPD: links and risks.International journal of chronic obstructive pulmonary disease · 2015
    Review
  6. Observational
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nigel FlookDepartment of Family Medicine at the University of Alberta in Edmonton. nflook@shaw.ca
Roger Jones
Nimish Vakil

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo apply the recently published Montreal definition of gastroesophageal reflux disease (GERD) in primary care. SOURCES OF INFORMATION: The Montreal definition of GERD was developed by an international consensus group of experts in GERD and primary care physicians using rigorous evidence-based methods along with modern consensus development techniques and a patient-centred approach. MAIN MESSAGE: Gastroesophageal reflux disease can be diagnosed in primarycare based on symptoms alone without additional diagnostic testing. Symptoms reach a threshold where they constitute disease when they are troublesome (cause difficulty) to patients. In addition to the cardinal symptoms of heartburn and regurgitation, people with GERD can also have sleep disturbances, chest pains, or respiratory symptoms. Monitoring patients' response to proton pump inhibitor therapy can confirm the success of management. Treatment for symptoms of GERD can also heal underlying reflux esophagitis if it is present.

conclusionPrimary care physicians can diagnose and manage GERD confidently in most patients by investigating and treating troublesome symptoms without the need for additional investigations or referral to specialists.

Indexed as

Proton Pump InhibitorsDeglutition DisordersGastroesophageal RefluxHeartburnHumansMaleMiddle AgedPractice Guidelines as TopicPrimary Health CareSleep Wake DisordersProton Pump Inhibitors

Identifiers

PMID18474703
PMCPMC2377200

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.