Evidence map›Paper›PMID 23831734›Full record

ArticleGut2014

Impact of regurgitation on health-related quality of life in gastro-oesophageal reflux disease before and after short-term potent acid suppression therapy.

Peter J Kahrilas, Andreas Jonsson, Hans Denison, Börje Wernersson, Nesta Hughes, Colin W Howden

2 registry-linked trialsOpen access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Gut, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
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.

NCT00206245 phase2completednot on this map

A Randomised, Double-blind, Multicentre Dose-finding Phase IIb Study for up to 8 Weeks' Treatment With AZD0865 25, 50, 75 mg and Esomeprazole 40 mg, Given Orally Once Daily for the Healing of Erosive Esophagitis in Adult Subjects With GERD With Erosive Esophagitis According to the LA Classification in Adult Subjects.

TypeinterventionalSponsorAstraZenecaRan2004 to 2005Enrolled1,400ConditionsGERD With Erosive EsophagitisArmsAZD0865
NCT00206284 phase2completednot on this map

A 4-week, Randomised, Double-blind, Multicentre, Dose-finding Phase IIb Study With AZD0865 25, 50, 75 mg and Esomeprazole 20 mg, Given Orally Once Daily for the Treatment of GERD Without Erosive Esophagitis According to the LA Classification in Adult Subjects.

TypeinterventionalSponsorAstraZenecaRan2004 to 2005Enrolled1,400ConditionsGERD Without Erosive EsophagitisArmsAZD0865
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Review
  3. 3D mesh-augmented hiatal hernia repair in patients with GERD: A 3-year single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
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

6 authors at 4 institutions in 4 countries.

Peter J KahrilasDivision of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, , Chicago, Illinois, USA.
Andreas Jonsson
Hans Denison
Börje Wernersson
Nesta Hughes
Colin W Howden
AstraZeneca (Sweden) · SENorthwestern University · USAstraZeneca (Singapore) · SGOxford Instruments (United Kingdom) · GB

Funding

Targeting Hypervigilance and Autonomic Arousal: the Psycho-physiologic Model of GERDR01DK092217 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI JOHN E PANDOLFINO · 2012 to 2026
$5.0M
THE ESOPHAGOGASTRIC JUNCTION IN HEALTH AND DISEASER01DK056033 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KAHRILAS, PETER JAMES · 2001 to 2015
$4.1M
The Esophagogastric Junction in Health and DiseaseR56DK056033 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI KAHRILAS, PETER JAMES · 2006 to 2006
$121k
NIDDK NIH HHS DK092217NIDDK NIH HHS DK56033NIDDK NIH HHS R01 DK056033
6 · The paper itself

Abstract

objectiveLimited data exist on the impact of regurgitation on health-related quality of life (HRQOL) in gastro-oesophageal reflux disease (GORD). We assessed the relationship between regurgitation frequency and HRQOL before and after acid suppression therapy in GORD.

methodWe used data from two randomised trials of AZD0865 25-75 mg/day versus esomeprazole 20 or 40 mg/day in non-erosive reflux disease (NERD) (n=1415) or reflux oesophagitis (RO) (n=1460). The Reflux Disease Questionnaire was used to select patients with frequent and intense heartburn for inclusion and to assess treatment response. The Quality of Life in Reflux and Dyspepsia (QOLRAD) questionnaire was used to assess HRQOL.

resultsAt baseline, 93% of patients in both the NERD and RO groups experienced regurgitation. Mean QOLRAD scores were similar for NERD and RO at baseline and at week 4 and disclosed decremental HRQOL with increasing frequency of regurgitation; a clinically relevant difference of >0.5 in mean QOLRAD scores was seen with regurgitation ≥4 days/week versus <4 days/week. The prevalence of frequent, persistent regurgitation (≥4 days/week) at week 4 among heartburn responders (≤1 day/week of mild heartburn) was 28% in NERD and 23% in RO. QOLRAD scores were higher among heartburn responders. There was a similar pattern of impact related to regurgitation frequency in heartburn responders compared with the group as a whole.

conclusionsFrequent regurgitation was associated with a clinically relevant, incremental decline in HRQOL beyond that associated with heartburn before and after potent acid suppression in both NERD and RO. CLINICAL TRIAL NUMBERS: NCT00206284 and NCT00206245.

Indexed as

Quality of LifeAntacidsDrug Administration ScheduleEsomeprazoleEsophagitis, PepticFollow-Up StudiesGastroesophageal RefluxHeartburnHumansImidazolesProton Pump InhibitorsPyridinesRandomized Controlled Trials as TopicRetrospective StudiesSurveys and QuestionnairesTreatment OutcomeAntacidsAZD0865EsomeprazoleImidazolesProton Pump InhibitorsPyridinesAnti-Reflux TherapyGastroesophageal Reflux DiseaseOesophageal RefluxOesophagitisQuality of Life

Identifiers

PMID23831734
PMCPMC4124076
OpenAlexW2129806041

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.