Evidence map›Paper›PMID 27774018›Full record

ArticlePragmatic and observational research2012

Partial response to proton pump inhibitor therapy for GERD: observational study of patient characteristics, burden of disease, and costs in the USA.

Nils-Olov Stålhammar, Brennan M Spiegel, Helena Granstedt Löfman, Maria Karlsson, Peter Wahlqvist, Jørgen Næsdal, M Todd Nelson, Nicolas Despiégel

Open access · diamondAbstract read
In one paragraph

Article in Pragmatic and observational research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

8 authors at 3 institutions in 2 countries.

Nils-Olov StålhammarPayer Evidence, AstraZeneca R&D, Mölndal, Sweden.
Brennan M SpiegelDepartment of Gastroenterology, VA Greater Los Angeles Healthcare System; David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Helena Granstedt LöfmanPayer Evidence, AstraZeneca R&D, Mölndal, Sweden.
Maria KarlssonPayer Evidence, AstraZeneca R&D, Mölndal, Sweden.
Peter WahlqvistPayer Evidence, AstraZeneca R&D, Mölndal, Sweden.
Jørgen NæsdalMedical Department, AstraZeneca R&D, Mölndal, Sweden.
M Todd NelsonLate Phase, Life Sciences, OptumInsight, Raleigh, NC, USA.
Nicolas DespiégelHEOR, OptumInsight, Nanterre, France.
AstraZeneca (Sweden) · SEHealthInsight · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisease burden and associated costs are not well understood among patients with gastroesophageal reflux disease (GERD) who have persistent symptoms despite optimized proton pump inhibitor (PPI) therapy. The aim of this study was to investigate disease burden and costs of GERD in partial responders to PPI therapy.

methodsThe Partial Response to PPI treatment: the Cost to Society and the Burden to the Patient in the US (REMAIN US) study was a 12-month, multicenter, noninterventional, observational study of 552 partial PPI responders in the USA. Participating sites were comprised of family practice (n = 30), internal medicine (n = 8), and specialist (gastroenterologist) centers (n = 15). GERD symptoms, health-related quality of life (HRQL), and impact on productivity were evaluated from patient-reported outcome instruments. Resource utilization data were also collected.

resultsPatients had a high symptom burden, impaired HRQL, and reduced productivity while at work and in daily activities, despite optimized PPI therapy. Mean annual GERD-related costs were US$9944 per patient, comprising total direct costs and mean productivity loss costs of US$4068 and US$5876 per patient, respectively.

conclusionPatients with GERD and a partial response to PPI therapy have considerable direct and indirect costs, along with substantial impairments in HRQL and productivity.

Indexed as

gastroesophageal reflux diseaseGERDpartial responseproton pump inhibitors

Identifiers

PMID27774018
PMCPMC5045010
OpenAlexW1983888315

What OpenQuestion holds

Textmetadata
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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.