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ArticleSurgery today2022

Correlation between our symptom-based scoring system and the Eckardt score for assessing patients with esophageal achalasia.

Kazuto Tsuboi, Takahiro Masuda, Nobuo Omura, Masato Hoshino, Se-Ryung Yamamoto, Shunsuke Akimoto, Yuki Sakashita, Naoko Fukushima, Fumiaki Yano, Hideyuki Kashiwagi and 1 more

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Article in Surgery today, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

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11 authors.

Kazuto TsuboiDepartment of Surgery, Fuji City General Hospital, 50, Takashima-cho, Fuji, Shizuoka, 417-8567, Japan. kazuto@jikei.ac.jp.ORCID http://orcid.org/0000-0002-8126-431X
Takahiro MasudaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Nobuo OmuraDepartment of Surgery, Nishisaitama-Chuo National Hospital, Saitama, Japan.
Masato HoshinoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Se-Ryung YamamotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Shunsuke AkimotoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Yuki SakashitaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Naoko FukushimaDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Fumiaki YanoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Hideyuki KashiwagiDepartment of Surgery, Fuji City General Hospital, 50, Takashima-cho, Fuji, Shizuoka, 417-8567, Japan.
Ken EtoDepartment of Surgery, The Jikei University School of Medicine, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Eckardt score (ES) is a famous scoring system used for assessing achalasia patients. We studied the correlation between our scoring system and the ES and examined the relationship between each score and the pathophysiology of achalasia.

methodsThe subjects were 143 patients with diagnosed achalasia. We assessed the frequency and degree of dysphagia, regurgitation (vomiting), and chest pain on a 5-point scale from 0 to 4, with the product of the frequency and degree score defined as each symptom score (0-16). The sum of the three symptom scores was the Total Symptom Score (TSS). We then studied the correlation between the TSS and the ES, including whether these scores reflected the pathophysiology.

resultsThe median scores were 20 for TSS and 6 for the ES, indicating a high correlation between the two scores (r = 0.7280, p < 0.0001). A relationship was found between the morphologic type and both scores (TSS: p = 0.002, ES: p = 0.0036). On creating a receiver operating characteristic (ROC) curve for the Straight type and each score, the AUC was 0.6740 for TSS and 0.6628 for ES.

conclusionsA high positive correlation was found between the TSS and the ES. Both scoring systems reflected the morphologic type well, demonstrating that the TSS was a scoring system comparable to the ES.

Indexed as

Deglutition DisordersEsophageal AchalasiaHumansManometryTreatment OutcomeEckardt scoreEsophageal achalasiaSymptom score

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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.