Evidence map›Paper›PMID 39501242›Full record

SynthesisBMC health services research2024

Diagnosis and treatment of patients with gastroesophageal reflux disease - a systematic review of cost-effectiveness and economic burden.

Petra Maresova, Lukas Rezny, Jan Hruska, Blanka Klimova, Lee L Swanstrom, Kamil Kuca

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07227506 (Diagnostic Utility of Mucosal Impedance Device in Patients With GERD and Chronic Esophageal Disorders), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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.

NCT07227506 recruitingnot on this mapstarted 2025, after this paper: background citation

Diagnostic Utility of Mucosal Impedance Device in Patients With GERD and Chronic Esophageal Disorders:

Typeobservational_patient_registrySponsorMedical College of WisconsinRan2025 to 2028Enrolled50ConditionsGerd, Eosinophilic EsophagitisArmsMuVI Esophageal mucosal impedance testing
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Global research trends and knowledge gaps in chronic pharyngitis: A bibliometric analysis (2007-2025).European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
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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

6 authors.

Petra MaresovaBetthera s.r.o, Hradec Kralove, Czech Republic.
Lukas ReznyBetthera s.r.o, Hradec Kralove, Czech Republic.
Jan HruskaBetthera s.r.o, Hradec Kralove, Czech Republic.
Blanka KlimovaFaculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic.
Lee L SwanstromIHU Strasbourg, Innovat Officer & Sci, Strasbourg, France.
Kamil KucaBetthera s.r.o, Hradec Kralove, Czech Republic. kamil.kuca@uhk.cz.ORCID http://orcid.org/0000-0001-9664-1109

Funding

European Union's Horizon Europe Research and Innovation grant agreement no. 101057525, project eCAP
6 · The paper itself

Abstract

backgroundThis study aims to review the existing knowledge on the cost-effectiveness and item costs related to the diagnosis and treatment of gastroesophageal reflux disease (GERD) patients at different stages.

methodsThe study adhered to the PRISMA guidelines. The systematic search involved several steps: finding and identifying relevant articles, filtering them according to the set criteria, and examining the final number of selected articles to obtain the primary information. The number of articles published between 2013 and September 2024 in the Web of Science and PubMed databases was considered. The CHEERS checklist was used for the risk of bias assessment. Ultimately, 36 studies were included.

resultsRegarding the cost-effectiveness of GERD treatment, Proton pump inhibitors (PPIs) appeared to be the dominant solution for non-refractory patients. However, this might change with the adoption of the novel drug vonoprazan, which is more effective and cheaper. With advancements in emerging technologies, new diagnostic and screening approaches such as Endosheath, Cytosponge, and combined multichannel intraluminal impedance and pH monitoring catheters should be considered, with potential implications for optimal GERD management strategies. DISCUSSION: The new diagnostic methods are reliable, safe, and more comfortable than standard procedures. PPIs are commonly used as the first line of treatment for GERD. Surgery, such as magnetic sphincter augmentation or laparoscopic fundoplication, is only recommended for patients with treatment-resistant GERD or severe symptoms. OTHER: Advances in emerging technologies for diagnostics and screening may lead to a shift in the entire GERD treatment model, offering less invasive options and potentially improving patients' quality of life.

Indexed as

Cost-Benefit AnalysisGastroesophageal RefluxProton Pump InhibitorsCost of IllnessHumansProton Pump InhibitorsCost-effectivenessDiagnostic methodsGastroesophageal reflux diseaseGastrointestinal diseases

Identifiers

PMID39501242
PMCPMC11539747

What OpenQuestion holds

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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.