Evidence map›Paper›PMID 39966125›Full record

ArticleSurgical endoscopy2025

Long-term efficacy and quality of life after antireflux surgery.

Philip K Bang, Naja H Andersen, Frederik Hvid-Jensen, Niels Christian Bjerregaard, Daniel W Kjaer

Abstract read
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Philip K BangDepartment of Anesthesiology and Intensive Care, Regional Hospital Viborg, Viborg, Denmark. phiban@rm.dk.ORCID 0009-0005-1428-9380
Naja H AndersenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Frederik Hvid-JensenDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Niels Christian BjerregaardDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Daniel W KjaerDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntireflux surgery (ARS) has been found to be an effective treatment of gastro-esophageal reflux disease (GERD); however, the long-term effects are uncertain. This study aimed to evaluate the long-term efficacy of ARS on quality of life, symptom severity, and use of proton pump inhibitors (PPIs).

methodsA validated GERD Health-Related Quality of Life (GERD-HRQL) Questionnaire was sent to 419 patients who underwent ARS at Aarhus University Hospital from January 2012 to April 2020. Patient records were reviewed retrospectively. The Danish National Prescription Registry was used to collect data on the use of PPIs before and after ARS.

resultsA response rate of 71% resulted in a total of 164 patients included in the study with a median follow-up time of 4.8 years (interquartile range: 2.5-6.7). The total GERD-HRQL median score at follow-up was 11.5 (IQR: 4-22). The proportion of patients experiencing daily symptoms of heartburn and regurgitation was significantly reduced pre- to postoperatively from 90 to 70% to 32% and 29%, respectively. Five years after surgery, 47% of patients had completely ceased PPI usage, while 44% were long-term users.

conclusionA lasting long-term effect of ARS on GERD symptoms was found, although almost a third of patients still experience heartburn and/or regurgitation daily. Almost half of patients were not taking PPIs 5 years after ARS, but 44% became long-term users. Patients should be made aware that long-term PPI therapy often is necessary following ARS.

Indexed as

FundoplicationGastroesophageal RefluxQuality of LifeAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedProton Pump InhibitorsRetrospective StudiesSeverity of Illness IndexSurveys and QuestionnairesTreatment OutcomeProton Pump InhibitorsFundoplicationGastro-esophageal reflux diseaseGERDLaparoscopic antireflux surgeryProton pump inhibitorQuality of life

Identifiers

PMID39966125
PMCPMC11933211

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Registered trials

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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.