作者
David O Francis, Jennifer A Rymer, James C Slaughter, Yash Choksi, Pawina Jiramongkolchai, Evbu Ogbeide, Christopher Tran, Marion Goutte, Gaelyn C Garrett, David Hagaman, Michael F Vaezi
发表日期
2013/6/1
期刊
Official journal of the American College of Gastroenterology| ACG
卷号
108
期号
6
页码范围
905-911
出版商
LWW
简介
OBJECTIVES:
Extraesophageal symptoms are common manifestations of gastroesophageal reflux disease (GERD). Lack of a definitive diagnostic or treatment standards complicate management, which often leads to multiple specialty consultations, procedures, pharmaceuticals and diagnostic tests. The aim of this study was to determine the economic burden associated with extraesophageal reflux (EER).
METHODS:
Direct costs of evaluation were estimated for patients referred with symptoms attributed to EER between 2007 and 2011. Medicare payment for evaluation and management and pharmaceutical prices was used to calculate first year and overall costs of evaluating and treating extraesophageal symptoms attributed to reflux.
RESULTS:
Overall, 281 patients were studied (cough (50%), hoarseness (23%), globus/post-nasal drainage (15%), asthma (9%), and sore throat (3%)). Over a median (interquartile …
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