Navigation Links
Right Match of Drug, Doctor Can Boost Reflux Outcomes
Date:8/21/2009

Review finds PPIs may perform better, and good rapport with physician is key,,

FRIDAY, Aug. 21 (HealthDay News) -- Chronic heartburn caused by acid reflux is one of the most common complaints among Americans, and a new study outlines which approaches appear to work best to ease patients' suffering.

The Danish study found that people with the condition -- formally called gastroesophageal reflux disease (GERD) -- typically feel best when placed on medications called proton pump inhibitors (PPIs) by a doctor with whom they have a good rapport.

"The treatment we have isn't always perfect," conceded Dr. Maria T. Abreu, professor of medicine and chief of the division of gastroenterology at the University of Miami Miller School of Medicine, who was not involved in the study. She agreed that communicating well with patients can go a long way toward increasing their satisfaction, because reflux treatments don't always relieve all symptoms. If doctors said that up front, patients "might be more likely to feel satisfied," Abreu said.

The report is published in the August issue of Clinical Gastroenterology and Hepatology.

For the study, Dr. Peter Bytzer, from Copenhagen University, reviewed 11 studies published between 1970 and 2007. Each study examined the reasons why people were satisfied or dissatisfied with their GERD treatment.

"Patient satisfaction can be influenced by a number of factors including treatment regimen, general level of well-being, the 'bedside manner' of the physician, the patient's expectations and the quality of patient/physician communication," Bytzer said in a news release from the American Gastroenterological Association.

He found that patients given prescriptions for proton pump inhibitors (PPIs) -- drugs that include blockbusters such as Prevacid, Prilosec and Nexium -- were more satisfied with their treatment than those given H2-receptor antagonists, which include Tagamet and Zantac. And, not surprisingly, people whose symptoms were only partially relieved were less satisfied than patients whose symptoms were completely relieved.

Although prescription medications can help relieve the symptoms of GERD, studies have shown that some patients are still not satisfied with their treatment. In fact, at least one-third of people taking any medication for chronic reflux remain unsatisfied with their treatment. This is particularly true for those taking over-the-counter medicines, Bytzer noted.

Abreu agreed that even PPIs don't work for everyone. There are a range of conditions all classified as GERD and while it is that true GERD responds well to these medications, other forms of heartburn don't, she said.

The doctor-patient relationship was key, the experts said. If a doctor took their condition seriously and conducted a thorough examination, patients were more likely to say they were happy with their care. They were also more likely to be satisfied if they interacted well with their doctor, Bytzer reports.

When doctors cannot resolve a medical problem they sometimes end up not taking the patient seriously, Abreu said. "They do not feel invested in the problem. They don't feel like they can really make it better," she said. And that can be a definite turn-off for patients. "People want to feel that at least you have taken it seriously," Abreu said.

In most cases, the doctor/patient relationship can be fixed, however.

"Of the various factors influencing patient satisfaction, the quality of patient/physician communication is probably the most amenable to improvement," Bytzer stated in the news release. "This can be done by using validated questionnaires to help physicians identify more effectively which symptoms patients have, and the impact of these symptoms on the patient's well-being," he added.

Medication and communication are not the only steps patients can take to improve their symptoms and quality of life, Abreu said.

"There is a lot of stuff related to heartburn that can be changed with lifestyle," she said. "For example, not eating a big meal before going to bed. But patients are reluctant to change lifestyle -- they would rather just take medicine."

More information

For more information on GERD, visit the U.S. National Institute of Diabetes and Digestive and Kidney Diseases.



SOURCES: Maria T. Abreu, M.D., professor, medicine, chief, division of gastroenterology, University of Miami Miller School of Medicine; American Gastroenterological Association, news release, Aug. 3, 2009; August 2009, Clinical Gastroenterology and Hepatology


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Stressed-Out Moms Carry Babies on the Right
2. Bright tumors, dim prospects
3. Quality Innovators to Network in Atlanta Sept. 19-21: Learn from Those Who Got It Right
4. Right breakfast bread keeps blood sugar in check all day
5. Stille and Enova Form Strategic Partnership to Introduce Worlds Brightest LED Cordless Surgical Headlights Into Europe and Japan
6. Experts Agree. Ohios Technology Investment Future Looks Bright
7. L.A. Playwright Creates an Enormous Wave with His New Book, Touch the Ocean
8. Civil Rights and Medical Leaders Call for Social Justice in Health Care
9. Flynn Pharma Acquires Rights From Pacira Pharmaceuticals to DepoDur(R), the Only Extended-Release Epidural Opioid for Post-Operative Pain, in Europe
10. New Report Says Health Courts Bureaucracies Offer Big Financial Burdens and Loss of Patient Rights
11. Federal Trade Commission Attempts To Suppress Best-Selling Authors First Amendment Rights
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Right Match of Drug, Doctor Can Boost Reflux Outcomes
(Date:4/25/2017)... ... April 25, 2017 , ... As President ... are preparing for how his administration could impact the employee benefits industry. James ... changes are most likely to make it through Congress. His discussion will focus ...
(Date:4/25/2017)... ... April 25, 2017 , ... ... on contracted partners to help with process innovation in drug formulation and manufacturing. ... experience along with state-of-the-art analytical equipment in support of their development and manufacturing ...
(Date:4/25/2017)... ... April 25, 2017 , ... Somnoware, a leading provider of ... management module. Using this new feature, sleep physicians can now predict the likelihood ... positive airway pressure (CPAP), oral, or other forms of sleep apnea therapy. The ...
(Date:4/24/2017)... ... ... Emmanuel College is introducing enhancements to its RN-to-BSN Degree Program ... of 2017, Emmanuel’s program will allow registered nurses (RN)s to earn a Bachelor of ... little as $14,528. These changes will enable nurses to complete their degree in a ...
(Date:4/24/2017)... , ... April 24, 2017 , ... As part of ... today to honor the victims of the Holocaust and Nazi persecution, Center for ... Hadamar and Auschwitz on its CMATH Champions trip to Germany and Poland next week. ...
Breaking Medicine News(10 mins):
(Date:4/20/2017)... Mass. , April 20, 2017  RXi ... developing innovative therapeutics that address significant unmet medical ... data from the Company,s consumer product development program, ... at the Society for Investigative Dermatology (SID) 76 ... to advance and promote the sciences relevant to ...
(Date:4/20/2017)... Research and Markets has announced the addition of ... Regional Outlook, Growth Trends, Key Players, Competitive Strategies and Forecasts, ... ... at US$ 7,167.6 Mn in 2015, and is expected to ... of 5.6% from 2016 to 2024. The ...
(Date:4/19/2017)... April 19, 2017 Cardiology devices segment is anticipated ... The Cardiology Devices segment is likely to create ... Mn in 2018 over 2017. By the end of 2027, ... close to US$ 700 Mn, expanding at a CAGR of ... the Asia Pacific reprocessed medical devices ...
Breaking Medicine Technology: