PMID- 20137694 OWN - NLM STAT- MEDLINE DCOM- 20100608 LR - 20131121 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 89 IP - 34 DP - 2009 Sep 15 TI - [Long-term impact on quality of life in patients with gastroesophageal reflux disease after 52-week rabeprazole treatment]. PG - 2404-7 AB - OBJECTIVE: To investigate the longitudinal changes in quality of life (QoL) for gastroesophageal reflux disease (GERD) treated with 52-week rabeprazole over a period of 2-3 years. METHODS: A multi-center, open-label and randomized 52-week rabeprazole trial was conducted in 67 eosinophilic esophagitis (EE) and 31 non-erosive reflux disease (NERD) patients. The follow-up period is 2-3 years after the treatment. Their QoL were evaluated using SF-36 Health Survey Questionnaire and GERD-HRQL scale. The results were compared with those acquired before and after a 52-week proton pump inhibitor (PPI) treatment. RESULTS: (1) Both EE and NERD patients improved significantly according to GERD-HRQL scale in scores of reflux symptoms as well as overall satisfaction (12.5 vs 3.5, 20.0 vs 14.0, both P < 0.01) versus the pre-therapy baseline. (2) Both EE and NERD patients had no significant difference in the scale of GERD-HRQL (2.0 vs 3.5, 5.0 vs 4.0, both P > 0.05) and most major domains of SF-36 questionnaire versus the post-therapy baseline (53 +/- 17 vs 61 +/- 17, t = -2.143, P = 0.035). (3) The NERD patients had a higher score of reflux symptoms than the EE patients according to the GERD-HRQL Scale (14.0 vs 3.5, Z = 2.377, P = 0.017), however there were no significant differences between NERD and EE in 8 major domains of SF-36 questionnaire (P > 0.05). CONCLUSION: Long-term and low-dose PPI treatment achieves improvement both in reflux symptoms and QoL in GERD patients and such effects last a long time. At follow-ups, the reflux symptoms of NERD patients are more severe than EE patients. However, the overall QoL has shown little differences between these two subtypes. FAU - Yang, Xi-lin AU - Yang XL AD - Department of Gastroenterology, PUMC Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China. FAU - Liu, Xiao-hong AU - Liu XH FAU - Ke, Mei-yun AU - Ke MY FAU - Song, Zhi-qiang AU - Song ZQ FAU - Yuan, Yao-zong AU - Yuan YZ FAU - Luo, Jin-yan AU - Luo JY FAU - Hou, Xiao-hua AU - Hou XH LA - chi PT - English Abstract PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Anti-Ulcer Agents) RN - 32828355LL (Rabeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/*therapeutic use MH - Adult MH - Aged MH - Anti-Ulcer Agents/*therapeutic use MH - Female MH - Follow-Up Studies MH - Gastroesophageal Reflux/*drug therapy MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - *Quality of Life MH - Rabeprazole MH - Treatment Outcome EDAT- 2010/02/09 06:00 MHDA- 2010/06/09 06:00 CRDT- 2010/02/09 06:00 PHST- 2010/02/09 06:00 [entrez] PHST- 2010/02/09 06:00 [pubmed] PHST- 2010/06/09 06:00 [medline] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2009 Sep 15;89(34):2404-7.