KMID : 0361020200630110517
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Korean Journal of Otolaryngology - Head and Neck Surgery 2020 Volume.63 No. 11 p.517 ~ p.522
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Impact on Quality of Life after Treatment with Proton Pump Inhibitor in Laryngopharyngeal Reflux
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Choi Hae-Won
Jun Hyun-Woong Jeong Jin-Hyeok Kim Moo-Keon Tae Kyung Ji Yong-Bae
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Abstract
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Background and Objectives: Several studies have assessed the impact of laryngopharyngealreflux disease (LPRD) on the health-related quality of life (HR-QoL), showing significantimpairment of HR-QoL. This study aims to assess the impact of proton pump inhibitor (PPI)treatment of LPRDs to enhance HR-QoL.
Subjects and Method: We prospectively collected data from LPRD patients from April2017 to July 2019. Patients who have reflux symptom index (RSI) of ¡Ã13 or reflux findingscore (RFS) of ¡Ã7 were enrolled in this study. We assessed HR-QoL using a questionnairewith EORTC QLQ-H&N35, -C30 on the first visit. Patients were treated with PPI (Ilaprazole20 mg/day) on their visits at 4, 8, and 12 weeks. RSI and RFS were measured at each visit andHR-QoL was reevaluated on the last visit.
Results: Ninety-five patients completed the 3-months follow-up and were enrolled in thisstudy. Female : male ratio was 71:24 and the mean age was 57.0¡¾11.9 (27-80). The initial RSIand RFS were 16.3¡¾8.8 and 12.6¡¾2.9, respectively, but were changed to 11.1¡¾9.7 and 9.7¡¾2.6(p<0.001 in both) at 12 weeks after the treatment. Global health status/QoL, speech problem,dry mouth, and coughing were significantly improved.
Conclusion: PPI administration is effective in treating LPRD, where effects begin to appear at4 weeks after treatment. HR-QoL was also improved in patients who have RSI improvement.
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KEYWORD
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Laryngopharyngeal reflux, Laryngoscopy, Proton pump inhibitor, Quality of life
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