Quality of life in patients with laryngopharyngeal reflux

Digestion. 2009;79(1):52-7. doi: 10.1159/000205267. Epub 2008 Oct 22.

Abstract

Background: Laryngopharyngeal reflux (LPR) disease is an extraesophageal manifestation of gastroesophageal reflux disease (GERD). The impact of GERD-related LPR on the psychological well-being and quality of life (QOL) in Chinese is not known.

Aim: To assess the QOL in patients with LPR disease.

Methods: 76 LPR and 73 healthy subjects were recruited. Psychological well-being was assessed by the Hospital Anxiety and Depression Score and QOL was assessed by SF-36.

Results: 51/76 (67.1%) patients had GERD-related LPR. More LPR subjects had taken sick leave (36.2 vs. 5.6%, p = 0.001) and reported adverse social life impact (60.5 vs. 38.9%, p = 0.013). LPR patients showed significantly worse results on the Voice Handicap Index (47.8 vs. 7.6, p = 0.001), were more anxious and had worse QOL in social functioning, pain and general health perception domains of SF-36. GERD-related LPR subjects had a higher depression score (4.8 vs. 3.8, p = 0.014) and a lower mental summary score (41.8 vs. 48.4, p = 0.01) in SF-36 compared with those without GERD.

Conclusions: LPR had a negative impact on psychological status, social functioning and QOL. GERD symptoms appeared to be the main contributor to decrease QOL. GERD-related LPR patients had a significant impact on the mental component of their QOL.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Case-Control Studies
  • Chi-Square Distribution
  • China
  • Female
  • Gastroesophageal Reflux / psychology*
  • Humans
  • Laryngeal Diseases / psychology*
  • Laryngoscopy
  • Logistic Models
  • Male
  • Middle Aged
  • Pharyngeal Diseases / psychology*
  • Psychiatric Status Rating Scales
  • Quality of Life*
  • Risk Factors
  • Surveys and Questionnaires