Impact of gastroesophageal reflux symptoms on health resource usage and work absenteeism in Spain.
OBJECTIVE
To estimate the impact of gastroesophageal reflux (GER) symptoms on the utilization of healthcare services and work absenteeism in Spain.


METHODS
A cross-sectional study on 2,500 subjects representative of the Spanish population from 40 to 79 years of age. Data were collected via a telephone interview in January 2002 using Locke s questionnaire after its cross-cultural adaptation and validation for telephone use in Spain.


RESULTS
GER is responsible for 296.8 doctor consultations (95% CI: 245.3-348.7) per 1,000 inhabitants per year, for 24 esophagogastrointestinal radiographic studies per 1,000 inhabitants per year (95% CI: 18-30), for 32.4 (95% CI: 25.5-39.3) high digestive endoscopies per 1,000 inhabitants per year, and for the loss of 201 (95% CI: 0-411.1) working days per 1,000 employed inhabitants with GER per year. In relation to medication intake, GER resulted in 4,092 (95% CI: 3,300-5,133) treatment days with H2 antagonists per 1,000 inhabitants per year, 9,030 (95% CI: 7,846-10,332) treatment days with proton pump inhibitors per 1,000 inhabitants per year, and 1,082 (95% CI: 519-1,549) treatment days with prokinetics per 1,000 inhabitants per year.


CONCLUSIONS
GER has a large impact on the utilization of healthcare resources and work absenteeism in Spain, in contrast to the widespread belief that it is an illness of little importance.
Rey
E
E
Department of Gastroenterology, Hospital Clínico San Carlos, Uninversidad Complutense, Madrid, Spain. erey.hcsc@salud.madrid.oeg
Moreno Elola-Olaso
C
C
Rodríguez Artalejo
F
F
Díaz-Rubio
M
M
D000041:Absenteeism; D000328:Adult; D000368:Aged; D017281:Cost of Illness; D005260:Female; D005764:Gastroesophageal Reflux / Q000191:economics* / Q000628:therapy; D006295:Health Resources / Q000706:statistics & numerical data; D006296:Health Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013030:Spain / Q000453:epidemiology