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Evaluation of a Gastrointestinal Symptoms Questionnaire

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Abstract

Questionnaires are widely used instruments to monitor gastrointestinal (GI) symptoms. However, few of these questionnaires have been formally evaluated. We sought to evaluate our GI symptoms questionnaire in terms of clarity and reproducibility. Primary care patients referred for open access Helicobacter pylori urea breath testing reported GI symptoms (type+severity) and demographic information by written questionnaire. In an interview, patients gave a personal description of the meaning of the GI symptoms on the questionnaire. Patients’ descriptions of GI symptoms were compared with current definitions. Symptom severity scores were compared before and after, interview versus questionnaire. Of the 45 patients included, 19 (42%) described all symptoms correctly, whereas 17 (38%) described one symptom incorrectly. None of the patients made more than three mistakes. Regurgitation was the most common incorrectly described symptom (16 patients [36%]), whereas the other individual symptoms were well explained. Symptom severities before the interview, after the interview and reported by questionnaire (mean value±SEM) were 2.1 ± 0.2, 2.1 ± 0.2, and 1.5 ± 0.2 points on a 7-point Likert scale (0–6), respectively. Mean severity reported by interview (95% CI) was 1.4 (1.3–1.5) times higher than reported by questionnaire (P < .05). In conclusion, the GI symptom questionnaire is understandable and has good reproducibility for measuring the presence of GI symptoms, although symptom severity is consistently rated higher when reported by interview.

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References

  1. Knill-Jones RP: Geographical differences in the prevalence of dyspepsia. Scand J Gastroenterol 26 (Suppl 182):17–24 1991

    Article  Google Scholar 

  2. Garatt AM, Ruta DA, Russell I, MacLeod K, Brunt P, McKinlay A, Mowat A, Sinclair T: Developing a condition-specific measure of health for patients with dyspepsia and ulcer-related symptoms. J Clin Epidemiol 49:565–571 1996

    Article  Google Scholar 

  3. Malfertheiner P: Current concepts in dyspepsia: a world perspective. Eur J Gastroenterol Hepatol 11 (Suppl 1):S25–29 1999

    PubMed  Google Scholar 

  4. Guillemot F, Ducrotte P, Bueno L: Prevalence of functional gastrointestinal disorders in a population of subjects consulting for gastroesophageal reflux disease in general practice. Gastroenterol Clin Biol 29:243–246 2005

    Article  PubMed  Google Scholar 

  5. Wiklund I, Glise H, Jerndal P, Carlsson J, Talley NJ: Does endoscopy have a positive impact on quality of life in dyspepsia? Gastrointest Endosc 47:449–454 1998

    Article  PubMed  CAS  Google Scholar 

  6. Dimenäs E, Glise H, Hallerbäck B, Hernqvist H, Svedlund J, Wiklund I: Well-being and gastrointestinal symptoms among patients referred to endoscopy owing to suspected duodenal ulcer. Scand J Gastroenterol 30:1046–1052 1995

    Article  PubMed  Google Scholar 

  7. Thomson AB, Barkun AN, Armstrong D, Chiba N, White RJ, Daniels A, Escobedo S, Chakraborty B, Sinclair P, Veldhuyzen van Zanten SJO: The prevalence of clinically significant endoscopic findings in primary care patients with uninvestigated dyspepsia: the Canadian adult dyspepsia empiric treatment—prompt endoscopy (CADET-PE) study. Aliment Pharmacol Ther 17:1481–1491 2003

    Article  PubMed  CAS  Google Scholar 

  8. Ofman JJ, Shaw M, Sadik K, Grogg A, Emery K, Lee J, Reyes E, Fullerton S: Identifying patients with gastroesophageal reflux disease: validation of a practical screening tool. Dig Dis Sci 47:1863–1869 2002

    Article  PubMed  CAS  Google Scholar 

  9. Bardhan KD, Stanghellini V, Armstrong D, Berghöfer P, Gatz G, Mönnikes H: International validation of ReQuestTM in patients with endoscopy-negative gastro-oesophageal reflux disease. Aliment Pharmacol Ther 20:891–898 2004

    Article  PubMed  CAS  Google Scholar 

  10. Bardhan KD, Stanghellini V, Armstrong D, Berghöfer P, Gatz G, Mönnikes H: Evaluation of GERD symptoms during therapy. Part I. Development of the new GERD questionnaire ReQuestTM. Digestion 69:229–237 2004

    Article  PubMed  CAS  Google Scholar 

  11. Kuykendall DH, Rabeneck L, Campbell JM, Wray NP: Dyspepsia: how should we measure it? J Clin Epidemiol 51:99–106 1998

    Article  PubMed  CAS  Google Scholar 

  12. Kennedy T, Jones R: Development of a postal health status questionnaire to identify people with dyspepsia in the general population. Scand J Prim Health Care 13:243–249 1995

    Article  PubMed  CAS  Google Scholar 

  13. Agréus L, Svärdsudd K, Nyrén O, Tibblin G: Reproducibility and validity of a postal questionnaire. The abdominal symptom study. Scand J Prim Health Care 11:252–262 1993

    Article  PubMed  Google Scholar 

  14. Österberg A, Graf W, Karlbom U, Pahlman L: Evaluation of a questionnaire in the assessment of patients with faecal incontinence and constipation. Scand J Gastroenterol 31:575–580 1996

    Article  PubMed  Google Scholar 

  15. Talley NJ, Phillips SF, Melton L3rd , Wiltgen C, Zinsmeister AR: A patient questionnaire to identify bowel disease. Ann Intern Med 111:671–674 1989

    PubMed  CAS  Google Scholar 

  16. Ruth M, Finizia C, Lundell L: Occurrence and future history of oesophageal symptoms in an urban Swedish population: Results of a questionnaire-based, ten-year follow-up study. Scand J Gastroentrerol 40:629–635 2005

    Article  Google Scholar 

  17. DiBaise JK: A randomized, double-blind comparison of two different coffee-roasting processes on development of heartburn and dyspepsia in coffee-sensitive individuals. Dig Dis Sci 48:652–656 2003

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, Radboud University Nijmegen Medical Centre, P.O. Box 9101, NL-6500 HB, Nijmegen, The Netherlands

    H. J. Bovenschen, M. J. R. Janssen, M. G. H. van Oijen, R. J. F. Laheij, L. G. M. van Rossum & J. B. M. J. Jansen

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  1. H. J. Bovenschen
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  2. M. J. R. Janssen
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  3. M. G. H. van Oijen
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  4. R. J. F. Laheij
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  5. L. G. M. van Rossum
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  6. J. B. M. J. Jansen
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Correspondence to H. J. Bovenschen.

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Bovenschen, H.J., Janssen, M.J.R., van Oijen, M.G.H. et al. Evaluation of a Gastrointestinal Symptoms Questionnaire. Dig Dis Sci 51, 1509–1515 (2006). https://doi.org/10.1007/s10620-006-9120-6

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  • DOI: https://doi.org/10.1007/s10620-006-9120-6

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