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Assessment of the Current Knowledge and Practice of General Practitioners Towards Laryngopharyngeal Reflux in Saudi Arabia

Overview
Journal Cureus
Date 2023 May 25
PMID 37228524
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Abstract

Background General practitioners (GPs) have a significant role in the diagnosis of patients with laryngopharyngeal reflux (LPR). Some published data revealed a lack of knowledge among GPs about the disease, consequently, this lack of knowledge impacted their performance. This survey aims to assess the current knowledge and practice of general practitioners regarding laryngopharyngeal reflux in Saudi Arabia. Methodology This survey study was conducted to assess the current knowledge and practice of general practitioners regarding laryngopharyngeal reflux in Saudi Arabia using an online questionnaire. The questionnaire was distributed and collected from the five regions in Saudi Arabia, which are The Central Region (Riyadh, Qassim), Eastern Region (Dammam, Al-Kharj, Al-Ahasa), Western Region (Makkah, Madinah, Jeddah), Southern Region (Asir, Najran, Jizan), and Northern Region (Tabuk, Jouf, Hail). Results In the current study, we collected data from 387 general practitioners, 61.8% of whom were aged between 21-30 years old, and 57.4% of the participants were males. Moreover, 40.6% of the participants thought that both LPR and gastroesophageal reflux disease (GERD) share pathophysiology, however, they are two different diseases considering their clinical presentation. Moreover, it was found that heartburn was the most known symptom of LPR among the participants (Mean score 2.14 (SD=1.31), where a lower score indicated more relation). Considering the treatment of LPR, 40.6% and 40.3% of the participants reported using proton pump inhibitors once or twice daily respectively. In contrast, antihistamine/H2 blockers, alginate, and magaldrate were used to a lesser extent as reported by 27.1%, 21.7%, and 12.1%. Conclusion The current study showed limited knowledge among general practitioners considering LPR with a higher rate of referring patients to other departments depending on symptoms which may increase the pressure on other departments of mild cases.

Citing Articles

Laryngopharyngeal reflux: knowledge, attitudes, and practices among primary healthcare physicians.

Obaid S, Obaid S, Alessa M, Alnajeim M, Almetary R, Malki K Acta Otorhinolaryngol Ital. 2024; 44(5):306-312.

PMID: 39526767 PMC: 11556777. DOI: 10.14639/0392-100X-N2776.

References
1.
Merati A, Lim H, Ulualp S, Toohill R . Meta-analysis of upper probe measurements in normal subjects and patients with laryngopharyngeal reflux. Ann Otol Rhinol Laryngol. 2005; 114(3):177-82. DOI: 10.1177/000348940511400302. View

2.
Cohen H, Margolis A, Gonzalez N, Martinez E, Sanguinetti A, Garcia S . [Implementation and evaluation of a blended learning course on gastroesophageal reflux disease for physicians in Latin America]. Gastroenterol Hepatol. 2014; 37(7):402-7. DOI: 10.1016/j.gastrohep.2014.01.004. View

3.
Naguib R, Alfawaz A, Alqahtani A, Balkhasl K, Alnafee R, Naji S . Awareness, experience, and practice of physicians regarding adult gastroesophageal reflux disease (GERD) in Riyadh, Saudi Arabia. J Family Med Prim Care. 2020; 9(8):4181-4189. PMC: 7586572. DOI: 10.4103/jfmpc.jfmpc_585_20. View

4.
Zalvan C, Hu S, Greenberg B, Geliebter J . A Comparison of Alkaline Water and Mediterranean Diet vs Proton Pump Inhibition for Treatment of Laryngopharyngeal Reflux. JAMA Otolaryngol Head Neck Surg. 2017; 143(10):1023-1029. PMC: 5710251. DOI: 10.1001/jamaoto.2017.1454. View

5.
Koufman J . The otolaryngologic manifestations of gastroesophageal reflux disease (GERD): a clinical investigation of 225 patients using ambulatory 24-hour pH monitoring and an experimental investigation of the role of acid and pepsin in the development of.... Laryngoscope. 1991; 101(4 Pt 2 Suppl 53):1-78. DOI: 10.1002/lary.1991.101.s53.1. View