Yinin Hu, MD, Brian Ezekian, BA, Kristen M. Wells, PhD, Sandra G

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Presentation transcript:

Long-Term Satisfaction and Medication Dependence After Antireflux Surgery Yinin Hu, MD, Brian Ezekian, BA, Kristen M. Wells, PhD, Sandra G. Burks, RN, David R. Jones, MD, Christine L. Lau, MD, Bruce D. Schirmer, MD, Benjamin D. Kozower, MD, MPH The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1246-1251 (October 2013) DOI: 10.1016/j.athoracsur.2013.05.017 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Telephone survey script for long-term follow-up after antireflux surgery. Definitions of satisfaction were described to participants during the survey. (EGD = esophagogastroduodenoscopy; PPI = proton pump inhibitor.) The Annals of Thoracic Surgery 2013 96, 1246-1251DOI: (10.1016/j.athoracsur.2013.05.017) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Cox proportional hazards model for freedom of antireflux medication: 83% and 38% of patients were free of antireflux medication use at 5 years and 10 years, respectively. The Annals of Thoracic Surgery 2013 96, 1246-1251DOI: (10.1016/j.athoracsur.2013.05.017) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Cox proportional hazards model for patient satisfaction: 82% and 59% of patients rated their satisfaction with surgery as excellent or good at 5 years and 10 years, respectively. The Annals of Thoracic Surgery 2013 96, 1246-1251DOI: (10.1016/j.athoracsur.2013.05.017) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Comparison of preoperative symptoms (blue bars) and postoperative symptoms (red bars). At follow-up, 39.5% of patients were asymptomatic. Symptomatic patients endorsed heart burn (44.6%), epigastric pain (11.3%), and regurgitation (4.1%) most frequently. The most common complication was dysphagia (16.4%). The Annals of Thoracic Surgery 2013 96, 1246-1251DOI: (10.1016/j.athoracsur.2013.05.017) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions