Abstract |
The author performed a MEDLINE literature search to identify and evaluate all randomized, placebo-controlled trials of the treatment of laryngopharyngeal reflux (LPR) with an oral proton-pump inhibitor (PPI) that have been published since 1966. Eight such trials that included a total of 358 patients were identified. These eight studies contained seven different definitions of LPR. Validity scores (maximum: 9) ranged from 5 to 9 (mean: 7.5). One study investigated low-dose once-daily therapy, two studies investigated low-dose twice-daily therapy, and five studies investigated high-dose twice-daily therapy. Outcomes measures were not consistent among studies, and most studies used unvalidated outcomes measures. Only two studies found that a PPI was significantly better than placebo-one in the low-dose twice-daily group and one in the high-dose twice-daily group. The author concludes that the current body of literature is insufficient to draw reliable conclusions about the efficacy of PPI therapy for the treatment of LPR.
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Authors | Uchechukwu C Megwalu |
Journal | Ear, nose, & throat journal
(Ear Nose Throat J)
Vol. 92
Issue 8
Pg. 364-71
(Aug 2013)
ISSN: 1942-7522 [Electronic] United States |
PMID | 23975490
(Publication Type: Journal Article, Review, Systematic Review)
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Chemical References |
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Topics |
- Humans
- Laryngopharyngeal Reflux
(drug therapy)
- Proton Pump Inhibitors
(administration & dosage, therapeutic use)
- Randomized Controlled Trials as Topic
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