Catheter-free (wireless) ambulatory oesophageal pH monitoring for gastro-oesophageal reflux disease (GORD)
Kessels S, Schubert C, Newton S, Merlin T
Record ID 32015000099
English
Original Title:
Application 1203
Authors' results and conclusions:
Only mild complications were reported when catheter-free (wireless) ambulatory oesophageal pH monitoring was used for GORD. No medical therapy was required. No studies were identified that assessed the direct health impact of catheter-free monitoring versus no monitoring in the selected study population. One study found that just slightly more patients who were monitored by the wireless system had an improvement or disappearance of the principal symptom, compared with those monitored by the catheter-based system (73% in the wireless group versus 69% in the catheter-based group (n=51 in each group)). A before-and-after study reported that out of 26 patients who received medical therapy or conservative advice after a catheter-free monitoring test, 9 patients had a good or moderate improvement in symptoms. In a meta-analysis, catheter-free monitoring in adults was found to have over three times the risk (RR=3.3, 95%CI 1.63, 6.81) of having technical problems compared with catheter-based monitoring. The risk decreased slightly (RR=2.87, 95%CI 1.47, 5.62). The catheter-free monitoring test had reasonable sensitivity (86.4%) and specificity (77.8%) when catheter-based monitoring was used as a reference standard.
Details
Project Status:
Completed
Year Published:
2014
URL for published report:
http://www.msac.gov.au/internet/msac/publishing.nsf/Content/10718EB74264CF8DCA25801000123BA0/$File/1203-ContractedAssessmentReport-Catheter-free%20ambulatory%20pH%20test%20for%20GORD.pdf
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Esophageal pH Monitoring
- Gastroesophageal Reflux
- Monitoring, Ambulatory
- Sensitivity and Specificity
- Transistors, Electronic
- Ambulatory Care
- Risk Factors
- Monitoring, Physiologic
Contact
Organisation Name:
Adelaide Health Technology Assessment
Contact Address:
School of Public Health, Mail Drop 545, University of Adelaide, Adelaide SA 5005, AUSTRALIA, Tel: +61 8 8313 4617
Contact Name:
ahta@adelaide.edu.au
Contact Email:
ahta@adelaide.edu.au
Copyright:
Adelaide Health Technology Assessment (AHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.