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    Coalition Seeks to Improve GERD Care

    Results of two recent heartburn studies have compelled almost a dozen organizations to form a coalition whose aims are to raise the public's awareness that heartburn needs to be taken seriously, and to educate patients and health care professionals about treatment options.

    Eight to ten percent of adults in the United States are believed to suffer from heartburn that is associated with gastroesophageal reflux disease (GERD). Many of these individuals have heartburn attacks regularly, painfully unaware that their symptoms deserve medical attention and would probably improve with treatment. More than just a nuisance, heartburn can be caused by GERD, a more worrisome disorder that can have serious medical complications.

    Joel Richter, M.D., chief of the Department of Gastroenterology at the Cleveland Clinic Foundation and co-chairman of the coalition noted, "Medications exist and others are under development that can make such suffering (an historical) medical artifact."

    Digestive Disease Week 2000, recently held in San Diego, featured a number of discussions about public health issues related to GERD and other digestive disorders. A common theme was the need for better public education about things like symptoms and treatment of GERD - so that more people get help.

    The coalition, known as the Coalition Against Acid Reflux Disease (C.A.A.R.D.), has as its lead organization the International Foundation for Functional Gastrointestinal Disorders (IFFGD). Two different surveys reported on at Digestive Disease Week 2000 suggest that whatever it is that health care professionals are doing for patients with GERD, it's not enough.

    The first study, the Patient Unmet Needs Study (PUNS), showed that many patients are settling for treatments that only partially relieve their heartburn, with less than two-thirds of patients on even the newest drugs reporting total satisfaction with their response to treatment.

    The second study was a telephone survey of 300 primary care physicians that suggests that doctors believe many patients to be more satisfied with their symptom control than they really are. Joseph Crawley, principal study author and Health Economics and Outcomes Research Leader for the gastrointestinal therapeutic area at AstraZeneca, the patient study sponsor, believes these studies will have a significant impact on the management of GERD.

    "What we learned through this study and the one focused on primary care physicians really challenges the conventional belief that chronic heartburn sufferers are largely content with currently prescribed therapies. It seems this is only true when good doctor/patient communication about symptoms and life-impact leads them to GERD-specific treatments, such as the class of proton pump inhibitors. Informed Patients need to speak up. Receptive doctors need to listen and respond."



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