Reflux Symptom Index versus Reflux Finding Score

Mesallam, Tamer A.; Stemple, Joseph C.; Sobeih, Tarek; Elluru, Ravindhra G.

doi:10.1177/000348940711600608

Cited by 90 publications

(69 citation statements)

References 18 publications

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“…In addition, there was a highly significant positive correlation between RSI and RFS (p=0.0001). Our results confirm the results of previous studies and suggest that these two scales can be quite useful for potential LPR patients (13,14).…”

Section: Discussionsupporting

confidence: 92%

“…Mesallam et al (13) determined good intra-rater reliability but low-to-moderate inter-rater reliability for RFS in 40 symptomatically diagnosed LPR patients. There was a strong positive correlation observed between RSI and total RFS.…”

Section: Discussionmentioning

confidence: 99%

“…Although these two instruments are widely used in clinical practice, there are few reports investigating the correlation between them (13,14). In this study, we evaluated the correlation between RSI and RFS in the patients with voice-related problems, and we also investigated the reliability of RFS.…”

Section: Introductionmentioning

confidence: 99%

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The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

Karakaya¹,

Akbulut²,

Altintaş³

et al. 2015

JAREM

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Objective: To evaluate the correlation between the reflux symptom index (RSI) and the reflux finding score (RFS) in the patients with voice-related problems and to investigate the reliability of RFS.Methods: Fifty-four patients presenting with the complaint of voice abnormality were included in the study. Patients were asked to complete an RSI score sheet, and they were examined by rigid laryngostroboscopy. Laryngostroboscopic examinations of the patients were evaluated and rated with RFS by three different otolaryngologists blinded to patient information in two different sessions to evaluate intra-rater and inter-rater reliability. The correlations between RSI and RFS, for both total RFS and individual variables from RFS, were investigated.Results: Sixty-three percent were female and 37% were male, with a mean±SD age of 39.09±14.43 years. RSI ranged from 4 to 31, and RFS ranged from 8 to 22. All three raters demonstrated highly consistent intra-rater and inter-rater reliability for both total RFS and individual variables from RFS. There was a highly significant statistical correlation between RSI and total RFS (r=0.696; p=0.0001). Individual variables from RFS, except the posterior commissure hypertrophy, also demonstrated a significant positive correlation with RSI scores (p<0.05).Conclusion: RFS is a simple scale that could easily be administered with high intra-rater and inter-rater reliability for the evaluation of laryngopharyngeal reflux. RSI is highly correlated with both total RFS and all the individual variables from RFS, except posterior commissure hypertrophy. (JAREM 2015; 5: 68-74)

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

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The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

Karakaya¹,

Akbulut²,

Altintaş³

et al. 2015

JAREM

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“…Several studies on LPR have found globus pharyngeus as the most common symptom, while some studies have found other symptoms of LPR more common like throat burning, hoarseness, cough. [7][8][9][10][11] In our study most common symptom of LPR was found to be frequent clearing of throat in 98%, which was similar in the study by Toros et al 12 Other common symptoms seen in our study were sensation of lump in throat and troublesome cough in 96% of patients each. Dyspnoea/choking (38%) was least common symptom seen our patients.…”

Section: Discussionsupporting

confidence: 87%

A clinical study of symptomatic profile and response in objective and subjective parameters to proton pump inhibitor in laryngopharyngeal reflux

Kavitha

Dutta

Sabarigirish

et al. 2016

Int J Otorhinolaryngol Head Neck Surg

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INTRODUCTIONLaryngopharyngeal reflux has been reported in upto 10% of patients, presenting to an ENT OPD. 1Laryngopharyngeal reflux is a known etiological factor behind the development of various conditions of the upper aero-digestive tract like recurrent laryngospasm, cricoarytenoid joint fixation and stenosis as well as many other otolaryngology related conditions, including globus pharyngeus, cervical dysphagia, carcinoma and subglottic stenosis.A nine-item reflux symptom index (RSI) is a preset questionnaire introduced by Belafsky et al answered by the patient himself to find out the severity of laryngopharyngeal reflux.2 RSI also evaluates treatment efficacy, which has excellent reproducibility and criterion-based validity. ABSTRACT Background:The study was conducted to identify the various clinical presentations and findings in cases of LPR and also to study the role of proton pump inhibitor in the management of laryngopharyngeal reflux by observing the effect of proton pump inhibitor on reflux finding score (RFI) and reflux symptom index (RSI). Methods: A prospective, interventional, cohort study of 50 diagnosed cases of LPR with RSI >13 and RFS >7 (based on fibreoptic laryngoscopic findings) at the time of initial presentation was done. They were treated with a 6 month course of oral cap omeprazole (20 mg twice daily 30 minutes before meals) and followed up at 0, 4, 8 and 24 weeks for any improvement in RSI and RFS scores. Results: Most frequent symptoms detected in the cases were frequent clearing of throat, dry cough and sensation of lump in the throat all of which showed significant improvement at follow up at 4 weeks. Most common finding on fibreoptic laryngoscopy was erythema and diffuse laryngeal oedema, both of which showed significant improvement on follow up.There was also a significant change in RSI and RFS after receiving Omeprazole at 4 weeks, 8 weeks and at 24 weeks duration (p <0.0001). Conclusions: This study dealt mainly with study of combination of clinical features that LPR presents time line of improvement of these features with capsule omeprazole. It is proposed that a presumptive diagnosis of LPR can be made based on the criteria of RSI and patients be given an empirical therapeutic trial including behavioral and dietary recommendations and 6 months of twice-daily proton-pump inhibitor therapy for an excellent clinical response.

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“…[13] Mesallam and stemple in their study demonstrated a highly significant correlation between the RFS and RSI. [15] All their study patients had an RSI of more than 13. RFS ranged from 0 to 20 with 29 patients having LPR positive scores and 11 patients having LPR negative scores, and they had a strong correlation between the two scores (r = 0.86; P < 0.0001).…”

Section: Discussionmentioning

confidence: 99%

Correlation between reflux symptom index and reflux finding score in patients with laryngopharyngeal reflux: Our experience

Satish¹,

Datta²,

B³

et al. 2016

JCRI

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Background: Laryngopharyngeal reflux (LPR) also known as extraesophageal reflux disease refers to retrograde flow of gastric contents to the upper aero-digestive tract. Belafsky, Postma, and Koufman have developed the reflux symptom index (RSI) and the reflux finding score (RFS) to diagnose LPR. Although both have been widely used, there is some controversy about their sensitivity and specificity in LPR diagnosis. Materials and Methods:Patients who presented with symptoms of LPR were prospectively evaluated to study the correlation between scoring systems of RSI and RFS and also to assess the change in scores of RSI and RFS following 1 month of treatment with proton pump inhibitors (PPIs). Wilcoxon signed rank test and Student's t-test (paired) have been used to find the significance of RSI and RFS components at baseline and follow-up. Pearson correlation of RSI and RFS scores are done at baseline and follow-up. Results: In our study, we found no correlation between the RSI and RFS at baseline (P = 0.501) as well as on follow-up after treatment (P = 0.136). A significant improvement was noted in the RSI following treatment with PPIs for 1 month but no improvement was noted in the signs following treatment. Conclusion: Based on our analysis, RSI scoring alone is fast and convenient to start treatment for patients with LPR medically along with lifestyle modifications.

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Reflux Symptom Index versus Reflux Finding Score

Abstract: The study demonstrates a highly significant correlation between the RFS and the RSI.

Cited by 90 publications

References 18 publications

The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

The Reflux Finding Score: Reliability and Correlation to the Reflux Symptom Index

A clinical study of symptomatic profile and response in objective and subjective parameters to proton pump inhibitor in laryngopharyngeal reflux

Correlation between reflux symptom index and reflux finding score in patients with laryngopharyngeal reflux: Our experience

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