New Research Examines Relationship Between GERD and Other Health Conditions
22 Mai 2007 - 3:01PM
PR Newswire (US)
AstraZeneca Presents Data from Three New Studies at Digestive
Disease Week Annual Meeting WASHINGTON, May 22
/PRNewswire-FirstCall/ -- AstraZeneca presented data from three new
studies this week during poster sessions at the Digestive Disease
Week (DDW) annual meeting in Washington, DC. The studies examined
the relationship between gastroesophageal reflux disease (GERD) and
asthma, irritable bowel syndrome (IBS), and other concomitant
diseases. One study also evaluated the impact of GERD on
health-related quality of life and work productivity. GERD symptoms
affect approximately 36 million people in the United States. GERD
is characterized by frequent and persistent heartburn, which occurs
when the lower esophageal sphincter (the valve separating the
esophagus and stomach) does not close properly, allowing acid to
back up into the esophagus. GERD is chronic and may potentially
lead to more serious medical conditions, if left untreated. "The
studies presented this week provide additional insight into who
GERD affects and why, and point to various connections between GERD
and other disease states," said Debra Silberg MD, PhD, Senior
Director Clinical Research, AstraZeneca. "On the basis of these
data, we are encouraged to further study the relationship between
GERD and diseases such as asthma and IBS, and ultimately evaluate
best courses for diagnosis and treatment." The posters presented
and discussed at DDW include: The association between
gastroesophageal reflux disease and asthma: a systematic review
(Presentation #T1176) Poster Presentation, Tuesday, May 22, 8:00 AM
Hall E, Washington Convention Center Hashem El-Serag, Sections of
Gastroenterology and Health Services Research at the Houston
Department of Veterans Affairs Medical Center, presented findings
from a systematic review of 29 studies that assessed the prevalence
or incidence of GERD in individuals with asthma, or that of asthma
in individuals with GERD. Across all studies, the average
prevalence of GERD in individuals with asthma was 60.9%, compared
with 39.5% in controls. The average prevalence of asthma in
patients with GERD was 4.6%, compared with 3.9% in controls.
Investigators concluded that patients with asthma have an increased
risk of developing GERD, but it remains unclear whether GERD
precedes asthma. The relationship between gastroesophageal reflux
disease and irritable bowel syndrome in primary care (Presentation
#S1049) Poster Presentation, Sunday, May 20, 8:00 AM Hall E,
Washington Convention Center Ana Ruigomez, Centro Espanol de
Investigacion Farmacoepidemiologica (CEIFE), Madrid, Spain,
presented findings from a population-based cohort study evaluating
the risk of IBS following a GERD diagnosis and the risk of GERD
following an IBS diagnosis. Patients with a first diagnosis of GERD
(n = 6606) were compared with an age- and sex-matched cohort of
patients without GERD (n = 9650), and patients with a first
diagnosis of IBS (n = 2932) were compared with a cohort without IBS
(n = 4968). The incidence of IBS per 1000 person-years was 14.5
(95% CI: 11.9-17.7) in the GERD cohort and 3.5 (95% CI: 2.5-4.9) in
the comparison cohort. The adjusted relative risk of developing IBS
was 3.2 (95% C1: 2.1-4.8) in the GERD cohort compared with
controls. The adjusted relative risk of developing GERD was 2.8
(95% C1:1.7-4.9) in the IBS cohort compared with controls. The
incidence of GERD per 1000 person-years was 15.0 (95% CI:
11.2-20.1) in the IBS cohort and 4.4 (95% CI: 2.9-6.7) in the
comparison cohort. In the IBS cohort, a prior record of general
pain and cough were associated with a greater risk of developing
GERD. Researchers concluded that there is a link between the two
morbidities that warrants further research. Relationship between
symptoms of gastroesophageal reflux disease and concomitant
disease, health-related quality of life and work productivity: a
database study in a US cohort (Presentation #M1044) Poster
Presentation, Monday, May 21, 8:00 AM Hall E, Washington Convention
Center Peter Wahlqvist, AstraZeneca R&D, Molndal, Sweden,
presented findings from a database analysis of results from the
2004 National Health and Wellness Survey to better understand the
relationship between self-reported symptoms of GERD and
self-reported concomitant diseases, health-related quality of life,
and work productivity. Respondents with self-reported symptoms of
GERD (n Equal To 10,028, mean age: 52 years, 58% female) were age-
and sex-matched to a control group without GERD symptoms (n Equal
To 10,028). Respondents with GERD were classified by self-reported
symptom severity (mild, moderate or severe) and frequency (low or
moderate-to-high: symptoms on = 2 days or Greater Than or Equal to
days per week, respectively). Compared with the control group,
respondents with GERD symptoms had a larger number of concomitant
diseases (mean difference [MD]: 1.6), lower mental and physical
health scores (MD: 3.1 units and 4.1 units), and a higher
percentage of health-related reduced productivity while at work
(MD: 7.5% units) and when performing daily activities (MD: 12.1%
units). The difference between the control group and respondents
with GERD increased with increasing symptom severity and frequency.
Researchers concluded that increasing severity and frequency of
GERD symptoms is associated with more concomitant diseases, lower
health-related quality of life, and lower work productivity, and
that further studies are needed to help identify patient
subpopulations in which re-evaluating the management of GERD may be
warranted. About AstraZeneca AstraZeneca is a major international
healthcare business engaged in the research, development,
manufacture and marketing of prescription pharmaceuticals and the
supply of healthcare services. It is one of the world's leading
pharmaceutical companies with healthcare sales of $26.47 billion
and leading positions in sales of gastrointestinal, cardiovascular,
neuroscience, respiratory, oncology and infection products.
AstraZeneca is listed in the Dow Jones Sustainability Index
(Global) as well as the FTSE4Good Index. In the United States,
AstraZeneca is a $12.44 billion healthcare business with more than
12,000 employees. For nearly three decades, AstraZeneca has offered
drug assistance programs side by side with its medicines, and over
the past five years, has provided over $3 billion in savings to
more than 1 million patients throughout the US and Puerto Rico.
AstraZeneca has been named one of the "100 Best Companies for
Working Mothers" by Working Mother magazine and is the only large
pharmaceutical company named to FORTUNE magazine's 2007 list of
"100 Best Companies to Work For." In 2006, for the fifth
consecutive year, Science magazine named AstraZeneca a "Top
Employer" on its ranking of the world's most respected
biopharmaceutical employers. For more information about
AstraZeneca, please visit: http://www.astrazeneca.com/ About
Digestive Disease Week (DDW) DDW is the largest international
gathering of physicians, researchers and academics in the fields of
gastroenterology, hepatology, endoscopy and gastrointestinal
surgery. Jointly sponsored by the American Association for the
Study of Liver Diseases, the American Gastroenterological
Association (AGA) Institute, the American Society for
Gastrointestinal Endoscopy and the Society for Surgery of the
Alimentary Tract, DDW takes place May 19-24, 2007, at the
Washington Convention Center, Washington, DC. The meeting showcases
approximately 5,000 abstracts and hundreds of lectures on the
latest advances in GI research, medicine and technology. For more
information, visit http://www.ddw.org/ . DATASOURCE: AstraZeneca
CONTACT: Dana Settembrino, +1-302-885-6980, or Corey Smith,
+1-302-885-0034, both of AstraZeneca Web site:
http://www.astrazeneca-us.com/ http://www.ddw.org/
http://www.astrazeneca.com/ Company News On-Call:
http://www.prnewswire.com/comp/985887.html
Copyright