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Logoped Phoniatr Vocol. 2017 Nov 9:1-6. doi: 10.1080/14015439.2017.1397741. [Epub ahead of print]

Symptom relief and health-related quality of life in globus patients: a prospective study.

Author information

1
a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
2
b City of Vantaa , Health Care and Social Services, Rehabilitation , Vantaa , Finland.
3
c Department of Health and Social Management , University of Eastern Finland , Kuopio , Finland.
4
d Group Administration , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.
5
e Department of Public Health , University of Helsinki , Helsinki , Finland.
6
f Department of Gastroenterology , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.

Abstract

Globus may be a persistent symptom impairing patients' quality of life. Diagnostics and treatment are controversial but some globus patients may benefit from reassurance and attention. We investigated how globus symptoms change during a short-term follow-up without any treatment after an examination by an ear, nose and throat (ENT) physician and further diagnostic procedures. We also surveyed whether patients with persistent globus suffer from simultaneous voice problems. The study comprised 30 consecutive globus patients referred to Helsinki University Hospital, Department of Otorhinolaryngology - Head and Neck Surgery. We performed an ENT examination and scored patients' videolaryngostroboscopies using the Reflux Finding Score (RFS). Patients filled in three questionnaires: the Reflux Symptom Index (RSI), the Deglutition Handicap Index (DHI) and the 15-Dimensional Measure of Health-Related Quality of Life (15-D HRQoL). Patients underwent transnasal esophagoscopy, high-resolution manometry, and 24-hour multichannel intraluminal impedance and pH monitoring. After a four-month follow-up, patients re-answered the same questionnaires and a speech and language pathologist (SLP) examined the patients. Baseline and follow-up questionnaires were available from 27 (90%) patients. According to the RSI (p = .001) and the DHI (p = .003), patients' symptoms diminished after four months. The 15-D showed improvement in one subscale measuring discomfort and symptoms (p = .023). The SLP examined 23 (77%) patients, finding functional voice problems in six (26%). The study showed that most globus patients felt their symptoms diminished without any treatment during four months. In some patients, coexisting voice problems may be associated with persistent globus.

KEYWORDS:

Follow-up; globus; quality of life; voice problems

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