PDF(Pubmed)
Abstract：
Gastroesophageal reflux disease has been associated with worse lung transplant outcomes. We aimed to assess local practices for esophageal function testing (EFT) across transplant centers.
This was a survey study of all United Network for Organ Sharing-accredited adult lung transplant centers regarding local EFT practice.
Among 39/63 (60%) responded centers, 38.5% required any EFT (35.9% esophageal manometry, 15.4% pH monitoring, and 28.2% pH impedance), while another 28.2% may consider EFT based on symptoms. Five-year transplant volume was higher among centers requiring EFT (253 vs 159, P = 0.04).
Only a minority of lung transplant centers routinely obtained EFT, supporting the need for guidelines for standardized reflux/esophageal assessment.
This was a survey study of all United Network for Organ Sharing-accredited adult lung transplant centers regarding local EFT practice.
Among 39/63 (60%) responded centers, 38.5% required any EFT (35.9% esophageal manometry, 15.4% pH monitoring, and 28.2% pH impedance), while another 28.2% may consider EFT based on symptoms. Five-year transplant volume was higher among centers requiring EFT (253 vs 159, P = 0.04).
Only a minority of lung transplant centers routinely obtained EFT, supporting the need for guidelines for standardized reflux/esophageal assessment.
摘要：
背景：胃食管反流病与肺移植预后较差相关。我们旨在评估移植中心的食管功能测试（EFT）的当地做法。
方法：对所有UNOS认可的成人肺移植中心关于当地EFT实践的调查研究。
结果：在39/63（60％）响应中心中，38.5%需要任何EFT(35.9%食管测压，15.4%pH监测，和28.2%的pH-阻抗)，而另外28.2%的人可能会根据症状考虑EFT。需要EFT的中心的五年移植量较高（253vs159，p=0.04）。
结论：只有少数肺移植中心常规获得EFT，支持对标准化反流/食管评估指南的需求。
方法：对所有UNOS认可的成人肺移植中心关于当地EFT实践的调查研究。
结果：在39/63（60％）响应中心中，38.5%需要任何EFT(35.9%食管测压，15.4%pH监测，和28.2%的pH-阻抗)，而另外28.2%的人可能会根据症状考虑EFT。需要EFT的中心的五年移植量较高（253vs159，p=0.04）。
结论：只有少数肺移植中心常规获得EFT，支持对标准化反流/食管评估指南的需求。
