JOURNAL READING

THE PREVALENCE AND RISK FACTORS OF GERD

AMONG INDONESIAN MEDICAL DOCTORS

Nely Silvia
406162005

Pembimbing :
dr. Eddy Mulyono, Sp.PD, FINASIM
 JOURNAL IDENTITY
• Title
– The Prevalence and Risk Factors of GERD among Indonesian Medical Doctors

• Written By
– Ari F Syam, FC Puspita Hapsari, Dadang Makmun
– Division of Gastroerology, Department of Internal Medicine, Faculty of
Medicine, Universitas Indonesia, Jakarta, Indonesia
– Department of Internal Medicine, Faculty of Medicine, Universitas Indonesia,
Jakarta , Indonesia

• Year
– 2016
 INTRODUCTION
Gastroesophageal reflux disease (GERD) is one of the common
gastrointestinal problems worldwide with a range of GERD prevalence
was :
- 18.1-27.8% in North America,
- 23.0% in South America,
- 8.8-25.9% in Europe,
- 11.6% in Australia and
- 8.7-33.1% in the Middle East.
- 2.5 to 7.8%. In East Asia region,
- 2.5 to 7.8% in Iran
Even the prevalence in East Asia region was relatively low, a hospital-
based study in Indonesia found the prevalence of GERD among
dyspeptic patient who underwent endoscopic procedure was 32.4%,
higher.
 INTRODUCTION
• GERD is known as a condition caused by abnormal reflux of
gastric contents into the esophagus so that the patients may
complain heartburn, a burning sensation in the middle of the
chest, and regurgitation, a moving upward sensation of
stomach content.
• Medical doctor has been known as one of high work-hour
professions, with a range of 51 to 67 hours per week (The
general practitioner, internal medicine resident, and internal
medicine specialist and subspecialist )
• A Recent study showed that stress and shift duty influenced
the amount of daily intake among health provider. Moreover,
they were likely to eat fast food and snack, while fruits and
vegetables were the less
 METHODS
• Cross-sectional
• 515 medical doctors was conducted in
October 2015
• GERD Questionnaire (sex, age, weight, height,
ethnic, and educational level), and several
questions about smoking habit and endoscopy
history.
 METHODS (2)
• Inclusion Criteria : • Exclusion Criteria :
People who fulfilled all all incomplete questionnaire
questions would proceed as and all information about the
research subjects subjects was confidential
 statistical analysis

• using Statistical Package for the Social Sciences (SPSS)

• P value <0.05 was considered as statistically significant.
Results
 Discussion
The prevalence of GERD among medical doctors using
GerdQ tools 27.4% (141 subjects).
It consists of 21% (108 subjects) of GERD with low impact on
daily life and 6.4% of GERD with high impact on daily life.
Age > 50 years old, obesity and smoking habit were found
statistically significant as the risk factors of GERD among
medical doctors in Indonesia.
 Conclusion
The prevalence of GERD among Indonesian medical doctors was
27.4%. We conclude that age over 50 years old, obesity (BMI >
30 kg/m2), and smoking habit were the risk factors of GERD in
Indonesian medical doctors.
 Critical Appraisal

THE PREVALENCE AND RISK FACTORS OF

GERD AMONG INDONESIAN MEDICAL
DOCTORS
• Judul 9 kata  Tidak lebih dari 12 kata
• Judul menggambarkan isi penelitian
• Judul dibuat dengan kalimat yang sederhana,
• Menggunakan singkatan
• Menggunakan kalimat positif
 Abstrak

• Tidak mencakup komponen IMRD (Introduction, Methods, Result,

Discussion)
• Jumlah kata : 189 kata  tidak lebih dari 250 kata
 Hasil Penelitian

No. Kriteria Ya (+) Tidak (-)

1 Jumlah Subjek +
2 Tabel Karakteristik +
3 Tabel Hasil Penelitian +
4 Komentar dan Pendapat +
Penulis ttg hasil
 Kesimpulan dan Daftar Pustaka
No. Kriteria Ya (+) Tidak (+)

1 Pembahasan dan kesimpulan terpisah -

2 Pembahasan dan kesimpulan di paparkan +
dengan jelas
3 Pembahasan mengacu dari penelitian +
sebelumnya
4 Pembahasan sesuai dengan landasan teori +
5 Keterbatasan Penelitian -
6 Simpulan berdasarkan penelitian +
7 Saran Penelitian -
8 Penulisan Daftar Pustaka sesuai aturan +
 PICO

Patient • 515 Dokter , dilakukan pada bulan Oktober 2015

Intervention •-

Comparison •-

• usia, jenis kelamin, tingkat pendidikan,

Outcome tinggi indeks massa tubuh, dan perokok
mungkin meningkatkan risikonya GERD
 Bukti Valid

Pertanyaan
Apakah alokasi pasien pada penelitian ini
Ya
dilakukan secara acak?
Apakah pengamatan pasien dilakukan secara
Ya
lengkap?
Apakah semua pasien dalam kelompok yang
Ya
diacak, dianalisis?
Apakah kelompok diperlakukan sama baik dalam
Tidak
terapi yang diuji?
 Applicability
APPLICABLE
Apakah pada pasien kita terdapat perbedaan
bila dibandingkan dengan yang terdapat
pada penelitian sebelumnya sehingga hasil Tidak
tersebut tidak dapat diterapkan pada pasien
kita?
Apakah penyebaran informasi tentang faktor
risiko tersebut mungkin dapat diterapkan Ya
pada pasien / teman sejawat kita?
Apakah pasien memiliki potensi yang
menguntungkan jika informasi tentang faktor Ya
risiko tersebut diketahui?