QUALITY-OF-LIFE ASSESSMENTS IN THE EVALUATION OF GASTROESOPHAGEAL REFLUX AND PEPTIC-ULCER DISEASE BEFORE, DURING AND AFTER TREATMENT

Background: It has recently been suggested that Quality of Life (QOL) be used in the evaluation of new medical treatment regimens together w ith cost-benefit, efficacy and safety. In this overview we point out s ome aspects of use of the Psychological General Well-Being Index (PGWB ) in patients with peptic ulcer and reflux disease gained from our own investigations in later years. Methods: QOL was assessed using questi onnaires before diagnosis, during medical healing treatment and at a 1 -year follow-up in peptic ulcer disease or before and after surgery in reflux disease. Results: Untreated patients with unknown diagnosis ha d low QOL scores. With treatment, scores increased rapidly to supernor mal Values and fell off to normal values during the follow-up year. Co nclusion: QOL evaluations seem sensitive and reflect the patient's sub jective feeling of disease. They add another new aspect of treatment e ffect not earlier included in treatment evaluations.