PENERAPAN KUESIONER DISPEPSIA FUNGSIONAL ROMA III PADA PASIEN UNINVESTIGATED DYSPEPSIA
BACKGROUND : Dyspepsia is a clinical condition which is often found in daily practice. It can be caused by organic abnormality but most cases are functional dyspepsia. Rome Foundation has developed symptom-based diagnostic criteria to assist health care professional in diagnosing functional dyspepsi...
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| Main Authors: | , |
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| Format: | Theses and Dissertations NonPeerReviewed |
| Published: |
[Yogyakarta] : Universitas Gadjah Mada
2014
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| Online Access: | https://repository.ugm.ac.id/133313/ http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=73895 |
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| Summary: | BACKGROUND : Dyspepsia is a clinical condition which is often found in daily practice. It can be caused by organic abnormality but most cases are functional dyspepsia. Rome Foundation has developed symptom-based diagnostic criteria to assist health care professional in diagnosing functional dyspepsia. There hasn�t been a study about the application of Rome III Questionnaire for Functional Dyspepsia in Yogyakarta. The aim of this study is to evaluate the application of Rome III Questionnaire for Functional Dyspepsia in patients with uninvestigated dyspepsia to help in diagnosing functional dyspepsia and to discover both its sensitivity and specificity. METHODS : This is a cross sectional study to evaluate the application of Rome III Questionnaire for Functional Dyspepsia in patients with uninvestigated dyspepsia. Subjects of this study were patients with uninvestigated dyspepsia who applied for endoscopic examination in Dr. Sardjito Central General Hospital and PKU Muhammadiyah Bantul General Hospital in Yogyakarta. The inclusion criterias were age above 18 years to 55 years, without alarm symptoms, and agree to do endoscopic examination. Subjects with alarm symptoms and comorbid diseases were excluded. Questionnaire were filled before endoscopic examination. RESULTS : There were 54 subjects with uninvestigated dyspepsia, 22 subjects were excluded due to alarm symptoms and comorbid diseases. There were 32 subjects with uninvestigated dyspepsia who met inclusion criterias. According to endoscopic examination, there were 16 subjects (50%) with functional dyspepsia and 16 subjects (50%) with organic dyspepsia. The result of questionnaires showed 7 subjects (21,88%) with Epigastric Pain Syndrome (EPS), 2 subjects (6,25%) were categorized as Postprandial Distress Syndrome (PDS), 9 subjects (28,12%) met the criterias of EPS and PDS while 14 subjects (43,75%) were neither EPS nor PDS. There is no significant difference of dyspepsia symptoms in subjects with functional dysepsia and organic dyspepsia (p=0,154). The sensitivity and specificity of questionnaire are 68,75% and 56,25% respectively.
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CONCLUSIONS : This study suggests that Rome III Questionnaire for Functional Dyspepsia haven�t been able to be applied to diagnose functional dyspepsia clinically because it can�t differ the symptoms of dyspepsia in patients with functional dyspepsia and organic dyspepsia with 68,75% sensitivity and 56,25% specificity |
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