Evidence mapPaperPMID 41875283Full record

ReviewDigestive diseases (Basel, Switzerland)2026

Self-Management of Reflux-Like Symptoms: A Patient-Centered Decision-Making Approach.

A Pali S Hungin, Carmelo Scarpignato, Albert J Bredenoord, Mark R Fox, Elsa López-Pintor, Juan M Mendive, Edoardo Vincenzo Savarino, Peter J Kahrilas

Abstract readReview
In one paragraph

Review in Digestive diseases (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

A Pali S HunginFaculty of Medical Sciences, Professor Emeritus, Primary Care and General Practice, Newcastle University, Newcastle upon Tyne, UK, apshungin@gmail.com.
Carmelo ScarpignatoDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Albert J BredenoordDepartment of Gastroenterology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Mark R FoxDepartment of Gastroenterology and Hepatology, University Hospital Zürich, Zürich, Switzerland.
Elsa López-PintorDepartment of Engineering, Area of Pharmacy and Pharmaceutical Technology, Universidad Miguel Hernández, Alicante, Spain.
Juan M MendiveLa Mina Primary Health Care Academic Centre, Catalan Institute of Health (ICS), University of Barcelona, Barcelona, Spain.
Edoardo Vincenzo SavarinoGastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy.
Peter J KahrilasNorthwestern University, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

<p>Background: Guidelines for the management of reflux-like symptoms (primarily heartburn and regurgitation) offer limited guidance to support decision-making in the nonprescription setting. This review aimed to summarize and compare nonprescription treatment options within the context of reflux-like symptom pathophysiology and provide a practical evidence-based tool to help guide tailored treatment selection. Summary: A patient-centered approach should consider the requirement for reactive versus preventative therapies and each product's unique characteristics. Antacids neutralize refluxed acid in the esophagus, providing temporary relief from occasional heartburn. Raft-forming alginate formulations provide relief of heartburn and regurgitation after meals by forming a viscous gel near the gastroesophageal junction, neutralizing the postprandial acid pocket and coating the esophagus when refluxed. Histamine-2 receptor antagonists reduce gastric acid secretion within 30 min, lasting for up to 12 h, making them useful for treatment and prevention of heartburn, but tachyphylaxis is a limitation. Nonprescription proton pump inhibitors are most effective for preventing frequent acid-related symptoms. They are packaged as a 2-week course for daily use, achieving maximum effect after a few days. Key Messages: Important differences exist among self-management treatment options for reflux-like symptoms. A standardized algorithm is proposed to help tailor treatment selection according to symptom profile. </p>.

Indexed as

Decision MakingGastroesophageal RefluxSelf CareAntacidsHeartburnHistamine H2 AntagonistsHumansPatient-Centered CareProton Pump InhibitorsAntacidsHistamine H2 AntagonistsProton Pump InhibitorsAlginateAntacidHistamine H2 receptor antagonistsProton pump inhibitorsSelf care

Identifiers

PMID41875283
PMCPMC13218708

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.