A simple qualitative scale for diagnosis of laryngopharyngeal reflux: high correlations with pH measurements and disease severity. The usefulness of the Warsaw Scale in LPR diagnostics compared to other diagnostic tools

• Published in: European archives of oto-rhino-laryngology 2021-12, Vol.278 (12), p.4883-4892
• Main Authors: Wlodarczyk, E., Domeracka-Kolodziej, A., Miaskiewicz, B., Skarzynski, H., Skarzynski, P. H.
• Format: Article
• Language: English
• Subjects: Diagnostic Tests, Routine; Esophageal pH Monitoring; Head and Neck Surgery; Humans; Hydrogen-Ion Concentration; Laryngology; Laryngopharyngeal Reflux - diagnosis; Medicine; Medicine & Public Health; Neurosurgery; Otorhinolaryngology; Severity of Illness Index; Voice Disorders
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-021-06989-x

Purpose Diagnosis and monitoring of laryngopharyngeal reflux (LPR) is a constant challenge in otolaryngological practice, chiefly because there are no specific symptoms characteristic of the disease. In this paper, we present the validation of a simple, 6-level qualitative scale to gauge the clinical findings of LPR. It has been previously published in Polish as the Warsaw Scale. Methods In the study, we enrolled 100 patients with voice problems who had registered in our clinic, and we performed an extended battery of diagnostic tests for LPR, together with 24-h pH monitoring. Results The Warsaw Scale significantly outperformed other instruments in both predicting LPR status and correlating with pH measurements. Moreover, the rating provided by the scale showed a strong association with patient-reported symptoms. Conclusion The data indicate that the Warsaw Scale could be used as an affordable, consistent, and effective diagnostic and monitoring tool for LPR.