cliot (version 1.0.0)

rome_iv_functional_globus: Rome IV Diagnostic Criteria for Functional Globus

Description

Evaluates the Rome IV criteria for diagnosing Functional Globus (formerly Globus Hystericus). Diagnosis requires a sensation of a lump or foreign body in the throat that is constant or intermittent, occurs between meals, does not interfere with swallowing, and cannot be explained by structural or reflux disease. Symptoms must be chronic (onset >= 6 months, active >= 3 months).

Usage

rome_iv_functional_globus(sensation_constant_intermittent, localized_anteriorly,
                          no_dysphagia_odynophagia, no_gerd_explanation,
                          no_structural_pathology, symptom_onset_ge_6_months,
                          symptoms_active_last_3_months)

Value

A list containing:

Diagnosis

"Criteria Met for Functional Globus" or "Criteria Not Met".

Arguments

sensation_constant_intermittent

Numeric (0 or 1). Sensation of a lump, foreign body, or throat tightness that is constant or intermittent. (1 = Yes).

localized_anteriorly

Numeric (0 or 1). Is the sensation localized in the anterior neck? (1 = Yes).

no_dysphagia_odynophagia

Numeric (0 or 1). Absence of dysphagia (difficulty swallowing) or odynophagia (painful swallowing). (1 = Yes).

no_gerd_explanation

Numeric (0 or 1). Symptoms are NOT exclusively occurring during episodes of heartburn or regurgitation, and GERD is excluded as the cause. (1 = Yes).

no_structural_pathology

Numeric (0 or 1). Absence of structural pathology (e.g., mass, inflammation) on appropriate evaluation (e.g., EGD, barium swallow). (1 = Yes).

symptom_onset_ge_6_months

Numeric (0 or 1). Did symptom onset occur at least 6 months prior to diagnosis? (1 = Yes).

symptoms_active_last_3_months

Numeric (0 or 1). Have symptoms been active for the last 3 months? (1 = Yes).

References

Aben-Fawaz H, Kahrilas PJ, Chen J. Esophageal disorders. Gastroenterology. 2016;150:1367-1379. doi:10.1053/j.gastro.2016.02.002

Examples

# Example 1: Diagnosis Met
# Lump sensation (1), Anterior (1), No dysphagia (1), No GERD (1), No pathology (1), Chronic
rome_iv_functional_globus(1, 1, 1, 1, 1, 1, 1)

# Example 2: Not Met (Has dysphagia)
# Lump sensation (1), Anterior (1), Dysphagia present (0)
rome_iv_functional_globus(1, 1, 0, 1, 1, 1, 1)