Table 2

Poisson regression analysis of trends in the prevalence of GERD worldwide

Included studiesNumber of studiesRate ratio* (95% CI)p Value†
Temporal trends in GERD prevalence
Study year
 Pre-1995[11 20 21]3Reference
 1995–1999[9 10 14 18 22 28 33 34]81.45 (1.22 to 1.73)<0.0001
 2000–2004[8 13 17 19 26 30 32 35]81.46 (1.23 to 1.74)<0.0001
 2005–2009[15 16 23–25 27 29 31 36]91.51 (1.26 to 1.82)<0.0001
Geographic trends in GERD prevalence
Study continent
 North America[8–11 13]5Reference
 East Asia[30–35]60.24 (0.22 to 0.26)<0.0001
 Europe[15–22]80.68 (0.63 to 0.73)<0.0001
 Middle East[23–29]70.70 (0.64 to 0.77)<0.0001
  • Prevalence of at least weekly heartburn used as a surrogate for the prevalence of at least weekly heartburn and/or regurgitation, when no estimate of the prevalence of at least weekly heartburn and/or regurgitation was available.

  • *Assessed using a Poisson regression model, adjusted for geographic region of study conduct.

  • †Assessed using the Wald χ2 test.

  • GERD, gastro-oesophageal reflux disease.