rome_iv_functional_globus: Rome IV Diagnostic Criteria for Functional Globus

In cliot: Clinical Indices and Outcomes Tools

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)

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).

Value

A list containing:

Diagnosis

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

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)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.