Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy
Background: Because no therapeutic regimens have an eradication rate of 100%, post-treatment evaluation is necessary to ensure that adequate eradication therapy for Helicobacter pylori has been provided. The fact that not all patients are evaluated after eradication therapy is a serious concern for...
| Автори: | , |
|---|---|
| Формат: | Стаття |
| Мова: | English |
| Опубліковано: |
Interna Publishing
2020-07-01
|
| Серія: | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| Предмети: | |
| Онлайн доступ: | https://www.ina-jghe.com/index.php/jghe/article/view/676 |
| _version_ | 1827932538758234112 |
|---|---|
| author | Yusaku Kajihara Tadashi Shimoyama |
| author_facet | Yusaku Kajihara Tadashi Shimoyama |
| author_sort | Yusaku Kajihara |
| collection | DOAJ |
| description | Background: Because no therapeutic regimens have an eradication rate of 100%, post-treatment evaluation is necessary to ensure that adequate eradication therapy for Helicobacter pylori has been provided. The fact that not all patients are evaluated after eradication therapy is a serious concern for both the medical care system and medical economy.
Method: We performed a retrospective study of 411 patients who received first-line H. pylori eradication therapy at Fuyoukai Murakami Hospital from October 1, 2014 to March 31, 2016. We calculated the rate of post-treatment follow-up at 1 year after completing the eradication therapy. In addition, we excluded 76 patients who definitely received post-treatment evaluation because of follow-up appointments with gastroenterologists (n = 29) or return visits to other physicians (n = 47) and included 335 patients in the final study population. We used logistic regression models for identifying the relevant factors contributing to the completion of post-eradication follow-up.
Results: The rate of completion of post-eradication follow-up was 78.8% (324/411). Multivariate analysis revealed that the adjusted odds ratios for age (≥ 48 years), gender (female) and preventive measures for gastric cancer (esophagogastroduodenoscopy after radiographic screening for gastric cancer and a desire to be examined for H. pylori infection) were 1.85 [95% confidence interval (CI): 1.11–3.09; p 0.05], 1.89 [95% CI: 1.07–3.34; p 0.05] and 4.01 [95% CI: 1.61–10.0; p 0.01], respectively.
Conclusion: Age ≥ 48 years, female gender and preventive measures for gastric cancer were independently related to a higher rate of completion of post-eradication follow-up. |
| first_indexed | 2024-03-13T07:11:16Z |
| format | Article |
| id | doaj.art-d6a722a9ce7e4e7c8c01e6b73e1edfe6 |
| institution | Directory Open Access Journal |
| issn | 1411-4801 2302-8181 |
| language | English |
| last_indexed | 2024-03-13T07:11:16Z |
| publishDate | 2020-07-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy |
| spelling | doaj.art-d6a722a9ce7e4e7c8c01e6b73e1edfe62023-06-06T04:28:32ZengInterna PublishingThe Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy1411-48012302-81812020-07-0119314815210.24871/1932018148-152642Study of the Completion of Follow-up After Helicobacter pylori Eradication TherapyYusaku Kajihara0Tadashi Shimoyama1Department of Gastroenterology, Fuyoukai Murakami Hospital, JapanDepartment of Gastroenterology, Hirosaki University Graduate School of Medicine, JapanBackground: Because no therapeutic regimens have an eradication rate of 100%, post-treatment evaluation is necessary to ensure that adequate eradication therapy for Helicobacter pylori has been provided. The fact that not all patients are evaluated after eradication therapy is a serious concern for both the medical care system and medical economy. Method: We performed a retrospective study of 411 patients who received first-line H. pylori eradication therapy at Fuyoukai Murakami Hospital from October 1, 2014 to March 31, 2016. We calculated the rate of post-treatment follow-up at 1 year after completing the eradication therapy. In addition, we excluded 76 patients who definitely received post-treatment evaluation because of follow-up appointments with gastroenterologists (n = 29) or return visits to other physicians (n = 47) and included 335 patients in the final study population. We used logistic regression models for identifying the relevant factors contributing to the completion of post-eradication follow-up. Results: The rate of completion of post-eradication follow-up was 78.8% (324/411). Multivariate analysis revealed that the adjusted odds ratios for age (≥ 48 years), gender (female) and preventive measures for gastric cancer (esophagogastroduodenoscopy after radiographic screening for gastric cancer and a desire to be examined for H. pylori infection) were 1.85 [95% confidence interval (CI): 1.11–3.09; p 0.05], 1.89 [95% CI: 1.07–3.34; p 0.05] and 4.01 [95% CI: 1.61–10.0; p 0.01], respectively. Conclusion: Age ≥ 48 years, female gender and preventive measures for gastric cancer were independently related to a higher rate of completion of post-eradication follow-up.https://www.ina-jghe.com/index.php/jghe/article/view/676helicobacter pylorieradicationfollow-upcompletion |
| spellingShingle | Yusaku Kajihara Tadashi Shimoyama Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy helicobacter pylori eradication follow-up completion |
| title | Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy |
| title_full | Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy |
| title_fullStr | Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy |
| title_full_unstemmed | Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy |
| title_short | Study of the Completion of Follow-up After Helicobacter pylori Eradication Therapy |
| title_sort | study of the completion of follow up after helicobacter pylori eradication therapy |
| topic | helicobacter pylori eradication follow-up completion |
| url | https://www.ina-jghe.com/index.php/jghe/article/view/676 |
| work_keys_str_mv | AT yusakukajihara studyofthecompletionoffollowupafterhelicobacterpylorieradicationtherapy AT tadashishimoyama studyofthecompletionoffollowupafterhelicobacterpylorieradicationtherapy |