Journal of Clinical Gastroenterology
Volume 40, Issue 1, 2006, Pages 29-32

Follow-up care after a diagnosis of Helicobacter pylori infection in an Asian immigrant cohort (Article)

Cho A.* , Chaudhry A. , Minsky-Primus L. , Tso A. , Perez-Perez G. , Diehl D.L. , Marcus S.G. , Gany F.M.
  • a Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC, United States, Center for Health Services Research, Department of Veteran Affairs (152), 508 Fulton Street, Durham, NC 27705, United States
  • b Division of General Internal Medicine, Johns Hopkins Medicine, Baltimore, MD, United States
  • c Jack D Weiler Hospital, Albert Einstein College of Medicine, New York, NY, United States
  • d Charles B. Wang Community Health Center, New York, NY, United States
  • e Department of Medicine, New York University, School of Medicine, New York, NY, United States
  • f Division of Gastroenterology, New York University, School of Medicine, United States
  • g Department of Surgery, New York University, School of Medicine, United States
  • h Center for Immigrant Health, New York University, School of Medicine, United States

Abstract

GOAL: To study the rate at which Helicobacter pylori infection is treated in an immigrant cohort after diagnosis by esophagogastroduodenoscopy (EGD). BACKGROUND: Gastric cancer is the second leading cause of cancer death worldwide, and is especially prevalent in East Asia; immigrants from this part of the world remain at higher risk. Infection with H. pylori is a known risk factor for gastric cancer. There have been no studies of completion of H. pylori treatment in immigrant populations. STUDY: Prospective cohort study of East Asian immigrants diagnosed with H. pylori infection who underwent EGD in a gastric cancer screening protocol. Our primary outcome was self-report or chart evidence of completion of treatment of H. pylori. RESULTS: Sixty-eight of the 126 participants (54%) tested positive for H. pylori infection on EGD. Forty-nine (72%) were seen for a follow-up visit at one of the clinics involved in the study. According to clinic records, 39 of these 49 participants (57% of all H. pylori-positive participants) were prescribed treatment. Only 31 participants (46%) completed treatment. Of possible explanatory factors, only having a "regular doctor" was significantly associated with treatment completion (odds ratio = 5.6; 95% confidence interval, 1.2-25.0). CONCLUSIONS: In a sample of Asian immigrants, the rate of treatment of H. pylori infection, a potentially modifiable risk factor, was lower than expected. Having a "regular doctor" appeared to increase the likelihood of receiving appropriate follow-up care. Copyright © 2005 by Lippincott Williams & Wilkins.

Author Keywords

Primary care Immigrant health Gastric cancer Helicobacter pylori

Index Keywords

prospective study immigrant Asian multicenter study clinical trial Follow-Up Studies follow up Prospective Studies human stomach cancer Self Report middle aged Asia priority journal proton pump inhibitor Aged cancer screening esophagogastroduodenoscopy ethnology gastroscopy United States Humans Treatment Outcome male female risk factor Helicobacter infection outcomes research Risk Factors high risk population Article Drug Therapy, Combination major clinical study adult Helicobacter Infections migration amoxicillin New York City Helicobacter pylori macrolide cohort analysis Emigration and Immigration antiinfective agent Anti-Ulcer Agents Anti-Infective Agents antiulcer agent drug combination metronidazole primary health care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-33644976248&doi=10.1097%2f01.mcg.0000190755.33373.f9&partnerID=40&md5=9beea2a75c070daa4b5e6675ba348791
DOI: 10.1097/01.mcg.0000190755.33373.f9
ISSN: 01920790
Cited by: 6
Original Language: English