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

Alex Cho, Amina Chaudhry, Lisa Minsky-Primus, Alan Tso, Guillermo Perez-Perez, David L. Diehl, Stuart G. Marcus, Francesca M. Gany

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)29-32
Number of pages4
JournalJournal of clinical gastroenterology
Volume40
Issue number1
DOIs
StatePublished - Jan 1 2006

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Keywords

  • Gastric cancer
  • Helicobacter pylori
  • Immigrant health
  • Primary care

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Cho, A., Chaudhry, A., Minsky-Primus, L., Tso, A., Perez-Perez, G., Diehl, D. L., Marcus, S. G., & Gany, F. M. (2006). Follow-up care after a diagnosis of Helicobacter pylori infection in an Asian immigrant cohort. Journal of clinical gastroenterology, 40(1), 29-32. https://doi.org/10.1097/01.mcg.0000190755.33373.f9