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 2006

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Aftercare
Helicobacter Infections
Helicobacter pylori
Digestive System Endoscopy
Stomach Neoplasms
Therapeutics
Far East
Early Detection of Cancer
Self Report
Cause of Death
Cohort Studies
Odds Ratio
Prospective Studies
Confidence Intervals
Infection

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., ... 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

Follow-up care after a diagnosis of Helicobacter pylori infection in an Asian immigrant cohort. / Cho, Alex; Chaudhry, Amina; Minsky-Primus, Lisa; Tso, Alan; Perez-Perez, Guillermo; Diehl, David L.; Marcus, Stuart G.; Gany, Francesca M.

In: Journal of Clinical Gastroenterology, Vol. 40, No. 1, 01.2006, p. 29-32.

Research output: Contribution to journalArticle

Cho, A, Chaudhry, A, Minsky-Primus, L, Tso, A, Perez-Perez, G, Diehl, DL, Marcus, SG & Gany, FM 2006, 'Follow-up care after a diagnosis of Helicobacter pylori infection in an Asian immigrant cohort', Journal of Clinical Gastroenterology, vol. 40, no. 1, pp. 29-32. https://doi.org/10.1097/01.mcg.0000190755.33373.f9
Cho, Alex ; Chaudhry, Amina ; Minsky-Primus, Lisa ; Tso, Alan ; Perez-Perez, Guillermo ; Diehl, David L. ; Marcus, Stuart G. ; Gany, Francesca M. / Follow-up care after a diagnosis of Helicobacter pylori infection in an Asian immigrant cohort. In: Journal of Clinical Gastroenterology. 2006 ; Vol. 40, No. 1. pp. 29-32.
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