美国人口的胃肠道转化症回归:一项追溯纵向研究
Akram I Ahmed1, Ahmed El Sabagh2, Claire Caplan3
1Gastroenterology Department Cleveland Clinic Florida, Digestive Disease Institute Weston Florida USA.
概括
胃肠转化症 (GIM) 的回归在胃病中更有可能发生,但在吸烟中不太可能发生. 这些发现提供了关于GIM回归因子的见解,特别是在非洲裔美国人中.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 胃肠转化症 (GIM) 是胃癌的先发性病变.
- 影响GIM回归的因素尚不清楚.
- 胃癌仍然是癌症相关死亡的重要原因.
研究的目的:
- 为了确定GIM回归率.
- 为了确定与GIM回归相关的因素.
主要方法:
- 在2015年至2020年期间对GIM患者进行了回顾性研究.
- 人口统计数据的分析,食管胃管腺镜检查结果,Helicobacter pylori状态和实验室结果.
- 卡普兰-梅尔和考克斯的比例模型用于识别GIM回归的预测因素.
主要成果:
- 胃潰瘍疾病 (PUD) 與更高的GIM回歸率有關 (HR2.46,P=0.013).
- 吸烟与较低的GIM回归率有关 (HR为0.54 - 0.62,P=0.038 - 0.169).
- 非洲裔美国人,西班牙裔和其他种族/民族的GIM回归率较低 (HR 0.68-0.78).
结论:
- PUD是GIM回归的重要预测因素.
- 吸烟与减少GIM回归有关.
- 这些发现可能指导未来的GIM监测和治疗策略,特别是在非洲裔美国人群中.
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