Predictive Effect of Helicobacter pylori in Gastric Carcinoma Development: Systematic Review and Quantitative Evidence Synthesis.

Autor: Holmes L Jr; Nemours Healthcare System for Children, Wilmington, DE 19803, USA.; Department of Biological Sciences, University of Delaware, Newark, DE 19716, USA., Rios J; Nemours Healthcare System for Children, Wilmington, DE 19803, USA.; History of Science and Medicine Department, Yale University, New Haven, CT 06511, USA., Berice B; Nemours Healthcare System for Children, Wilmington, DE 19803, USA.; Master of Public Health, Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Davie, FL 33328, USA., Benson J; Nemours Healthcare System for Children, Wilmington, DE 19803, USA.; Master of Public Health Program, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA., Bafford N; Nemours Healthcare System for Children, Wilmington, DE 19803, USA., Parson K; Nemours Healthcare System for Children, Wilmington, DE 19803, USA., Halloran D; Nemours Healthcare System for Children, Wilmington, DE 19803, USA.; Department of Biological Sciences, University of Delaware, Newark, DE 19716, USA.
Jazyk: angličtina
Zdroj: Medicines (Basel, Switzerland) [Medicines (Basel)] 2021 Jan 05; Vol. 8 (1). Date of Electronic Publication: 2021 Jan 05.
DOI: 10.3390/medicines8010001
Abstrakt: Helicobacter pylori ( H. pylori ) is a bacterial pathogen implicated in gastritis, gastric ulceration, and gastric carcinoma. This study aimed to synthesize literature in providing evidence on the causative role of H. pylori in gastric carcinoma development. This study is based on assessing public literature using an applied meta-analysis, namely, quantitative evidence synthesis (QES). The analytic procedure uses DerSimonian-Laird, including assessing heterogeneity. The QES also utilizes meta-regression and the environmental effect associated with H. pylori in gastric cancer development. Eighteen studies are included in the QES. There is increased prevalence of H. pylori exposure among the cases. The heterogeneity between the CES and individual effect sizes is also significant. Despite controlling for the confoundings, there is increased exposure to H. pylori among the gastric cancer cases, regardless of the differences in the geographic location. H. pylori in this synthesized literature illustrates the contributory role of this microbe in gastric carcinoma. Additionally, regardless of geographic locale, namely, South Korea or Spain, H. pylori is implicated in gastric cancer development.
Databáze: MEDLINE