Global prevalence of gastric intestinal metaplasia: a systematic review and meta-analysis.

Autor: Soroorikia S; Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran., Kazeminia M; Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran., Qaderi K; Department of Midwifery, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran., Ziapour A; Cardiovascular Research Center, Imam-Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. arashziapoor@gmail.com., Hodhodi T; Clinical Research Development Center, Imam Khomeini and Mohammad Kermanshahi and Farabi Hospitals, Kermanshah University of Medical Sciences, Kermanshah, Iran., Javanbakht Z; Obstetrics and Gynecology, Department of Obstetrics and Gynecology, School of Medicine, Motazedi Hospital Kermanshah University of Medical Sciences, Kermanshah, Iran.
Jazyk: angličtina
Zdroj: Systematic reviews [Syst Rev] 2024 Sep 28; Vol. 13 (1), pp. 247. Date of Electronic Publication: 2024 Sep 28.
DOI: 10.1186/s13643-024-02633-x
Abstrakt: Background: Gastric intestinal metaplasia (GIM) is a precancerous lesion that increases the risk of gastric cancer. Several preliminary studies have examined the prevalence of GIM. The present systematic review and meta-analysis were conducted aimed estimating the global prevalence of GIM.
Methods: The present systematic review and meta-analysis was conducted based on the PRISMA reporting guidelines in the range of 1988-2022. Articles related to the purpose of the study were obtained from Embase, PubMed, Scopus, Web of Science (WOS), MagIran, SID databases, and Google Scholar search engine using relevant and validated keywords in MeSH/Emtree. Inclusion criteria were observational articles, access to the full text of the article, and articles that reported prevalence. Heterogeneity among studies was examined using the I 2 index. The random effects model was used in this review due to the high heterogeneity between the results of the studies. Data were statistically analyzed using the Comprehensive Meta-Analysis (CMA) software.
Results: In the initial search, 4946 studies were found, of which 20 articles with a sample size of 57,263 met all the criteria for inclusion in the study. The global prevalence of GIM was 17.5% (95% confidence interval: 14.6-20.8%). The highest percentage of prevalence of GIM belonged to American continent with 18.6% (95% confidence interval: 13.8-24.6%) and patients with gastroesophageal reflux with 22.9% (95% confidence interval: 9.9-44.6%).
Conclusion: The results of this study showed that the prevalence of GIM in the world is high and needs further investigation. Therefore, it is recommended to be given more attention by experts, officials, and health policymakers.
(© 2024. The Author(s).)
Databáze: MEDLINE
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