Clinical practice of Helicobacter pylori infection management by gastroenterologists in secondary and tertiary hospitals : A stratified sampling cross-sectional survey
© 2022 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd..
OBJECTIVE: To investigate the management of Helicobacter pylori (H. pylori) infection by gastroenterologists from secondary and tertiary hospitals in Shandong Province, China, where there is a high prevalence of H. pylori infection.
METHODS: A questionnaire-based, stratified sampling survey was conducted from June 1 to August 30, 2021. The ratio of secondary to tertiary hospitals was set at 2:1. An electronic questionnaire was sent to the gastroenterologists via the WeChat platform.
RESULTS: A total of 89.09% (1053/1182) gastroenterologists were included. Overall, 34.19% and 60.59% of gastroenterologists recommended screening for and treating H. pylori infection in patients without any competing factors. The most preferred testing method in secondary and tertiary hospitals was the 13 C-urea breath test (53.92% and 80.48%), but the reexamination rate of results close to the cut-off value was low (55.10% and 59.48%). Gastroenterologists preferred bismuth-containing quadruple therapy (secondary and tertiary hospitals: 96.67% and 98.53%), but the antibiotic combination prescribed for patients with penicillin allergy was suboptimal in secondary hospitals. The overall post-treatment follow-up rate was 64.58%, and gastroenterologists in secondary hospitals were more proactive than those in tertiary hospitals (69.41% vs 60.04%, P = 0.001). Less than 80% of gastroenterologists emphasized the importance of post-treatment reexamination to their patients. Only a minority of gastroenterologists in secondary and tertiary hospitals (30.79% and 34.36%) achieved acceptable eradication rates (exceeding 80%).
CONCLUSIONS: Deficiencies exist in gastroenterologists from secondary and tertiary hospitals, and the H. pylori eradication rate is relatively low. Training programs for gastroenterologists are warranted to strengthen their comprehension of guidelines.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:23 |
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| Enthalten in: |
Journal of digestive diseases - 23(2022), 7 vom: 01. Juli, Seite 365-375 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhang, Wen Lin [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 19.09.2022 Date Revised 19.09.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/1751-2980.13119 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM344002365 |
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| 500 | |a Date Revised 19.09.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2022 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd. | ||
| 520 | |a OBJECTIVE: To investigate the management of Helicobacter pylori (H. pylori) infection by gastroenterologists from secondary and tertiary hospitals in Shandong Province, China, where there is a high prevalence of H. pylori infection | ||
| 520 | |a METHODS: A questionnaire-based, stratified sampling survey was conducted from June 1 to August 30, 2021. The ratio of secondary to tertiary hospitals was set at 2:1. An electronic questionnaire was sent to the gastroenterologists via the WeChat platform | ||
| 520 | |a RESULTS: A total of 89.09% (1053/1182) gastroenterologists were included. Overall, 34.19% and 60.59% of gastroenterologists recommended screening for and treating H. pylori infection in patients without any competing factors. The most preferred testing method in secondary and tertiary hospitals was the 13 C-urea breath test (53.92% and 80.48%), but the reexamination rate of results close to the cut-off value was low (55.10% and 59.48%). Gastroenterologists preferred bismuth-containing quadruple therapy (secondary and tertiary hospitals: 96.67% and 98.53%), but the antibiotic combination prescribed for patients with penicillin allergy was suboptimal in secondary hospitals. The overall post-treatment follow-up rate was 64.58%, and gastroenterologists in secondary hospitals were more proactive than those in tertiary hospitals (69.41% vs 60.04%, P = 0.001). Less than 80% of gastroenterologists emphasized the importance of post-treatment reexamination to their patients. Only a minority of gastroenterologists in secondary and tertiary hospitals (30.79% and 34.36%) achieved acceptable eradication rates (exceeding 80%) | ||
| 520 | |a CONCLUSIONS: Deficiencies exist in gastroenterologists from secondary and tertiary hospitals, and the H. pylori eradication rate is relatively low. Training programs for gastroenterologists are warranted to strengthen their comprehension of guidelines | ||
| 650 | 4 | |a Journal Article | |
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| 700 | 1 | |a Wan, Meng |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Bo Shen |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Min Juan |e verfasserin |4 aut | |
| 700 | 1 | |a Ding, Yu Ming |e verfasserin |4 aut | |
| 700 | 1 | |a Kong, Qing Zhou |e verfasserin |4 aut | |
| 700 | 1 | |a Wang, Shao Tong |e verfasserin |4 aut | |
| 700 | 1 | |a Duan, Miao |e verfasserin |4 aut | |
| 700 | 1 | |a Han, Zhong Xue |e verfasserin |4 aut | |
| 700 | 1 | |a Ji, Rui |e verfasserin |4 aut | |
| 700 | 1 | |a Zuo, Xiu Li |e verfasserin |4 aut | |
| 700 | 1 | |a Li, Yan Qing |e verfasserin |4 aut | |
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