Online Registry for Nationwide Database of Current Trend of Helicobacter pylori Eradication in Korea: Interim Analysis
Eradication of Helicobacter pylori using first-line therapy is becoming less effective. Subjects who had been treated for H. pylori infection were prospectively enrolled through an on-line database registry from October 2010 to December 2012. Demographic data, detection methods, treatment indication...
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| Published in | Journal of Korean medical science Vol. 31; no. 8; pp. 1246 - 1253 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
The Korean Academy of Medical Sciences
01.08.2016
대한의학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1011-8934 1598-6357 |
| DOI | 10.3346/jkms.2016.31.8.1246 |
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| Abstract | Eradication of Helicobacter pylori using first-line therapy is becoming less effective. Subjects who had been treated for H. pylori infection were prospectively enrolled through an on-line database registry from October 2010 to December 2012. Demographic data, detection methods, treatment indication, regimens, durations, compliance, adverse events, and eradication results for H. pylori infection were collected. Data of 3,700 patients from 34 hospitals were analyzed. The overall eradication rate of the first-line therapy was 73.0%. Eradication failure was significantly associated with old age, concomitant medication, and comorbidity. Regional differences in eradication rates were observed. The most common first-line therapy was proton pump inhibitor-based triple therapy (standard triple therapy, STT) for 7 days (86.8%). The eradication rates varied with regimens, being 73% in STT, 81.8% in bismuth-based quadruple therapy, 100% in sequential therapy, and 90.3% in concomitant therapy. The eradication rate in treatment-naïve patients was higher than that in patients previously treated for H. pylori infection (73.8% vs. 58.5%, P < 0.001). The overall eradication rate for second-line therapy was 84.3%. There was no statistical difference in eradication rates among various regimens. H. pylori eradication rate using STT is decreasing in Korea and has become sub-optimal, suggesting the need for alternative regimens to improve the efficacy of first-line therapy for H. pylori infection. |
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| AbstractList | Eradication of Helicobacter pylori using first-line therapy is becoming less effective. Subjects who had been treated for H. pylori infection were prospectively enrolled through an on-line database registry from October 2010 to December 2012. Demographic data, detection methods, treatment indication, regimens, durations, compliance, adverse events, and eradication results for H. pylori infection were collected. Data of 3,700 patients from 34 hospitals were analyzed. The overall eradication rate of the first-line therapy was 73.0%. Eradication failure was significantly associated with old age, concomitant medication, and comorbidity. Regional differences in eradication rates were observed. The most common first-line therapy was proton pump inhibitor-based triple therapy (standard triple therapy, STT) for 7 days (86.8%). The eradication rates varied with regimens, being 73% in STT, 81.8% in bismuth-based quadruple therapy, 100% in sequential therapy, and 90.3% in concomitant therapy. The eradication rate in treatment-naïve patients was higher than that in patients previously treated for H. pylori infection (73.8% vs. 58.5%, P < 0.001). The overall eradication rate for second-line therapy was 84.3%. There was no statistical difference in eradication rates among various regimens. H. pylori eradication rate using STT is decreasing in Korea and has become sub-optimal, suggesting the need for alternative regimens to improve the efficacy of first-line therapy for H. pylori infection. Eradication of Helicobacter pylori using first-line therapy is becoming less effective. Subjects who had been treated for H. pylori infection were prospectively enrolled through an on-line database registry from October 2010 to December 2012. Demographic data, detection methods, treatment indication, regimens, durations, compliance, adverse events, and eradication results for H. pylori infection were collected. Data of 3,700 patients from 34 hospitals were analyzed. The overall eradication rate of the first-line therapy was 73.0%. Eradication failure was significantly associated with old age, concomitant medication, and comorbidity. Regional differences in eradication rates were observed. The most common first-line therapy was proton pump inhibitor-based triple therapy (standard triple therapy, STT) for 7 days (86.8%). The eradication rates varied with regimens, being 73% in STT, 81.8% in bismuth-based quadruple therapy, 100% in sequential therapy, and 90.3% in concomitant therapy. The eradication rate in treatmentnaïve patients was higher than that in patients previously treated for H. pylori infection (73.8% vs. 58.5%, P < 0.001). The overall eradication rate for second-line therapy was 84.3%. There was no statistical difference in eradication rates among various regimens. H. pylori eradication rate using STT is decreasing in Korea and has become sub-optimal, suggesting the need for alternative regimens to improve the efficacy of first-line therapy for H. pylori infection. KCI Citation Count: 2 Eradication of Helicobacter pylori using first-line therapy is becoming less effective. Subjects who had been treated for H. pylori infection were prospectively enrolled through an on-line database registry from October 2010 to December 2012. Demographic data, detection methods, treatment indication, regimens, durations, compliance, adverse events, and eradication results for H. pylori infection were collected. Data of 3,700 patients from 34 hospitals were analyzed. The overall eradication rate of the first-line therapy was 73.0%. Eradication failure was significantly associated with old age, concomitant medication, and comorbidity. Regional differences in eradication rates were observed. The most common first-line therapy was proton pump inhibitor-based triple therapy (standard triple therapy, STT) for 7 days (86.8%). The eradication rates varied with regimens, being 73% in STT, 81.8% in bismuth-based quadruple therapy, 100% in sequential therapy, and 90.3% in concomitant therapy. The eradication rate in treatment-naïve patients was higher than that in patients previously treated for H. pylori infection (73.8% vs. 58.5%, P < 0.001). The overall eradication rate for second-line therapy was 84.3%. There was no statistical difference in eradication rates among various regimens. H. pylori eradication rate using STT is decreasing in Korea and has become sub-optimal, suggesting the need for alternative regimens to improve the efficacy of first-line therapy for H. pylori infection. |
| Author | Kim, Byung-Wook Han, Sok Won Park, Byung-Joo Jeon, Seong Woo Shin, Woon Geon Kim, Tae Ho Park, Sue K. Kim, Hyun-Soo Kim, Ji Hyun Kim, Sang Gyun Shim, Ki-Nam Jung, Yun Jin Kim, Kyung Ho Lee, Jun Haeng Chung, Il-Kwun Song, Hyun Joo Lee, Joongyub Kim, Jae G. Kim, Beom Jin Kim, Gwang Ha Kim, Sun Moon Yang, Chang-Hun |
| AuthorAffiliation | 13 Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea 1 Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea 9 Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea 12 Department of Gastroenterolgy, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea 16 Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea 18 Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea 4 Department of Internal Medicine, Cheonan Hospital, Soon Chun Hyang University College of Medicine, Cheonan, Korea 11 Department of Internal Medicine, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea 17 Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea 3 Department of Internal Medicine, Jeju National University School o |
| AuthorAffiliation_xml | – name: 3 Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea – name: 2 Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea – name: 17 Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea – name: 1 Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea – name: 15 Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea – name: 5 Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea – name: 18 Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea – name: 14 Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea – name: 10 Department of Internal Medicine, Dongguk University College of Medicine Gyeongju Hospital, Gyeongju, Korea – name: 6 Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Incheon, Korea – name: 7 Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea – name: 19 Cancer Research Institute, Seoul National University, Seoul, Korea – name: 9 Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea – name: 11 Department of Internal Medicine, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea – name: 4 Department of Internal Medicine, Cheonan Hospital, Soon Chun Hyang University College of Medicine, Cheonan, Korea – name: 16 Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 8 Department of Internal Medicine, Kyungpook National University Medical Center, Daegu, Korea – name: 12 Department of Gastroenterolgy, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea – name: 13 Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea |
| Author_xml | – sequence: 1 givenname: Beom Jin orcidid: 0000-0002-0938-6697 surname: Kim fullname: Kim, Beom Jin organization: Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea – sequence: 2 givenname: Hyun-Soo orcidid: 0000-0003-4834-0496 surname: Kim fullname: Kim, Hyun-Soo organization: Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea – sequence: 3 givenname: Hyun Joo orcidid: 0000-0002-4107-9590 surname: Song fullname: Song, Hyun Joo organization: Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea – sequence: 4 givenname: Il-Kwun orcidid: 0000-0001-6732-9714 surname: Chung fullname: Chung, Il-Kwun organization: Department of Internal Medicine, Cheonan Hospital, Soon Chun Hyang University College of Medicine, Cheonan, Korea – sequence: 5 givenname: Gwang Ha orcidid: 0000-0001-9721-5734 surname: Kim fullname: Kim, Gwang Ha organization: Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea – sequence: 6 givenname: Byung-Wook orcidid: 0000-0002-2290-4954 surname: Kim fullname: Kim, Byung-Wook organization: Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Incheon, Korea – sequence: 7 givenname: Ki-Nam orcidid: 0000-0003-4004-6292 surname: Shim fullname: Shim, Ki-Nam organization: Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea – sequence: 8 givenname: Seong Woo orcidid: 0000-0002-9539-9389 surname: Jeon fullname: Jeon, Seong Woo organization: Department of Internal Medicine, Kyungpook National University Medical Center, Daegu, Korea – sequence: 9 givenname: Yun Jin orcidid: 0000-0002-3622-9216 surname: Jung fullname: Jung, Yun Jin organization: Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea – sequence: 10 givenname: Chang-Hun orcidid: 0000-0003-4036-2981 surname: Yang fullname: Yang, Chang-Hun organization: Department of Internal Medicine, Dongguk University College of Medicine Gyeongju Hospital, Gyeongju, Korea – sequence: 11 givenname: Ji Hyun orcidid: 0000-0003-0861-2792 surname: Kim fullname: Kim, Ji Hyun organization: Department of Internal Medicine, Pusan Paik Hospital, Inje University College of Medicine, Busan, Korea – sequence: 12 givenname: Tae Ho orcidid: 0000-0003-2015-5176 surname: Kim fullname: Kim, Tae Ho organization: Department of Gastroenterolgy, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea – sequence: 13 givenname: Sang Gyun orcidid: 0000-0003-1799-9028 surname: Kim fullname: Kim, Sang Gyun organization: Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea – sequence: 14 givenname: Woon Geon orcidid: 0000-0002-9851-5576 surname: Shin fullname: Shin, Woon Geon organization: Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea – sequence: 15 givenname: Sun Moon orcidid: 0000-0002-0436-3381 surname: Kim fullname: Kim, Sun Moon organization: Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea – sequence: 16 givenname: Sok Won orcidid: 0000-0003-2705-778X surname: Han fullname: Han, Sok Won organization: Department of Gastroenterolgy, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea – sequence: 17 givenname: Jun Haeng orcidid: 0000-0002-5272-1841 surname: Lee fullname: Lee, Jun Haeng organization: Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea – sequence: 18 givenname: Kyung Ho orcidid: 0000-0002-9607-6258 surname: Kim fullname: Kim, Kyung Ho organization: Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea – sequence: 19 givenname: Sue K. orcidid: 0000-0001-5002-9707 surname: Park fullname: Park, Sue K. organization: Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea., Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea., Cancer Research Institute, Seoul National University, Seoul, Korea – sequence: 20 givenname: Byung-Joo orcidid: 0000-0003-4630-4942 surname: Park fullname: Park, Byung-Joo organization: Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea – sequence: 21 givenname: Joongyub orcidid: 0000-0003-2784-3772 surname: Lee fullname: Lee, Joongyub organization: Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea – sequence: 22 givenname: Jae G. orcidid: 0000-0002-4841-9404 surname: Kim fullname: Kim, Jae G. organization: Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea |
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| Issue | 8 |
| Keywords | First-line Therapy Helicobacter pylori On-line Registry Eradication Success |
| Language | English |
| License | http://creativecommons.org/licenses/by-nc/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Title | Online Registry for Nationwide Database of Current Trend of Helicobacter pylori Eradication in Korea: Interim Analysis |
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