Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study
( ) plays an important role in causing peptic ulcer disease (PUD) in the general population. However, the role of in cirrhotic patients for causing PUD is obscure. There are various studies evaluating association with PUD in cirrhotic patients, but the results have been controversial. We sought t...
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| creator | Yang, Tsu Jung Dhanasekar, Krithika Bhandari, Renu Muraleedharan, Divya Chirindoth, Swathy S Kaur, Harpreet Goswami, Ruchir Maiyani, Prakash Desai, Maheshkumar Moradiya, Dharmeshkumar V Devani, Hiteshkumar Patel, Achint A |
| description |
(
) plays an important role in causing peptic ulcer disease (PUD) in the general population. However, the role of
in cirrhotic patients for causing PUD is obscure. There are various studies evaluating
association with PUD in cirrhotic patients, but the results have been controversial. We sought to analyze the association of
with the development of PUD in cirrhotic patients from the largest United States population-based database.
We analyzed Nationwide Inpatient Sample (NIS) and Healthcare Cost and Utilization Project (HCUP) data from 2017. Adult hospitalizations due to cirrhosis were identified by previously validated ICD-10-CM codes. PUD and
were identified with the presence of ICD-10-CM codes in primary and secondary diagnosis fields, respectively. We performed weighted analyses using Chi-Square and paired Student's t-test to compare the groups. Multivariable survey logistic regression was performed to find an association of
with PUD in cirrhotic patients.
Our study showed that the prevalence of
infection was 2.2% in cirrhotic patients with PUD. In regression analysis,
was found to be associated with PUD in cirrhotic patients (OR 15.1; 95% CI: 13.9-16.4; p |
| doi_str_mv | 10.7759/cureus.19315 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8650630</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2622964130</sourcerecordid><originalsourceid>FETCH-LOGICAL-c342t-48bd7ab607da1fa5be04fb82d34b4d03ed60ed58b4095ba32acf8283f46954703</originalsourceid><addsrcrecordid>eNpdkU1v1DAQhiMEolXpjTOyxIUDaccfSRwOSMu2pUiVWAkqjpY_Jl1XSRzsZKX9EfxnsrttVTiNpXn8zIzeLHtL4ayqivrcThGndEZrTosX2TGjpcwlleLls_dRdprSPQBQqBhU8Do74qIGELI-zv4sUgrW69GHnoSGXGPrbTDajhjJatuG6MkvP67JBW6wDUOH_bjjVjiM3pLb1s7chU-oE5JFF_o7svQxrsOuu5q1M58-kUVPLjfeYW-RXMXQkVUYpnY_Nf8yf3Xkxzi57ZvsVaPbhKcP9SS7vbr8ubzOb75__bZc3OSWCzbmQhpXaVNC5TRtdGEQRGMkc1wY4YCjKwFdIY2AujCaM20bySRvRFkXogJ-kn0-eIfJdOjsvGTUrRqi73TcqqC9-rfT-7W6CxslywJKvhN8eBDE8HvCNKrOJ4ttq3sMU1KspAASCs5n9P1_6H2YYj-fN1OM1aWge-HHA2VjSCli87QMBbWLWh2iVvuoZ_zd8wOe4Mdg-V-lz6gJ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2622964130</pqid></control><display><type>article</type><title>Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study</title><source>PubMed Central Open Access</source><source>PubMed Central</source><creator>Yang, Tsu Jung ; Dhanasekar, Krithika ; Bhandari, Renu ; Muraleedharan, Divya ; Chirindoth, Swathy S ; Kaur, Harpreet ; Goswami, Ruchir ; Maiyani, Prakash ; Desai, Maheshkumar ; Moradiya, Dharmeshkumar V ; Devani, Hiteshkumar ; Patel, Achint A</creator><creatorcontrib>Yang, Tsu Jung ; Dhanasekar, Krithika ; Bhandari, Renu ; Muraleedharan, Divya ; Chirindoth, Swathy S ; Kaur, Harpreet ; Goswami, Ruchir ; Maiyani, Prakash ; Desai, Maheshkumar ; Moradiya, Dharmeshkumar V ; Devani, Hiteshkumar ; Patel, Achint A</creatorcontrib><description><![CDATA[
(
) plays an important role in causing peptic ulcer disease (PUD) in the general population. However, the role of
in cirrhotic patients for causing PUD is obscure. There are various studies evaluating
association with PUD in cirrhotic patients, but the results have been controversial. We sought to analyze the association of
with the development of PUD in cirrhotic patients from the largest United States population-based database.
We analyzed Nationwide Inpatient Sample (NIS) and Healthcare Cost and Utilization Project (HCUP) data from 2017. Adult hospitalizations due to cirrhosis were identified by previously validated ICD-10-CM codes. PUD and
were identified with the presence of ICD-10-CM codes in primary and secondary diagnosis fields, respectively. We performed weighted analyses using Chi-Square and paired Student's t-test to compare the groups. Multivariable survey logistic regression was performed to find an association of
with PUD in cirrhotic patients.
Our study showed that the prevalence of
infection was 2.2% in cirrhotic patients with PUD. In regression analysis,
was found to be associated with PUD in cirrhotic patients (OR 15.1; 95% CI: 13.9-16.4; p <0.001) and non-cirrhotic patients (OR 48.8; 95% CI: 47.5-50.1; p <0.001). In the studied population,
was more commonly seen in the age between 50 and 64 years (49.4% vs 44.1%; p <0.0001), male (63.4% vs 59.9%; p <0.0413), African American (16.3% vs 10.6%; p <0.0001), and Hispanic (26.2% vs 14.9%; p <0.0001).
is more likely to be associated with complicated PUD hospitalizations (51.2% vs 44.2%; p <0.0067). Alcoholism and smoking were more common in
group compared to those without (43.6% vs 35.8%; p <0.0001 and 33.7% vs 24.8% p <0.0001, respectively). Factors associated with increased odds of
infection include African American (OR 2.3, 95% CI: 1.5-3.6), Hispanic (OR 2.6, 95% CI: 1.7-4.0), and smoking (OR 1.5, 95% CI: 1.1-2.2).
are associated with PUD and concurrent cirrhosis, although it is less prevalent than general population. African American, Hispanic, and smoking were independently associated with increased odds of
infection. Further studies are required to better understand the epidemiology and confirm our findings.]]></description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.19315</identifier><identifier>PMID: 34900489</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Alcoholism ; Demographics ; Diabetes ; Disease ; Family income ; Gastroenterology ; Hospitalization ; Hospitals ; Infections ; Infectious Disease ; Liver cirrhosis ; Patients ; Population ; Population-based studies ; Public Health ; Software ; Statistical analysis ; Steroids ; Ulcers ; Variables</subject><ispartof>Curēus (Palo Alto, CA), 2021-11, Vol.13 (11), p.e19315-e19315</ispartof><rights>Copyright © 2021, Yang et al.</rights><rights>Copyright © 2021, Yang et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2021, Yang et al. 2021 Yang et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-48bd7ab607da1fa5be04fb82d34b4d03ed60ed58b4095ba32acf8283f46954703</citedby><cites>FETCH-LOGICAL-c342t-48bd7ab607da1fa5be04fb82d34b4d03ed60ed58b4095ba32acf8283f46954703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650630/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8650630/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34900489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yang, Tsu Jung</creatorcontrib><creatorcontrib>Dhanasekar, Krithika</creatorcontrib><creatorcontrib>Bhandari, Renu</creatorcontrib><creatorcontrib>Muraleedharan, Divya</creatorcontrib><creatorcontrib>Chirindoth, Swathy S</creatorcontrib><creatorcontrib>Kaur, Harpreet</creatorcontrib><creatorcontrib>Goswami, Ruchir</creatorcontrib><creatorcontrib>Maiyani, Prakash</creatorcontrib><creatorcontrib>Desai, Maheshkumar</creatorcontrib><creatorcontrib>Moradiya, Dharmeshkumar V</creatorcontrib><creatorcontrib>Devani, Hiteshkumar</creatorcontrib><creatorcontrib>Patel, Achint A</creatorcontrib><title>Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description><![CDATA[
(
) plays an important role in causing peptic ulcer disease (PUD) in the general population. However, the role of
in cirrhotic patients for causing PUD is obscure. There are various studies evaluating
association with PUD in cirrhotic patients, but the results have been controversial. We sought to analyze the association of
with the development of PUD in cirrhotic patients from the largest United States population-based database.
We analyzed Nationwide Inpatient Sample (NIS) and Healthcare Cost and Utilization Project (HCUP) data from 2017. Adult hospitalizations due to cirrhosis were identified by previously validated ICD-10-CM codes. PUD and
were identified with the presence of ICD-10-CM codes in primary and secondary diagnosis fields, respectively. We performed weighted analyses using Chi-Square and paired Student's t-test to compare the groups. Multivariable survey logistic regression was performed to find an association of
with PUD in cirrhotic patients.
Our study showed that the prevalence of
infection was 2.2% in cirrhotic patients with PUD. In regression analysis,
was found to be associated with PUD in cirrhotic patients (OR 15.1; 95% CI: 13.9-16.4; p <0.001) and non-cirrhotic patients (OR 48.8; 95% CI: 47.5-50.1; p <0.001). In the studied population,
was more commonly seen in the age between 50 and 64 years (49.4% vs 44.1%; p <0.0001), male (63.4% vs 59.9%; p <0.0413), African American (16.3% vs 10.6%; p <0.0001), and Hispanic (26.2% vs 14.9%; p <0.0001).
is more likely to be associated with complicated PUD hospitalizations (51.2% vs 44.2%; p <0.0067). Alcoholism and smoking were more common in
group compared to those without (43.6% vs 35.8%; p <0.0001 and 33.7% vs 24.8% p <0.0001, respectively). Factors associated with increased odds of
infection include African American (OR 2.3, 95% CI: 1.5-3.6), Hispanic (OR 2.6, 95% CI: 1.7-4.0), and smoking (OR 1.5, 95% CI: 1.1-2.2).
are associated with PUD and concurrent cirrhosis, although it is less prevalent than general population. African American, Hispanic, and smoking were independently associated with increased odds of
infection. Further studies are required to better understand the epidemiology and confirm our findings.]]></description><subject>Alcoholism</subject><subject>Demographics</subject><subject>Diabetes</subject><subject>Disease</subject><subject>Family income</subject><subject>Gastroenterology</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Liver cirrhosis</subject><subject>Patients</subject><subject>Population</subject><subject>Population-based studies</subject><subject>Public Health</subject><subject>Software</subject><subject>Statistical analysis</subject><subject>Steroids</subject><subject>Ulcers</subject><subject>Variables</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkU1v1DAQhiMEolXpjTOyxIUDaccfSRwOSMu2pUiVWAkqjpY_Jl1XSRzsZKX9EfxnsrttVTiNpXn8zIzeLHtL4ayqivrcThGndEZrTosX2TGjpcwlleLls_dRdprSPQBQqBhU8Do74qIGELI-zv4sUgrW69GHnoSGXGPrbTDajhjJatuG6MkvP67JBW6wDUOH_bjjVjiM3pLb1s7chU-oE5JFF_o7svQxrsOuu5q1M58-kUVPLjfeYW-RXMXQkVUYpnY_Nf8yf3Xkxzi57ZvsVaPbhKcP9SS7vbr8ubzOb75__bZc3OSWCzbmQhpXaVNC5TRtdGEQRGMkc1wY4YCjKwFdIY2AujCaM20bySRvRFkXogJ-kn0-eIfJdOjsvGTUrRqi73TcqqC9-rfT-7W6CxslywJKvhN8eBDE8HvCNKrOJ4ttq3sMU1KspAASCs5n9P1_6H2YYj-fN1OM1aWge-HHA2VjSCli87QMBbWLWh2iVvuoZ_zd8wOe4Mdg-V-lz6gJ</recordid><startdate>20211106</startdate><enddate>20211106</enddate><creator>Yang, Tsu Jung</creator><creator>Dhanasekar, Krithika</creator><creator>Bhandari, Renu</creator><creator>Muraleedharan, Divya</creator><creator>Chirindoth, Swathy S</creator><creator>Kaur, Harpreet</creator><creator>Goswami, Ruchir</creator><creator>Maiyani, Prakash</creator><creator>Desai, Maheshkumar</creator><creator>Moradiya, Dharmeshkumar V</creator><creator>Devani, Hiteshkumar</creator><creator>Patel, Achint A</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211106</creationdate><title>Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study</title><author>Yang, Tsu Jung ; Dhanasekar, Krithika ; Bhandari, Renu ; Muraleedharan, Divya ; Chirindoth, Swathy S ; Kaur, Harpreet ; Goswami, Ruchir ; Maiyani, Prakash ; Desai, Maheshkumar ; Moradiya, Dharmeshkumar V ; Devani, Hiteshkumar ; Patel, Achint A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-48bd7ab607da1fa5be04fb82d34b4d03ed60ed58b4095ba32acf8283f46954703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Alcoholism</topic><topic>Demographics</topic><topic>Diabetes</topic><topic>Disease</topic><topic>Family income</topic><topic>Gastroenterology</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Infections</topic><topic>Infectious Disease</topic><topic>Liver cirrhosis</topic><topic>Patients</topic><topic>Population</topic><topic>Population-based studies</topic><topic>Public Health</topic><topic>Software</topic><topic>Statistical analysis</topic><topic>Steroids</topic><topic>Ulcers</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yang, Tsu Jung</creatorcontrib><creatorcontrib>Dhanasekar, Krithika</creatorcontrib><creatorcontrib>Bhandari, Renu</creatorcontrib><creatorcontrib>Muraleedharan, Divya</creatorcontrib><creatorcontrib>Chirindoth, Swathy S</creatorcontrib><creatorcontrib>Kaur, Harpreet</creatorcontrib><creatorcontrib>Goswami, Ruchir</creatorcontrib><creatorcontrib>Maiyani, Prakash</creatorcontrib><creatorcontrib>Desai, Maheshkumar</creatorcontrib><creatorcontrib>Moradiya, Dharmeshkumar V</creatorcontrib><creatorcontrib>Devani, Hiteshkumar</creatorcontrib><creatorcontrib>Patel, Achint A</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yang, Tsu Jung</au><au>Dhanasekar, Krithika</au><au>Bhandari, Renu</au><au>Muraleedharan, Divya</au><au>Chirindoth, Swathy S</au><au>Kaur, Harpreet</au><au>Goswami, Ruchir</au><au>Maiyani, Prakash</au><au>Desai, Maheshkumar</au><au>Moradiya, Dharmeshkumar V</au><au>Devani, Hiteshkumar</au><au>Patel, Achint A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2021-11-06</date><risdate>2021</risdate><volume>13</volume><issue>11</issue><spage>e19315</spage><epage>e19315</epage><pages>e19315-e19315</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract><![CDATA[
(
) plays an important role in causing peptic ulcer disease (PUD) in the general population. However, the role of
in cirrhotic patients for causing PUD is obscure. There are various studies evaluating
association with PUD in cirrhotic patients, but the results have been controversial. We sought to analyze the association of
with the development of PUD in cirrhotic patients from the largest United States population-based database.
We analyzed Nationwide Inpatient Sample (NIS) and Healthcare Cost and Utilization Project (HCUP) data from 2017. Adult hospitalizations due to cirrhosis were identified by previously validated ICD-10-CM codes. PUD and
were identified with the presence of ICD-10-CM codes in primary and secondary diagnosis fields, respectively. We performed weighted analyses using Chi-Square and paired Student's t-test to compare the groups. Multivariable survey logistic regression was performed to find an association of
with PUD in cirrhotic patients.
Our study showed that the prevalence of
infection was 2.2% in cirrhotic patients with PUD. In regression analysis,
was found to be associated with PUD in cirrhotic patients (OR 15.1; 95% CI: 13.9-16.4; p <0.001) and non-cirrhotic patients (OR 48.8; 95% CI: 47.5-50.1; p <0.001). In the studied population,
was more commonly seen in the age between 50 and 64 years (49.4% vs 44.1%; p <0.0001), male (63.4% vs 59.9%; p <0.0413), African American (16.3% vs 10.6%; p <0.0001), and Hispanic (26.2% vs 14.9%; p <0.0001).
is more likely to be associated with complicated PUD hospitalizations (51.2% vs 44.2%; p <0.0067). Alcoholism and smoking were more common in
group compared to those without (43.6% vs 35.8%; p <0.0001 and 33.7% vs 24.8% p <0.0001, respectively). Factors associated with increased odds of
infection include African American (OR 2.3, 95% CI: 1.5-3.6), Hispanic (OR 2.6, 95% CI: 1.7-4.0), and smoking (OR 1.5, 95% CI: 1.1-2.2).
are associated with PUD and concurrent cirrhosis, although it is less prevalent than general population. African American, Hispanic, and smoking were independently associated with increased odds of
infection. Further studies are required to better understand the epidemiology and confirm our findings.]]></abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>34900489</pmid><doi>10.7759/cureus.19315</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2168-8184 |
| ispartof | Curēus (Palo Alto, CA), 2021-11, Vol.13 (11), p.e19315-e19315 |
| issn | 2168-8184 2168-8184 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8650630 |
| source | PubMed Central Open Access; PubMed Central |
| subjects | Alcoholism Demographics Diabetes Disease Family income Gastroenterology Hospitalization Hospitals Infections Infectious Disease Liver cirrhosis Patients Population Population-based studies Public Health Software Statistical analysis Steroids Ulcers Variables |
| title | Association of Helicobacter Pylori With Development of Peptic Ulcer Disease Among Cirrhotic Patients: An Evidence From Population-Based Study |
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