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- Title
The effect of eradication of <italic>Helicobacter pylori</italic> on gastric cancer prevention in healthy asymptomatic populations.
- Authors
Bae, Suh Eun; Choi, Kee Don; Choe, Jaewon; Kim, Seon Ok; Na, Hee Kyong; Choi, Ji Young; Ahn, Ji Yong; Jung, Kee Wook; Lee, JeongHoon; Kim, Do Hoon; Chang, Hye‐Sook; Song, Ho June; Lee, Gin Hyug; Jung, Hwoon‐Yong
- Abstract
Abstract: Background: Although many epidemiologic studies have evaluated the effect of <italic>Helicobacter pylori</italic> eradication on gastric cancer, the effect is still uncertain in general populations. We evaluated whether <italic>H. pylori</italic> eradication would affect the incidence of gastric cancer in healthy asymptomatic populations. Materials and methods: We performed a retrospective cohort study in 38 984 asymptomatic individuals, who underwent health screening examinations more than twice between 2005 and 2016. We investigated the incidence of gastric cancer among 3 groups: those without <italic>H. pylori</italic> infection (Hp‐negative group), those with <italic>H. pylori</italic> eradication (eradication group), and those without <italic>H. pylori</italic> eradication (non‐eradication group). Results: The cumulative incidence of gastric cancer was 54.5 cases per 100 000 person‐years during a median of 6.4 years. In a multivariate analysis using the Cox proportional hazard model, the cumulative incidence of gastric cancer in the non‐eradication group was significantly higher than those in the Hp‐negative (hazard ratio [HR] 4.12, <italic>P </italic><<italic> </italic>.001) and eradication groups (HR 2.73, <italic>P </italic>=<italic> </italic>.001). However, the cumulative incidence of gastric cancer was not significantly different between the eradication and Hp‐negative groups. Other risk factors for gastric cancer occurrence were age, smoking, family history of gastric cancer, and gastric atrophy. The standardized incidence ratios of the age groups above 40 and below 70 in the eradication group were all significantly decreased. Conclusions: <italic>Helicobacter pylori</italic> eradication reduced the cumulative incidence of gastric cancer in healthy asymptomatic population, and the effect of <italic>H. pylori</italic> eradication on the prevention of gastric cancer was observed in all ages.
- Subjects
HELICOBACTER pylori infections; STOMACH cancer; MEDICAL screening; EPIDEMIOLOGY; DISEASE incidence; PREVENTION; CANCER prevention
- Publication
Helicobacter, 2018, Vol 23, Issue 2, p1
- ISSN
1083-4389
- Publication type
Article
- DOI
10.1111/hel.12464