Evidence map›Paper›PMID 30976612›Full record

ArticleGE Portuguese journal of gastroenterology2019

Increased Risk of Spontaneous Bacterial Peritonitis in Cirrhotic Patients Using Proton Pump Inhibitors.

Abdel-Naser Elzouki, Nadia Neffati, Fatma A Rasoul, Ali Abdallah, Muftah Othman, Abdelkarim Waness

Open access · diamondAbstract read
In one paragraph

Article in GE Portuguese journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Correlation Between Proton Pump Inhibitors and the Complications of Liver Cirrhosis: A Systematic Review and Meta-Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Pooled it
  3. Article
  4. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Abdel-Naser ElzoukiaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Nadia NeffatiaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Fatma A RasoulaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Ali AbdallahaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Muftah OthmanaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Abdelkarim WanessaDepartment of Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Hamad Medical Corporation · QAHamad General Hospital · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between bacterial infections and proton pump inhibitors (PPIs) has recently been studied with debatable results.

aimThe aim of this study was to investigate the relationship between PPIs and the development of spontaneous bacterial peritonitis (SBP) or other bacterial infections in cirrhotic patients. MATERIALS AND

methodsConsecutive cirrhotic patients hospitalized from 2007 through 2012 to Hamad General Hospital-, Doha, Qatar, were enrolled and classified as PPI users or non-users according to PPI consumption in the 90 days prior to hospitalization. Cirrhosis was clinically diagnosed by a combination of physical, biochemical, radiological, and endoscopic findings, or by liver biopsy.

resultsA total of 333 patients were included in this study, of whom 171 (51.4%) used PPIs and 162 (48.6%) did not use PPIs. PPI users were significantly older in age (

conclusionThe present study shows that PPI use, as well as older age (> 60 years), was an independent predicting factor for the development of overall infection and SBP in hospitalized cirrhotic patients. Unless it is indicated, PPI therapy should be avoided in this group of patients, particularly in those older than 60 years of age.

Indexed as

Acid suppressive medicationsBacterial infectionInfectionLiver cirrhosisQatar

Identifiers

PMID30976612
PMCPMC6454390
OpenAlexW2807260563

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.