Evidence map›Paper›PMID 32846811›Full record

Observational studyMedicine2020

Prevalence, clinical characteristics, and risk factors of Barrett esophagus in Vietnamese patients with upper gastrointestinal symptoms.

Duc T Quach, Quyen T T Pham, Truc L T Tran, Nhu T H Vu, Quang D Le, Doan T N Nguyen, Ngoc L B Dang, Huy M Le, Nhan Q Le, Prateek Sharma and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. 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
1.4field-weighted citation impact, top 18% 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, 12 citations in OpenAlex.

  1. Prevalence of Barrett's Esophagus and Esophageal Adenocarcinoma With and Without Gastroesophageal Reflux: A Systematic Review and Meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2024
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  4. Observational
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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

11 authors at 5 institutions in 3 countries.

Duc T QuachDepartment of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City.ORCID 0000-0003-0141-921
Quyen T T PhamDepartment of Gastroenterology, Cho-Ray Hospital.
Truc L T TranDepartment of Endoscopy, University Medical Center at Hochiminh City.
Nhu T H VuDepartment of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City.
Quang D LeDepartment of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City.
Doan T N NguyenDepartment of Internal Medicine, University of Medicine and Pharmacy at Hochiminh City.
Ngoc L B DangDepartment of Endoscopy, University Medical Center at Hochiminh City.
Huy M LeDepartment of Endoscopy, University Medical Center at Hochiminh City.
Nhan Q LeDepartment of Endoscopy, University Medical Center at Hochiminh City.
Prateek SharmaGastroenterology and Hepatology, Veterans Affairs Medical Center, Kansas City, MO.
Khek-Yu HoDepartment of Gastroenterology and Hepatology, National University Hospital, Singapore.
University of Medicine and Pharmacy at Ho Chi Minh City · VNUniversity Medical Center · USCho Ray Hospital · VNReckitt Benckiser (United States) · USVeterans Health Administration · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current barrier for investigation of Barrett esophagus (BE) in Asia is diagnostic standardization, which is a challenge to identify its true risk factors. This study aimed to investigate the prevalence, clinical characteristics and risk factors of BE in Vietnamese patients with upper gastrointestinal symptoms.A cross-sectional study was conducted on consecutive outpatients who underwent upper gastrointestinal endoscopy. Endoscopically suspected esophageal metaplasia (ESEM) which was clearly visible at least 1 cm above the gastroesophageal junction at endoscopy was taken biopsy. At least 1 biopsy per 2 cm in tongues of ESEM and 4 biopsies per 2 cm of circumferential ESEM were taken. The diagnostic criterion for BE was replacement of the normal squamous epithelial lining by columnar epithelium confirmed by histology.A total of 1947 patients were recruited. Forty-seven out of 58 patients with ESEM were histologically confirmed BE. The prevalences of BE and hiatal hernia (HH) were 2.4% (95% confidence interval [CI], 1.7-3.1%) and 2.3% (95% CI, 1.6-2.9%), respectively. Heartburn and/or regurgitation presented in only 61.7% (95% CI, 46.4-75.5%) of patients with BE. In multivariate analysis, the only 2 factors significantly associated with BE were HH (OR 7.53; 95% CI, 3.13-18.11; P < .001) and typical reflux symptom (OR 2.07; 95% CI, 1.12-3.83; P = .020).BE is not uncommon in Vietnamese patients with upper gastrointestinal symptoms. In addition, typical reflux symptoms and HH are the risk factors for BE in Vietnamese.

Indexed as

AdultBarrett EsophagusBiopsyCross-Sectional StudiesEndoscopy, GastrointestinalEsophagusFemaleHeartburnHernia, HiatalHumansLaryngopharyngeal RefluxMaleMetaplasiaMiddle AgedPrevalenceProspective Studies

Identifiers

PMID32846811
PMCPMC7447484
OpenAlexW3075760438

What OpenQuestion holds

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LicenceCC BY-NC
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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.