Evidence map›Paper›PMID 34267834›Full record

ArticleGastroenterology research2021

Is the Use of Proton Pump Inhibitors a Predisposing Factor for Pyogenic Liver Abscesses?

Ahmed Elfiky, Mira Alsheikh, Jeff Hosry, Anum Aqsa, Ahmad Abou Yassine, Liliane Deeb

Abstract read
In one paragraph

Article in Gastroenterology research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Ahmed ElfikyDepartment of Internal Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.
Mira AlsheikhDepartment of Gastroenterology, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.
Jeff HosryDepartment of Internal Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.
Anum AqsaDepartment of Internal Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.
Ahmad Abou YassineDepartment of Internal Medicine, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.
Liliane DeebDepartment of Gastroenterology, Staten Island University Hospital-Northwell Health, Staten Island, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton pump inhibitors (PPIs) increase gastric pH by reducing acid production. The resulting alkaline milieu in the stomach increases the risk of bacterial translocation. This study aimed to investigate if there is a correlation between PPI use and developing pyogenic liver abscesses.

methodsIn this retrospective case-control analysis, we studied adult patients diagnosed with cryptogenic liver abscess at Northwell hospitals between 2015 and 2019. Adult patients with the diagnosis of liver abscess were included. We excluded patients with history of liver abscess prior to admission, biliary disease, hepatobiliary malignancy, or intra-abdominal infections. A group of randomly selected patients without liver abscess from the same hospitals' database were enrolled as the control group. A multivariate logistic regression analysis was performed to adjust for potential confounding factors.

resultsWe identified 277 patients diagnosed with first episode of pyogenic liver abscess. Cases were compared to 554 controls.

conclusionThis study is the first US population-based analysis to demonstrate that PPI use is associated with increased risk of developing pyogenic liver abscesses. Further prospective studies are needed to shed more light on this association and better evaluate the impact of dose and duration of PPI exposure.

Indexed as

InfectionLiver abscessProton pump inhibitors

Identifiers

PMID34267834
PMCPMC8256900

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.