First-Line Helicobacter pylori Eradication in Patients with Chronic Kidney Diseases in Taiwan.

Aims. Patients with chronic kidney disease (CKD) and Helicobacter pylori (H. pylori) infection have a higher incidence of gastroduodenal diseases and therefore are recommended to receive eradication therapies. This study aimed to assess the efficacy of a 7-day standard triple therapy in patients wit...

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Publicado en:BioMed Research International Vol. 2017; pp. 1 - 8
Autores principales: Liang, Chih-Ming, Chiu, Chien-Hua, Wang, Hsing-Ming, Tai, Wei-Chen, Yao, Chih-Chien, Tsai, Cheng-En, Kuo, Chung-Mou, Chiu, Yi-Chun, Wu, Keng-Liang, Lee, Chen-Hsiang, Tsai, Kai-Lung, Huang, Chih-Fang, Chuah, Seng-Kee
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell 12/11/2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/11/2017
      vid: 2017
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2017/3762194
        126688692
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        atl: First-Line Helicobacter pylori Eradication in Patients with Chronic Kidney Diseases in Taiwan.
      aug:
        au:
          Liang, Chih-Ming
          Chiu, Chien-Hua
          Wang, Hsing-Ming
          Tai, Wei-Chen
          Yao, Chih-Chien
          Tsai, Cheng-En
          Kuo, Chung-Mou
          Chiu, Yi-Chun
          Wu, Keng-Liang
          Lee, Chen-Hsiang
          Tsai, Kai-Lung
          Huang, Chih-Fang
          Chuah, Seng-Kee
        affil: Division of Hepatogastroenterology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan
      sug:
        subj:
          Disease Eradication
          Helicobacter Pylori
          Kidney Failure, Chronic Diagnosis
          Patient Care
          Human
          Taiwan
          Geographic Locations
          Helicobacter Infections Therapy
          Incidence
          Peptic Ulcer Risk Factors
          Glomerular Filtration Rate Evaluation
          Patient Selection
          Control Group
          Kidney Failure, Chronic Complications
          Protocols
          Treatment Outcomes Evaluation
          Data Analysis Software
          Middle Age
          Aged
          Male
          Female
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Aims. Patients with chronic kidney disease (CKD) and Helicobacter pylori (H. pylori) infection have a higher incidence of gastroduodenal diseases and therefore are recommended to receive eradication therapies. This study aimed to assess the efficacy of a 7-day standard triple therapy in patients with CKD (eGFR < 60 ml/min/1.73 m2) and to investigate the clinical factors influencing the success of eradication. Methods. A total of 758 patients with H. pylori infection receiving a 7-day standard first-line triple therapy between January 1, 2013, and December 31, 2014, were recruited. Patients were divided into two groups: CKD group (N=130) and non-CKD group (N=628). Results. The eradication rates attained by the CKD and non-CKD groups were 85.4% and 85.7%, respectively, in the per-protocol analysis (p=0.933). The eradication rate in CKD stage 3 was 84.5% (82/97), in stage 4 was 88.2% (15/17), and in those who received hemodialysis was 87.5% (14/16). There were no significant differences in the various stages of CKD (p=0.982). The adverse events were similar between the two groups (3.1% versus 4.6%, p=0.433). Compliance between the two groups was good (100.0% versus 99.8%, p=0.649). There was no significant clinical factor influencing the H. pylori eradication rate in the non-CKD and CKD groups. Conclusions. This study suggests that the H. pylori eradication rate and adverse rate in patients with CKD are comparable to those of non-CKD patients.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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