胃肠化生的全球流行率:系统回顾和荟萃分析。

IF 6.3 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Sara Soroorikia, Mohsen Kazeminia, Kowsar Qaderi, Arash Ziapour, Tahereh Hodhodi, Zahra Javanbakht
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引用次数: 0

摘要

背景:胃肠化生(GIM)是一种癌前病变,会增加罹患胃癌的风险。一些初步研究对 GIM 的患病率进行了调查。本系统综述和荟萃分析旨在估算 GIM 的全球患病率:本系统综述和荟萃分析根据 PRISMA 报告指南进行,研究范围为 1988-2022 年。与研究目的相关的文章来自 Embase、PubMed、Scopus、Web of Science (WOS)、MagIran、SID 数据库和 Google Scholar 搜索引擎,并使用了 MeSH/Emtree 中的相关有效关键词。纳入标准为观察性文章、可查阅文章全文以及报告患病率的文章。研究之间的异质性采用 I2 指数进行检验。由于研究结果之间存在高度异质性,本综述采用了随机效应模型。数据使用综合荟萃分析(CMA)软件进行统计分析:在最初的搜索中,共发现了 4946 项研究,其中有 20 篇文章(样本量为 57,263 个)符合纳入研究的所有标准。全球 GIM 患病率为 17.5%(95% 置信区间:14.6-20.8%)。美洲大陆的 GIM 患病率最高,为 18.6%(95% 置信区间:13.8-24.6%),胃食管反流患者的患病率为 22.9%(95% 置信区间:9.9-44.6%):这项研究结果表明,GIM 在全球的发病率很高,需要进一步调查。因此,建议专家、官员和卫生决策者给予更多关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global prevalence of gastric intestinal metaplasia: a systematic review and meta-analysis.

Background: Gastric intestinal metaplasia (GIM) is a precancerous lesion that increases the risk of gastric cancer. Several preliminary studies have examined the prevalence of GIM. The present systematic review and meta-analysis were conducted aimed estimating the global prevalence of GIM.

Methods: The present systematic review and meta-analysis was conducted based on the PRISMA reporting guidelines in the range of 1988-2022. Articles related to the purpose of the study were obtained from Embase, PubMed, Scopus, Web of Science (WOS), MagIran, SID databases, and Google Scholar search engine using relevant and validated keywords in MeSH/Emtree. Inclusion criteria were observational articles, access to the full text of the article, and articles that reported prevalence. Heterogeneity among studies was examined using the I2 index. The random effects model was used in this review due to the high heterogeneity between the results of the studies. Data were statistically analyzed using the Comprehensive Meta-Analysis (CMA) software.

Results: In the initial search, 4946 studies were found, of which 20 articles with a sample size of 57,263 met all the criteria for inclusion in the study. The global prevalence of GIM was 17.5% (95% confidence interval: 14.6-20.8%). The highest percentage of prevalence of GIM belonged to American continent with 18.6% (95% confidence interval: 13.8-24.6%) and patients with gastroesophageal reflux with 22.9% (95% confidence interval: 9.9-44.6%).

Conclusion: The results of this study showed that the prevalence of GIM in the world is high and needs further investigation. Therefore, it is recommended to be given more attention by experts, officials, and health policymakers.

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来源期刊
Systematic Reviews
Systematic Reviews Medicine-Medicine (miscellaneous)
CiteScore
8.30
自引率
0.00%
发文量
241
审稿时长
11 weeks
期刊介绍: Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal publishes high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modelling. At this time Systematic Reviews does not accept reviews of in vitro studies. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome.
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