Conghua Song1,2, Chuan Xie1, Yin Zhu1, Wenzhong Liu3, Guoxin Zhang4, Shuixiang He5, Pengyuan Zheng6, Chunhui Lan7, Zhenyu Zhang8, Renwei Hu9, Qin Du10, Jianming Xu11, Ye Chen12, Zhirong Zeng13, Hong Cheng14, Xuehong Wang15, Xiuli Zuo16, Hong Lu3, Tao Guo17, Zhifen Chen18, Yong Xie1, Nonghua Lu1. 1. Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China. 2. Department of Gastroenterology, Affiliated Hospital of Putian University, Putian, Fujian Province, China. 3. Department of Gastroenterology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai City, China. 4. Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China. 5. Department of Gastroenterology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi Province, China. 6. Department of Gastroenterology, Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China. 7. Department of Gastroenterology, Daping Hospital, Third Military Medical University, Chongqing City, China. 8. Department of Gastroenterology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China. 9. Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, China. 10. Department of Gastroenterology, Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China. 11. Department of Gastroenterology, First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China. 12. Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China. 13. Division of Gastroenterology, First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong Province, China. 14. Department of Gastroenterology, Peking University First Hospital, Beijing, China. 15. Department of Gastroenterology, Qinghai University Affiliated Hospital, Xining, Qinghai Province, China. 16. Department of Gastroenterology, Qilu Hospital, Shandong University, Jinan, Shandong Province, China. 17. Department of Gastroenterology, Peking Union Medical College Hospital, Beijing City, China. 18. Department of Gastroenterology, Zhongnan Hospital Affiliated to Wuhan University, Wuhan, Hubei Province, China.
Abstract
BACKGROUND & AIMS: Developing countries are making efforts to improve health management. Practice deviating from the guideline means inefficient control. The study aims to investigate the management of Helicobacter pylori (H pylori) infection from a developing country perspective. METHODS: An authoritative survey was conducted in 14th (2014) and 17th (2017) Congress of Gastroenterology China, respectively. The Maastricht V/Florence consensus report was invoked as the evaluation criterion. RESULTS: A total of 4182 valid samples were included in this study. Most of the respondents (94%) updated knowledge by lectures. Respondents had a different awareness rate of H pylori-related diseases, ranging from 45% to 95%. Up to 40% of the respondents did not follow the recommendations for the diagnosis. Choice accuracy of eradication regimens and antibiotic combinations was <70%. About 20% of the respondents did not pay attention to the confirmation after the eradication. The situation had been improved in 2017 when compared with that in 2014 (all P < .05). Multivariate logistic regression analysis revealed that influencing factors including nongastroenterologists, bachelor degree and below, the primary professional title, hospital location, and a small proportion of H pylori infection in daily practice related to the deviation of consensus (all P < .05). CONCLUSIONS: Although the management of H pylori infection has been improved in a developing country, there is still a gap between the real-world practices and the consensus. Influencing factors should be taken into account in decision-making, and the corresponding population should be strengthened with precision training during the promotion of the guideline.
BACKGROUND & AIMS: Developing countries are making efforts to improve health management. Practice deviating from the guideline means inefficient control. The study aims to investigate the management of Helicobacter pylori (H pylori) infection from a developing country perspective. METHODS: An authoritative survey was conducted in 14th (2014) and 17th (2017) Congress of Gastroenterology China, respectively. The Maastricht V/Florence consensus report was invoked as the evaluation criterion. RESULTS: A total of 4182 valid samples were included in this study. Most of the respondents (94%) updated knowledge by lectures. Respondents had a different awareness rate of H pylori-related diseases, ranging from 45% to 95%. Up to 40% of the respondents did not follow the recommendations for the diagnosis. Choice accuracy of eradication regimens and antibiotic combinations was <70%. About 20% of the respondents did not pay attention to the confirmation after the eradication. The situation had been improved in 2017 when compared with that in 2014 (all P < .05). Multivariate logistic regression analysis revealed that influencing factors including nongastroenterologists, bachelor degree and below, the primary professional title, hospital location, and a small proportion of H pylori infection in daily practice related to the deviation of consensus (all P < .05). CONCLUSIONS: Although the management of H pylori infection has been improved in a developing country, there is still a gap between the real-world practices and the consensus. Influencing factors should be taken into account in decision-making, and the corresponding population should be strengthened with precision training during the promotion of the guideline.