Gender disparities and woman-specific trends in Barrett’s esophagus in the United States:An 11-year nationwide populationbased study  

作　　者：Karina Fatakhova Faisal Inayat Hassam Ali Pratik Patel Attiq Ur Rehman Arslan Afzal Muhammad Sarfraz Shiza Sarfraz Gul Nawaz Ahtshamullah Chaudhry Rubaid Dhillon Arthur Dilibe Benjamin Glazebnik Lindsey Jones Emily Glazer 

机构地区：[1]Division of Gastroenterology and Hepatology,Mather Hospital and Zucker School of Medicine at Hofstra University,Port Jefferson,NY 11777,United States [2]Department of Internal Medicine,Allama Iqbal Medical College,Lahore,Punjab 54550,Pakistan [3]Division of Gastroenterology and Hepatology,East Carolina University Brody School of Medicine,Greenville,NC 27834,United States [4]Division of Gastroenterology and Hepatology,Geisinger Wyoming Valley Medical Center,Wilkes-Barre,PA 18711,United States [5]Department of Internal Medicine,East Carolina University Brody School of Medicine,Greenville,NC 27834,United States [6]Department of Internal Medicine,St.Dominic's Hospital,Jackson,MS 39216,United States [7]Department of Gastroenterology,Hepatology,and Nutrition,Cleveland Clinic Foundation,Cleveland,OH 44195,United States [8]Department of Internal Medicine,Mather Hospital and Hofstra University Zucker,School of Medicine,Port Jefferson,NY 11777,United States

出　　处：《World Journal of Methodology》2025年第1期60-71,共12页世界方法学杂志（英文）

摘　　要：BACKGROUND Barrett's esophagus(BE)is a known premalignant precursor to esophageal adenocarcinoma(EAC).The prevalence rates continue to rise in the United States,but many patients who are at risk of EAC are not screened.Current practice guidelines include male gender as a predisposing factor for BE and EAC.The population-based clinical evidence regarding female gender remains limited.AIM To study comparative trends of gender disparities in patients with BE in the United States.METHODS A nationwide retrospective study was conducted using the 2009-2019 National Inpatient Sample(NIS)database.Patients with a primary or secondary diagnosis code of BE were identified.The major outcome of interest was determining the gender disparities in patients with BE.Trend analysis for respective outcomes for females was also reported to ascertain any time-based shifts.RESULTS We identified 1204190 patients with BE for the study period.Among the included patients,717439(59.6%)were men and 486751(40.4%)were women.The mean age was higher in women than in men(67.1±0.4 vs 66.6±0.3 years,P<0.001).The rate of BE per 100000 total NIS hospitalizations for males increased from 144.6 in 2009 to 213.4 in 2019(P<0.001).The rate for females increased from 96.8 in 2009 to 148.7 in 2019(P<0.001).There was a higher frequency of obesity among women compared to men(17.4%vs 12.6%,P<0.001).Obesity prevalence among females increased from 12.3%in 2009 to 21.9%in 2019(P<0.001).A lower prevalence of smoking was noted in women than in men(20.8%vs 35.7%,P<0.001).However,trend analysis showed an increasing prevalence of smoking among women,from 12.9%in 2009 to 30.7%in 2019(P<0.001).Additionally,there was a lower prevalence of alcohol abuse,Helicobacter pylori(H.pylori),and diabetes mellitus among females than males(P<0.001).Trend analysis showed an increasing prevalence of alcohol use disorder and a decreasing prevalence of H.pylori and diabetes mellitus among women(P<0.001).CONCLUSION The prevalence of BE among women has steadily increased from 2009 to 201

关 键 词：Barrett’s esophagus Gender disparity Epidemiological trends Esophageal adenocarcinoma Screening endoscopy Female gender Risk factors 

分 类 号：R571[医药卫生—消化系统]