Gastrointestinal Bleeding Induced by Immunoglobulin A Vasculitis on Post-Mild COVID-19 Patients

Guifarro, Daniel A; Giron, Roberto; Jimenez, Kathya; Almendarez, Carlos Jose C Solis; Sanchez, Eleazar E Montalvan

doi:10.7759/cureus.31212

Cited by 1 publication

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Finally, barriers to care, particularly those faced by minority populations, may lead to an increased risk for gastric cancer and complications. For example, immigrants from Latin America to the United States are faced with underinsurance, language barriers, and difficulties navigating a foreign medical system, potentially contributing to advanced disease on presentation and worse outcomes [ 8 - 10 ]. Given the recent trend of increasing gastric cancer in younger patients, particularly in young Hispanic patients, risk factors and strategies for modification of these risk factors warrant additional investigation.…”

Section: Introductionmentioning

confidence: 99%

Modifiable Risk Factors in Hispanic Adults With Gastric Cancer in the United States

Nieto Dominguez,

Eichinger,

Guifarro

et al. 2024

Cureus

View full text Add to dashboard Cite

Background: Hispanics make up 19% of the U.S. population and are experiencing rising rates of cancer, primarily due to an increase in infection-related cancers (gastric, hepatic, cervical) and advanced cancers secondary to delayed screening (colorectal, cervical, breast). There is an increased incidence of gastric cancer (associated with infection, obesity, alcohol, and tobacco use) in Hispanics, especially at a young age, highlighting the need to consider ethnicity as a risk factor.Methods: This study utilized the 2016-2019 National Inpatient Sample database to examine all patients admitted with gastric cancer. Individuals were stratified by race, age, and comorbidities, including modifiable risk factors that are associated with gastric cancer.Results: There were 5,785 (7.44%) patients aged 18-44, 28,370 (36.49%) aged 45-64, and 43,590 (56.07%) over 65 years of age. Notably, 34.3% of the youngest group were Hispanic, contrasted with 19.7% and 12.9% in the older groups, respectively. Younger Hispanic patients showed a higher prevalence of H. pylori infection (8.6%) compared with older Hispanics (3.6% in the middle age group and 2.1% in the oldest, p<0.01). There was a high prevalence of obesity, tobacco use, and gastric ulcers in this cohort. Other risk factors such as alcohol use and gastric polyps were present at a lesser prevalence.Conclusions: This study reveals that Hispanic patients tend to have a younger age of onset of gastric cancer, coupled with an increased incidence of H. pylori infection at a younger age. This finding underscores the potential benefit of H. pylori screening among asymptomatic young Hispanics with the aim of reducing gastric cancer morbidity and mortality in this population.

show abstract

Section: Introductionmentioning

confidence: 99%