SINGH, A., Mohammad Salman HUSSAIN, R. JHA, A. S. JAYRAJ, Miloslav KLUGAR and B. ANTONY. Proton pump inhibitor use and the risk of hepatocellular carcinoma: A systematic review of pharmacoepidemiological data. JOURNAL OF EVIDENCE BASED MEDICINE. HOBOKEN: WILEY, 2021, vol. 14, No 4, p. 278-280. ISSN 1756-5383. Available from: https://dx.doi.org/10.1111/jebm.12456.
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Basic information
Original name Proton pump inhibitor use and the risk of hepatocellular carcinoma: A systematic review of pharmacoepidemiological data
Authors SINGH, A., Mohammad Salman HUSSAIN (356 India, belonging to the institution), R. JHA, A. S. JAYRAJ, Miloslav KLUGAR (203 Czech Republic, belonging to the institution) and B. ANTONY (guarantor).
Edition JOURNAL OF EVIDENCE BASED MEDICINE, HOBOKEN, WILEY, 2021, 1756-5383.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30218 General and internal medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 6.224
RIV identification code RIV/00216224:14110/21:00123257
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1111/jebm.12456
UT WoS 000706758800001
Keywords in English hepatocellular carcinoma; meta-analysis; pharmacoepidemiological study; proton pump inhibitors; real-world evidence; systematic review
Tags 14119612, 14119613, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 1/2/2022 11:18.
Abstract
Proton pump inhibitors (PPIs) were first introduced in the market in the 1980s and are used as an over-the-counter (OTC) drug for acid-related diseases of the gastrointestinal tract. (1) Over the years, both prescription and non-prescription use of PPIs has grown exponentially, and they are now among the most widely used class of drugs globally. (2) PPIs are generally intended for short-term use and are rarely required beyond four to eight weeks; however, in real-world practice, their duration of use often extends beyond recommended guidelines. Hepatocellular carcinoma (HCC), a primary liver cancer, is a heterogeneous disease with multiple variables that differ by geography and presence or absence of prognostic factors such as NAFLD and cirrhosis. Preclinical studies have found PPIs-induced acid suppression to be associated with disease progression in hepatic diseases such as alcoholic liver disease, NAFLD, non-alcoholic steatohepatitis, and liver tumors. Similarly, population-based studies have also found an association of PPIs use with the risk of acute liver injury. (3) Nevertheless, many recent pharmacoepidemiologic studies using real-world databases to evaluate the association between PPIs and the risk of HCC show divergent results. (4-6) Thus, a systematic review was conducted to identify all the published articles and to determine the effect of PPI on the risk of HCC based on real-world data studies.
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