Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Artif Intell Gastroenterol. Jun 8, 2023; 4(1): 10-27
Published online Jun 8, 2023. doi: 10.35712/aig.v4.i1.10
Risk factor profiles for gastric cancer prediction with respect to Helicobacter pylori: A study of a tertiary care hospital in Pakistan
Shahid Aziz, Simone König, Muhammad Umer, Tayyab Saeed Akhter, Shafqat Iqbal, Maryum Ibrar, Tofeeq Ur-Rehman, Tanvir Ahmad, Alfizah Hanafiah, Rabaab Zahra, Faisal Rasheed
Shahid Aziz, Tanvir Ahmad, Faisal Rasheed, Patients Diagnostic Lab, Isotope Application Division, Pakistan Institute of Nuclear Science and Technology, Islamabad 44000, Pakistan
Shahid Aziz, Rabaab Zahra, Department of Microbiology, Quaid-i-Azam University, Islamabad 45320, Pakistan
Shahid Aziz, Simone König, Interdisciplinary Center for Clinical Research, Core Unit Proteomics, University of Münster, Münster 48149, Germany
Muhammad Umer, Management Information System Division, Pakistan Institute of Nuclear Science and Technology, Islamabad 44000, Pakistan
Tayyab Saeed Akhter, Shafqat Iqbal, Centre for Liver and Digestive Diseases, Holy Family Hospital, Rawalpindi 46300, Pakistan
Maryum Ibrar, Pakistan Scientific and Technological Information Centre, Quaid-i-Azam University, Islamabad 45320, Pakistan
Tofeeq Ur-Rehman, Department of Pharmacy, Quaid-i-Azam University, Islamabad 45320, Pakistan
Alfizah Hanafiah, Faculty of Medicine, Department of Medical Microbiology and Immunology, Universiti Kebangsan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia
Author contributions: Rasheed F and Aziz S contributed to conceptualization; Aziz S contributed to methodology; Umer M contributed to software; Aziz S contributed to validation; Aziz S, König S and Ibrar M contributed to formal analysis; Rasheed F contributed to resources; Akhter ST and Iqbal S contributed to endoscopic procedures; Aziz S and König S contributed to writing – original draft preparation; Aziz S, König S, Ahmad T, Rasheed F, Hanafia A, and Rehman UT contributed to writing – review & editing; König S contributed to visualization; Zahra R and Rasheed F contributed to supervision; Aziz S and Rasheed F contributed to project administration; Aziz S and Rasheed F contributed to funding acquisition.
Institutional review board statement: Ethical approvals were granted from the Ethical Technical Committee, Pakistan Institute of Nuclear Science and Technology (PINSTECH), Islamabad (Ref.-No. PINST/DC-26/2017), the Bioethics Committee, Quaid-i-Azam University, Islamabad, Pakistan (Ref.-No. BBC-FBS-QAU2019-159), and the Institutional Research Forum, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi (Ref.-No. R-40/RMU).
Informed consent statement: The investigators explain the study to each patient and informed written consent was obtained to participate in this research and their clinical data was collected during interview using a questionnaire after endoscopic evaluation. Moreover, patients were also required to give informed consent to the study for analysis and publication of their anonymous clinical data.
Conflict-of-interest statement: All the authors declare no conflict of interest.
Data sharing statement: All the data has been shared in supplementary files.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shahid Aziz, PhD, Research Fellow, Patients Diagnostic Lab, Isotope Application Division, Pakistan Institute of Nuclear Science and Technology, Nilore, Islamabad 44000, Pakistan. saziz@bs.qau.edu.pk
Received: December 14, 2022
Peer-review started: December 14, 2022
First decision: January 22, 2023
Revised: April 1, 2023
Accepted: April 20, 2023
Article in press: April 20, 2023
Published online: June 8, 2023
Processing time: 174 Days and 19.7 Hours
Core Tip

Core Tip: This is a retrospective study to report the prevalence of Helicobacter pylori (H. pylori) infection in Pakistan along with its association with various risk factors having direct or indirect relationships with different gastroduodenal diseases (GDD) such as gastritis, ulcers, and gastric cancer (GC). GC risk factors were incorporated into a highly sensitive and specific dynamic computer tool for the prediction of GC with an impressive > 80% confidence. This GC prediction model is freely available and may be used to reduce unnecessary invasive procedures such as endoscopies. The research study assists the healthcare authorities in their understanding of the burden of GDD and GC, which is intertwined with H. pylori infection.