Original article—alimentary tractRacial and Ethnic Disparities in the Prevalence of Barrett’s Esophagus Among Patients Who Undergo Upper Endoscopy
Section snippets
Methods
All upper endoscopies performed at the CUMC Adult Endoscopy Suite for the 12-month period April 1, 2005–March 31, 2006 were reviewed. Data were extracted from CUMC’s electronic medical records system. The following data were recorded: patient age, sex, race/ethnicity, indication for upper endoscopy, and endoscopic findings, including the presence and length of BE and the presence of a hiatal hernia. Pathology reports were reviewed for all suspected BE cases, and a patient was considered to have
Results
A total of 3690 patients underwent upper endoscopy between April 2005 and March 2006. Among these, 1559 had an upper endoscopy within the previous 5 years, and another 31 were excluded because the indication for endoscopy was suggestive of a prior known history of BE or EAC. Of the remaining 2100 patients, the mean age was 55.8 years (standard deviation, 17.6), and 39.8% were male (Table 1). Compared with whites, Hispanics were younger (55.3 vs 58.7 years, P = .0009) and less likely to be male
Discussion
In this hospital-based cross-sectional study of the prevalence of BE among minorities, both Hispanics and blacks were found to have a significantly lower prevalence of BE as compared with whites. This study was specifically aimed to address the prevalence of BE in minority populations and was sufficiently powered to do so.
The issue of racial and ethnic discrepancies in the prevalence of BE has been addressed only in 2 prior published studies. A retrospective cross-sectional study from the
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Supported in part by a R25 grant from the NCI (CA94061) (J.A.A.) and a K05 Award from the NCI (CA89155) (A.I.N.).