Evidence map›Paper›PMID 16933001›Full record

Trial reportJournal of gastroenterology2006

Helicobacter pylori eradication versus prokinetics in the treatment of functional dyspepsia: a randomized, double-blind study.

Tiing Leong Ang, Kwong Ming Fock, Eng Kiong Teo, Yiong Huak Chan, Tay Meng Ng, Tju Siang Chua, Jessica Yi-Lyn Tan

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of gastroenterology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Guideline
  4. ACG and CAG Clinical Guideline: Management of Dyspepsia.The American journal of gastroenterology · 2017
    Guideline
  5. Pooled it
  6. Female Gender is a Poor Predictive Factor of Functional Dyspepsia Resolution afterThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2018
    Trial
  7. Trial
  8. Article
  9. Comparison of clinical symptoms afterNew microbes and new infections · 2020
    Article
  10. Clinical Practice Guidelines for Functional Dyspepsia in Korea.Journal of neurogastroenterology and motility · 2020
    Review
  11. Journal of clinical medicine · 2019
    Article
  12. IsJournal of neurogastroenterology and motility · 2017
    Review
  13. Review
  14. Review
  15. Current management strategies and emerging treatments for functional dyspepsia.Nature reviews. Gastroenterology & hepatology · 2013
    Review
  16. Asian consensus report on functional dyspepsia.Journal of neurogastroenterology and motility · 2012
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Tiing Leong AngDepartment of Gastroenterology, Changi General Hospital, 2 Simei Street 3, Singapore, 529889, Singapore.
Kwong Ming Fock
Eng Kiong Teo
Yiong Huak Chan
Tay Meng Ng
Tju Siang Chua
Jessica Yi-Lyn Tan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis randomized, double-blind study compared the efficacy of Helicobacter pylori eradication against prokinetics in H. pylori-infected functional dyspepsia patients.

methodsPatients with moderately severe or severe dyspepsia fulfilling the Rome II criteria were randomized to either H. pylori eradication for 1 week and 6 weeks of placebo prokinetics or 6 weeks of prokinetics and placebo H. pylori eradication in the first week. Symptoms were assessed at baseline and at 6 and 12 months using the Glasgow Dyspepsia Severity Score (GDSS). Global response to treatment was assessed at 12 months.

resultsAltogether 130 patients were enrolled (H. pylori eradication, 71; prokinetics, 59). The mean baseline GDSS was 9.3 for the H. pylori eradication group and 8.9 for the prokinetic group. At 6 months, the score was 3.6 and 4.1, respectively, and it remained at 3.5 and 3.8, respectively, at 12 months. With H. pylori eradication, 31.0% had complete symptom resolution (GDSS 0 or 1) at 12 months compared with 23.7% with prokinetics (a nonsignificant difference). At 12 months, global symptomatic improvement was seen in 62.0% of the H. pylori eradication group compared with 67.8% of the prokinetics group.

conclusionsBoth H. pylori eradication and prokinetic therapy resulted in symptom improvement in two-thirds of dyspeptic patients at 1 year. More patients tended to achieve complete symptom relief with H. pylori eradication.

Indexed as

2-PyridinylmethylsulfinylbenzimidazolesAdultAmoxicillinAnti-Infective AgentsCisaprideClarithromycinDomperidoneDopamine AntagonistsDouble-Blind MethodDrug Therapy, CombinationDyspepsiaFemaleGastrointestinal AgentsHelicobacter InfectionsHelicobacter pyloriHumans2-PyridinylmethylsulfinylbenzimidazolesAmoxicillinAnti-Infective AgentsCisaprideClarithromycinDomperidoneDopamine AntagonistsGastrointestinal AgentsLansoprazole

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.