Evidence map›Paper›PMID 17170018›Full record

ArticleGut2007

Current concepts in the management of Helicobacter pylori infection: the Maastricht III Consensus Report.

P Malfertheiner, F Megraud, C O'Morain, F Bazzoli, E El-Omar, D Graham, R Hunt, T Rokkas, N Vakil, E J Kuipers

6 registry-linked trialsOpen access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Gut, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 585 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
585citing papers in PubMed, 13 pooled it
153.3field-weighted citation impact, top 1% of its field
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.

NCT00441831 unknown statusnot on this map

The Revolutions of Helicobacter Pylori Infection, Bacterial Density, and Histological Features After Antrectomy

TypeobservationalSponsorMackay Memorial HospitalRan2007 to 2008Enrolled65ConditionsHelicobacter Pylori Infection, Peptic Ulcer, Bile Reflux, Gastritis
NCT01464060 phase4unknown statusnot on this mapstarted 2011, after this paper: background citation

Phase 4, Prospective, Randomized Study Comparing 14-day Non-bismuth Quadruple "Hybrid" and "Concomitant" Therapies for Helicobacter Pylori Eradication in Settings With High Clarithromycin Resistance

TypeinterventionalSponsorInfante, Javier Molina, M.D.Ran2011 to 2013Enrolled400ConditionsHelicobacter Pylori InfectionArmsPPI, amoxicillin, metronidazole and clarithromycin
NCT02359435 nacompletednot on this mapstarted 2012, after this paper: background citation

Comparison of 12-day Reverse Hybrid Therapy and 12-day Standard Triple Therapy for Helicobacter Pylori Infection - a Randomized Controlled Trial (REHYTRI Study)

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2012 to 2015Enrolled440ConditionsHelicobacter Pylori InfectionArmsReverse hybrid therapy, Standard triple therapy
NCT02541864 nacompletednot on this mapstarted 2013, after this paper: background citation

Comparison of Hybrid and Bismuth Containing Quadruple Therapies for Helicobacter Pylori Eradication: a Randomized Controlled Trial

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2013 to 2015Enrolled330ConditionsHelicobacter Pylori InfectionArmsBismuth quadruple therapy, Hybrid therapy
NCT02547012 nacompletednot on this mapstarted 2013, after this paper: background citation

Comparison of Two Rescue Therapies for Helicobacter Pylori Infection - A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2013 to 2017Enrolled51ConditionsHelicobacter Pylori InfectionArmsesomeprazole+amox+levo+tetra, esomeprazole+amox+levo
NCT05997433 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy of 7-day Versus 14-day Bismuth Quadruple Therapy for the Eradication of Helicobacter Pylori : A Multicenter Randomized Non-Inferiority Trial

TypeinterventionalSponsorShandong UniversityRan2023 to 2024Enrolled254ConditionsHelicobacter Pylori InfectionArms7days bismuth quadruple, 14 days bismuth quadruple
3 · Its place in the literature

Who cites it

585 citing papers in PubMed, 13 syntheses or guidelines pooled it, 2,240 citations in OpenAlex.

  1. Effect of Statins onGE Portuguese journal of gastroenterology · 2022
    Pooled it
  2. Jinghua Weikang capsule forFrontiers in pharmacology · 2022
    Pooled it
  3. Pooled it
  4. Antibiotics for secondary prevention of coronary heart disease.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. The updated JSPGHAN guidelines for the management of Helicobacter pylori infection in childhood.Pediatrics international : official journal of the Japan Pediatric Society · 2020
    Guideline
  6. Standard triple therapy in Helicobacter pylori eradication in Turkey: Systematic evaluation and meta-analysis of 10-year studies.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Pooled it
  7. A non-invasive method for the diagnosis of upper GI diseases.Acta bio-medica : Atenei Parmensis · 2018
    Pooled it
  8. Fourth-generation quinolones in the treatment ofWorld journal of gastroenterology · 2018
    Pooled it
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  14. Trial
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  17. Comparison of 10 and 14 days of triple therapy versus 10 days of sequential therapy for Helicobacter pylori eradication: A prospective randomized study.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2018
    Trial
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525 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 8 countries.

P MalfertheinerOtto-von-Guericke-Universität Magdeburg, Medizinische Fakultät, Zentrum für Innere Medizin, Klinik für Gastroenterologie, Hepatologie und Infektiologie, Leipziger Strasse 44, D-39120 Magdeburg, Germany. peter.malfertheiner@medizin.uni-magdeburg.de
F Megraud
C O'Morain
F Bazzoli
E El-Omar
D Graham
R Hunt
T Rokkas
N Vakil
E J Kuipers
Bordeaux Population Health · FRErasmus MC · NLHenry Dunant Hospital · GRMcMaster University · CAOtto-von-Guericke University Magdeburg · DETrinity College Dublin · IEUniversity of Aberdeen · GBUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines on the management of Helicobacter pylori, which cover indications for management and treatment strategies, were produced in 2000.

aimsTo update the guidelines at the European Helicobacter Study Group (EHSG) Third Maastricht Consensus Conference, with emphasis on the potential of H pylori eradication for the prevention of gastric cancer.

resultsEradication of H pylori infection is recommended in (a) patients with gastroduodenal diseases such as peptic ulcer disease and low grade gastric, mucosa associated lymphoid tissue (MALT) lymphoma; (b) patients with atrophic gastritis; (c) first degree relatives of patients with gastric cancer; (d) patients with unexplained iron deficiency anaemia; and (e) patients with chronic idiopathic thrombocytopenic purpura. Recurrent abdominal pain in children is not an indication for a "test and treat" strategy if other causes are excluded. Eradication of H pylori infection (a) does not cause gastro-oesophageal reflux disease (GORD) or exacerbate GORD, and (b) may prevent peptic ulcer in patients who are naïve users of non-steroidal anti-inflammatory drugs (NSAIDs). H pylori eradication is less effective than proton pump inhibitor (PPI) treatment in preventing ulcer recurrence in long term NSAID users. In primary care a test and treat strategy using a non-invasive test is recommended in adult patients with persistent dyspepsia under the age of 45. The urea breath test, stool antigen tests, and serological kits with a high accuracy are non-invasive tests which should be used for the diagnosis of H pylori infection. Triple therapy using a PPI with clarithromycin and amoxicillin or metronidazole given twice daily remains the recommended first choice treatment. Bismuth-containing quadruple therapy, if available, is also a first choice treatment option. Rescue treatment should be based on antimicrobial susceptibility.

conclusionThe global burden of gastric cancer is considerable but varies geographically. Eradication of H pylori infection has the potential to reduce the risk of gastric cancer development.

Indexed as

Helicobacter pyloriAdultAnti-Bacterial AgentsChildDrug Resistance, BacterialDyspepsiaGastroesophageal RefluxHelicobacter InfectionsHumansLymphoma, B-Cell, Marginal ZoneStomach NeoplasmsAnti-Bacterial Agents

Identifiers

PMID17170018
PMCPMC1954853
OpenAlexW2101730203

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.