Evidence map›Paper›PMID 19788600›Full record

GuidelineJournal of gastroenterology and hepatology2009

Second Asia-Pacific Consensus Guidelines for Helicobacter pylori infection.

K Ming Fock, Peter Katelaris, Kentaro Sugano, Tiing Leong Ang, Richard Hunt, Nicholas J Talley, Shiu Kum Lam, Shu-Dong Xiao, Huck Joo Tan, Chun-Ying Wu and 7 more

7 registry-linked trialsOpen access · bronzeAbstract readConsensus StatementPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Journal of gastroenterology and hepatology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 241 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
241citing papers in PubMed, 14 pooled it
30.3field-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.

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
NCT02547038 nacompletednot on this mapstarted 2015, after this paper: background citation

Comparing the Efficacy and Impact on Gastrointestinal Microbiome of Reverse Hybrid Therapy and Bismuth Quadruple Therapy in Helicobacter Pylori Eradication

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2015 to 2018Enrolled352ConditionsHelicobacter Pylori InfectionArmspantoprazole+bismuth+tetra+metro, (panto+amox+clar+metr)+(panto+amox)
NCT02596620 nacompletednot on this mapstarted 2013, after this paper: background citation

The Efficacy of 10-day Metronidazole and Levofloxacin Containing Sequential Therapy and 10-day Levofloxacin-containing Triple Therapy In Second Line Helicobacter Pylori Eradication Therapies

TypeinterventionalSponsorChang Gung Memorial HospitalRan2013 to 2015Enrolled164ConditionsHelicobacter Pylori InfectionArmsNexium, Amolin, Cravit, Flagyl
NCT02959255 phase4completednot on this mapstarted 2017, after this paper: background citation

A Greek, Single Center, Randomized, Double Blind Controlled Clinical Study Comparing the 10-day Versus the 14-day Concomitant Proton Pump Inhibitor [PPI] + Amoxicillin + Metronidazole + Clarithromycin (PAMC) Therapeutic Scheme as First-line Treatment Strategy for the Eradication of H. Pylori Infection

TypeinterventionalSponsorElpen Pharmaceutical Co. Inc.Ran2017 to 2017Enrolled364ConditionsHelicobacter Pylori InfectionArmsEsomeprazole
NCT02978157 nacompletednot on this mapstarted 2015, after this paper: background citation

A Prospective Randomized Trial of Levofloxacin-amoxicillin Triple Therapy vs. Levofloxacin-tetracycline Quadruple Therapy in Second-line Helicobacter Pylori Treatment

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2015 to 2017Enrolled102ConditionsHelicobacter Pylori InfectionArmsesomeprazole+amox+levo, esomeprazole+bismuth+tetra+levo
3 · Its place in the literature

Who cites it

241 citing papers in PubMed, 14 syntheses or guidelines pooled it, 551 citations in OpenAlex.

  1. Pooled it
  2. Helicobacter pylori eradication for the prevention of gastric neoplasia.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Annals of global health · 2019
    Pooled it
  4. Concomitant or Sequential Therapy as the First-line Therapy for Eradication ofThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2018
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Pooled it
  12. Pooled it
  13. Pooled it
  14. Optimum duration of regimens for Helicobacter pylori eradication.The Cochrane database of systematic reviews · 2013
    Pooled it
  15. Trial
  16. Can the treatment duration be shortened in bismuth-containing therapies for Helicobacter pylori eradication?The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

181 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 15 institutions in 13 countries.

K Ming FockDivision of Gastroenterology, Department of Medicine, Changi General Hospital, Singapore 529889. kwong_ming_fock@cgh.com.sg
Peter Katelaris
Kentaro Sugano
Tiing Leong Ang
Richard Hunt
Nicholas J Talley
Shiu Kum Lam
Shu-Dong Xiao
Huck Joo Tan
Chun-Ying Wu
Hyun Chae Jung
Bui Huu Hoang
Udom Kachintorn
Khean-Lee Goh
Tsutomu Chiba
Abdul Aziz Rani
Second Asia-Pacific Conference
Changi General Hospital · SGConcord Repatriation General Hospital · AUJichi Medical University · JPKyoto University · JPMahidol University · THMayo Clinic · USMcMaster University Medical Centre · CARenji Hospital · CNRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDSeoul National University · KRSunway University · MYTaichung Veterans General Hospital · TWUniversity Medical Center HCMC · VNUniversity of Hong Kong · HKUniversity of Malaya · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Asia-Pacific Consensus Conference was convened to review and synthesize the most current information on Helicobacter pylori management so as to update the previously published regional guidelines. The group recognized that in addition to long-established indications, such as peptic ulcer disease, early mucosa-associated lymphoid tissue (MALT) type lymphoma and family history of gastric cancer, H. pylori eradication was also indicated for H. pylori infected patients with functional dyspepsia, in those receiving long-term maintenance proton pump inhibitor (PPI) for gastroesophageal reflux disease, and in cases of unexplained iron deficiency anemia or idiopathic thrombocytopenic purpura. In addition, a population 'test and treat' strategy for H. pylori infection in communities with high incidence of gastric cancer was considered to be an effective strategy for gastric cancer prevention. It was recommended that H. pylori infection should be tested for and eradicated prior to long-term aspirin or non-steroidal anti-inflammatory drug therapy in patients at high risk for ulcers and ulcer-related complications. In Asia, the currently recommended first-line therapy for H. pylori infection is PPI-based triple therapy with amoxicillin/metronidazole and clarithromycin for 7 days, while bismuth-based quadruple therapy is an effective alternative. There appears to be an increasing rate of resistance to clarithromycin and metronidazole in parts of Asia, leading to reduced efficacy of PPI-based triple therapy. There are insufficient data to recommend sequential therapy as an alternative first-line therapy in Asia. Salvage therapies that can be used include: (i) standard triple therapy that has not been previously used; (ii) bismuth-based quadruple therapy; (iii) levofloxacin-based triple therapy; and (iv) rifabutin-based triple therapy. Both CYP2C19 genetic polymorphisms and cigarette smoking can influence future H. pylori eradication rates.

Indexed as

Asian PeopleAnti-Bacterial AgentsAsiaBreath TestsDrug Resistance, BacterialDrug Therapy, CombinationEvidence-Based MedicineHelicobacter InfectionsHelicobacter pyloriHumansMicrobiological TechniquesPredictive Value of TestsProton Pump InhibitorsTreatment OutcomeAnti-Bacterial AgentsProton Pump Inhibitors

Identifiers

PMID19788600
OpenAlexW2125173799

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

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.