Evidence map›Paper›PMID 20448223›Full record

SynthesisPostgraduate medical journal2010

Iron deficiency anaemia can be improved after eradication of Helicobacter pylori.

Xiaolu Huang, Xinhua Qu, Weili Yan, Youliang Huang, Mingci Cai, Bing Hu, Lianming Wu, Hai Lin, Zhiwei Chen, Cuiying Zhu and 7 more

Open access · bronzeAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Postgraduate medical journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
6.2field-weighted citation impact, top 4% 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.

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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Research progress on the relationship betweenFrontiers in microbiology · 2025
    Review
  7. Article
  8. Journal of the National Cancer Center · 2024
    Review
  9. Antibiotics (Basel, Switzerland) · 2023
    Review
  10. Therapeutic advances in gastroenterology · 2023
    Review
  11. Association BetweenJournal of blood medicine · 2023
    Article
  12. Children (Basel, Switzerland) · 2022
    Review
  13. Vitamin DFrontiers in microbiology · 2022
    Article
  14. Evaluation of Hematological Parameters ofJournal of blood medicine · 2021
    Article
  15. Consensus Statement by an Expert Panel on the Diagnosis and Management of Iron Deficiency Anemia in the Gulf Cooperation Council Countries.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020
    Article
  16. Article
  17. Clinical background factors affecting outcomes ofJournal of general and family medicine · 2019
    Article
  18. Article
  19. World journal of gastroenterology · 2018
    Review
  20. Effect ofWorld journal of clinical cases · 2017
    Article
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

17 authors at 7 institutions in 2 countries.

Xiaolu HuangDepartment of Ultrasonic, Shanghai No.9 People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China. pxiong6@126.com.
Xinhua Qu
Weili Yan
Youliang Huang
Mingci Cai
Bing Hu
Lianming Wu
Hai Lin
Zhiwei Chen
Cuiying Zhu
Lungen Lu
Xu Sun
Lan Rong
Yibin Jiang
Dayu Sun
Liang Zhong
Ping Xiong
Renji Hospital · CNHuashan Hospital · CNFudan University · CNDevelopment Research Center · CNIndiana University – Purdue University Indianapolis · USShanghai Institute of Hematology · CNShanghai Jiao Tong University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent guidelines on iron deficiency anaemia (IDA) have confirmed the aetiological role of Helicobacter pylori (H pylori), but the relationship still remains controversial.

methodsStarting in May 2009, searches of the following databases were undertaken: Medline (1966 to April 2009), Embase (1980 to April 2009), the Cochrane library (1800 to June 2008), Cochrane Central Register of Controlled Trials, Premedline, Healthstar, CBMdisc and the Chinese National Knowledge Infrastructure Database (January 1970 to April 2009). Changes in haemoglobin (Hb) concentrations and serum ferritin (SF) concentrations were recorded for intervention and control groups. The meta-analysis used random effect models and subgroup analyses were performed to explain heterogeneity.

resultsEight studies met the inclusion criteria. All studies were performed in Asia, an area with a high incidence of IDA and H pylori. The pooled analysis of eight studies showed that H pylori eradication therapy can improve IDA, since changes in Hb and SF concentrations in the intervention groups were higher than in controls. The weighted mean difference (WMD) of Hb was 12.88 g/l (95% CI 6.03 to 19.74 g/l, p<0.00001); the WMD of SF was 10.05 mug/l (95% CI 5.48 to 14.63 mug/l, p<0.00001).

conclusionsH pylori eradication therapy combined with iron administration is more effective than iron administration alone for the treatment of IDA. Eradication therapy has different effects on adults and children. Bismuth based triple therapy has a better response in terms of increased Hb and SF concentrations than proton pump inhibitor (PPI) based triple therapy.

Indexed as

Helicobacter pyloriAdolescentAdultAgedAnemia, Iron-DeficiencyAnti-Bacterial AgentsBismuthChildDrug Therapy, CombinationHelicobacter InfectionsHumansMiddle AgedProton Pump InhibitorsRandomized Controlled Trials as TopicTreatment OutcomeYoung AdultAnti-Bacterial AgentsBismuthProton Pump Inhibitors

Identifiers

PMID20448223
PMCPMC2981025
OpenAlexW2150372595

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.