Evidence map›Paper›PMID 22515353›Full record

SynthesisHelicobacter2012

The association between Barrett's esophagus and Helicobacter pylori infection: a meta-analysis.

Lori A Fischbach, Helena Nordenstedt, Jennifer R Kramer, Subi Gandhi, Sam Dick-Onuoha, Anthony Lewis, Hashem B El-Serag

Abstract readMeta-Analysis
In one paragraph

Synthesis in Helicobacter, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
8.2field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Prevalence of Barrett's Esophagus in Asian Countries: A Systematic Review and Meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2015
    Pooled it
  4. Review
  5. Impact ofDiseases (Basel, Switzerland) · 2024
    Review
  6. Review
  7. Review
  8. Helicobacter pylori infection.Nature reviews. Disease primers · 2023
    Review
  9. Article
  10. Article
  11. Association of Barrett's esophagus withTherapeutic advances in chronic disease · 2022
    Article
  12. Article
  13. Extra-Gastric Manifestations ofJournal of clinical medicine · 2020
    Review
  14. Interactions between Helicobacter pylori and gastroesophageal reflux disease.Esophagus : official journal of the Japan Esophageal Society · 2019
    Review
  15. IS THERE A RELATION BETWEEN HELYBACTER PYLORI AND INTESTINAL METAPLASIA IN SHORT COLUMN EPITELIZATION UP TO 10 MM IN THE DISTAL ESOPHAGUS?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019
    Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Lori A FischbachDepartment of Epidemiology, University of NorthTexas Health Science Center, 3500 Camp Bowie Boulevard Fort Worth, TX 76107, USA. lori.fischbach@unthsc.edu
Helena Nordenstedt
Jennifer R Kramer
Subi Gandhi
Sam Dick-Onuoha
Anthony Lewis
Hashem B El-Serag
University of North Texas · USUniversity of North Texas Health Science Center · USBaylor College of Medicine · USHealth Services Research & Development · USMichael E. DeBakey VA Medical Center · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
Obesity, H pylori and Risk of Barrett's EsophagusR01CA116845 · NCI · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2011
$2.8M
The zinc finger protein ZNF638 is a novel transcriptional regulator of thermogenesis - ResubmissionR01DK116845 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MUELLER, ELISABETTA · 2019 to 2022
$1.7M
Epidemiology and Outcomes of Digestive and Liver Diseases: A Mentoring ProgramK24DK078154 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI EL-SERAG, HASHEM B · 2007 to 2016
$1.1M
NCI NIH HHS R01 CA116845NIDDK NIH HHS K24-DK04-107NIDDK NIH HHS K24 DK078154NIDDK NIH HHS P30 DK056338NIDDK NIH HHS P30 DK56338NIDDK NIH HHS R01 DK116845
6 · The paper itself

Abstract

objectiveThe effect of Helicobacter pylori on Barrett's esophagus is poorly understood. We conducted a meta-analysis to summarize the existing literature examining the effect that H. pylori has on Barrett's esophagus.

designWe performed a comprehensive search to identify studies pertaining to the association between H. pylori and Barrett's esophagus. We conducted meta-regression analyses to identify sources of variation in the effect of H. pylori on Barrett's esophagus.

resultsOur analysis included a total of 49 studies that examined the effect of H. pylori on Barrett's esophagus and seven studies that examined the effect of cag A positivity on Barrett's esophagus. Overall, H. pylori, and even more so cag A, tended to be protective for Barrett's esophagus in most studies; however, there was obvious heterogeneity across studies. The effect of H. pylori on Barrett's esophagus varied by geographic location and in the presence of selection and information biases. Only four studies were found without obvious selection and information bias, and these showed a protective effect of H. pylori on Barrett's esophagus (Relative risk = 0.46 [95% CI: 0.35, 0.60]).

conclusionsEstimates for the effect of H. pylori on Barrett's esophagus were heterogeneous across studies. We identified selection and information bias as potential sources of this heterogeneity. Few studies without obvious selection and information bias have been conducted to examine the effect of H. pylori on Barrett's esophagus, but in these, H. pylori infection is associated with a reduced risk of Barrett's esophagus.

Indexed as

Barrett EsophagusEsophageal DiseasesHelicobacter InfectionsHelicobacter pyloriHumans

Identifiers

PMID22515353
PMCPMC3335759
OpenAlexW2112106227

What OpenQuestion holds

Textmetadata
LicenceTDM
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.