Evidence map›Paper›PMID 23303440›Full record

ArticleGut2013

Association between Helicobacter pylori and mortality in the NHANES III study.

Yu Chen, Stephanie Segers, Martin J Blaser

Abstract read
In one paragraph

Article in Gut, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing 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

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

  1. Non-International journal of molecular sciences · 2024
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Associations of common infections with frailty and mortality in two UK cohort studies.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  8. Review
  9. The role of gut microbiota and its metabolites in preventing oncogenesis.Frontiers in cell and developmental biology · 2026
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Frontiers in cellular and infection microbiology · 2024
    Article
  16. Biomarker insights · 2024
    Article
  17. Article
  18. Review
  19. IsTherapeutic advances in chronic disease · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Yu ChenDepartment of Population Health, New York University School of Medicine, , New York, NY 10016, USA. yu.chen@nyumc.org
Stephanie Segers
Martin J Blaser

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
RESEARCH IN ENVIRONMENTAL HEALTH SCIENCES (CENTER GRANT)P30ES000260 · NIEHS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI COSTA, MAX · 1985 to 2020
$26.1M
Disappearing gastrointestinal microbiota in epidemic obesity.R01DK090989 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BLASER, MARTIN J · 2010 to 2015
$7.4M
MATHEMATICAL MODELS OF H PYLORI GASTRIC COLONIZATIONR01GM063270 · NIGMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BLASER, MARTIN J · 2000 to 2013
$3.1M
NCI NIH HHS P30 CA016087NCI NIH HHS P30CA16087NIDDK NIH HHS R01 DK090989NIDDK NIH HHS R01DK090989NIEHS NIH HHS ES000260NIEHS NIH HHS P30 ES000260NIGMS NIH HHS R01 GM063270NIGMS NIH HHS R01GM63270
6 · The paper itself

Abstract

objectivePersistent colonisation by Helicobacter pylori, and especially by cagA-positive strains, has been related to several health outcomes with effects in opposite directions. Thus, it is important to evaluate its influence on total and category-specific mortality.

designWe conducted prospective cohort analyses in a nationally representative sample of 9895 participants enrolled in the National Health and Nutrition Examination Survey III to assess the association of H pylori status with all-cause and cause-specific mortality. Analyses for the association of H pylori cagA positivity with mortality were conducted in 7384 subjects with data on H pylori cagA status.

resultsIn older people (> 40.1 years), H pylori was not associated with all-cause mortality (HR 1.00; 95% CI 0.84 to 1.18). There was an inverse association of H pylori status with stroke mortality (HR 0.69; 95% CI 0.44 to 1.08), and the inverse association was stronger for H pylori cagA positivity, with the HR of 0.45 (95% CI 0.27 to 0.76). H pylori was also strongly positively related to gastric cancer mortality. After we adjusted p values using the Benjamini-Hochberg false discovery rate method to account for multiple comparisons, these associations remained, and H pylori status was not related to other outcomes.

conclusionsOur findings suggest that H pylori has a mixed role in human health, but is not a major risk factor for all-cause mortality.

Indexed as

Helicobacter InfectionsHelicobacter pyloriAdolescentAdultAge FactorsAntigens, BacterialCause of DeathChildCohort StudiesFemaleHumansMaleMiddle AgedNutrition SurveysRisk FactorsStomach NeoplasmsAntigens, BacterialCardiovascular DiseaseEpidemiologyGastric CancerHelicobacter PyloriPancreatic Cancer

Identifiers

PMID23303440
PMCPMC3834579

What OpenQuestion holds

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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.