Evidence map›Paper›PMID 23736795›Full record

ArticleJournal of gastroenterology2014

Helicobacter pylori infection is positively associated with gallstones: a large-scale cross-sectional study in Japan.

Yu Takahashi, Nobutake Yamamichi, Takeshi Shimamoto, Satoshi Mochizuki, Mitsuhiro Fujishiro, Chihiro Takeuchi, Yoshiki Sakaguchi, Keiko Niimi, Satoshi Ono, Shinya Kodashima and 2 more

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In one paragraph

Article in Journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. World journal of gastroenterology · 2024
    Pooled it
  2. The Relationship betweenCanadian journal of gastroenterology & hepatology · 2021
    Pooled it
  3. Porcelain gallbladder revisited.Journal of ultrasound · 2026
    Review
  4. Review
  5. The link betweenAnnals of hepato-biliary-pancreatic surgery · 2023
    Review
  6. Article
  7. Article
  8. The Journal of international medical research · 2020
    Article
  9. Gallstone Disease and Microbiome.Microorganisms · 2020
    Review
  10. Nonalcoholic Fatty Liver Disease Is Associated withGastroenterology research and practice · 2020
    Article
  11. World journal of gastroenterology · 2018
    Review
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
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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

12 authors at 2 institutions in 1 country.

Yu TakahashiDepartment of Gastroenterology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan, yutakahashi-tky@umin.ac.jp.
Nobutake Yamamichi
Takeshi Shimamoto
Satoshi Mochizuki
Mitsuhiro Fujishiro
Chihiro Takeuchi
Yoshiki Sakaguchi
Keiko Niimi
Satoshi Ono
Shinya Kodashima
Toru Mitsushima
Kazuhiko Koike
The University of Tokyo · JPKameda Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim is to elucidate causative factors for gallstones, especially focusing on Helicobacter pylori (HP) infection.

methodsWe analyzed 15,551 Japanese adults who had no history of gastrectomy, cholecystectomy, HP eradication, and didn't use proton pump inhibitors, anti-diabetic drugs, or anti-cholesterol drugs. 1,057 subjects who previously had HP eradication were analyzed separately.

resultsGallstones were detected in 409 of 8,625 men (4.74%) and 285 of 6,926 women (4.11%) by ultrasonography. Among the 25 factors univariately analyzed, age, HP infection, alcohol intake, weight, body mass index (BMI), and 14 blood test values (AST, ALT, ALP, γ-GTP, T-Chol, HDL-Chol, LDL-Chol, TG, TP, Hb, HbA1c, pepsinogen I, pepsinogen II, and pepsinogen I/II ratio) displayed significant association with gallstones (p < 0.05), whereas gender, smoking, height, and three blood test values (Alb, T-Bil, MCV) did not. Multivariate analysis showed that age, gender, alcohol intake, BMI, γ-GTP, LDL-Chol, TP, and HP infection had significant association (p < 0.05). Successive multiple logistic regression analysis calculating odds ratio (OR) and standardized coefficients (β) showed that age (OR/β = 1.57/0.450), BMI (OR/β = 1.30/0.264), HP infection (OR/β = 1.51/0.206), lower alcohol intake (OR/β = 1.33/0.144), γ-GTP (OR/β = 1.15/0.139), and pepsinogen I/II ratio (OR/β = 1.08/0.038) have significant positive association with gallstones, whereas gender does not. The gallstone prevalence among HP-negative, HP-eradicated, and HP-positive subjects was 3.81, 4.73 and 6.08%, respectively. The matched analysis controlling age, BMI, γ-GTP, alcohol intake, pepsinogen I/II ratio and gender also demonstrated that gallstone prevalence among HP-eradicated subjects was significantly lower compared with HP-positive subjects (p < 0.05).

conclusionsHP infection is positively associated with gallstones. HP eradication may lead to prevention of gallstones.

Indexed as

AdultAgedAged, 80 and overCross-Sectional StudiesFemaleGallstonesHelicobacter InfectionsHelicobacter pyloriHumansJapanLogistic ModelsMaleMiddle AgedPrevalenceRisk FactorsYoung Adult

Identifiers

PMID23736795
OpenAlexW2008442047

What OpenQuestion holds

Textmetadata
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.