Evidence map›Paper›PMID 27114421›Full record

Trial reportGut and liver2016

Sequential Therapy versus Triple Therapy for the First Line Treatment of Helicobacter pylori in Korea: A Nationwide Randomized Trial.

Joon Sung Kim, Byung-Wook Kim, Su Jin Hong, Jin Il Kim, Ki-Nam Shim, Jie-Hyun Kim, Gwang Ho Baik, Sang Wook Kim, Hyun Joo Song, Ji Hyun Kim

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. [Evidence-Based Guidelines for the Diagnosis and Treatment ofThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi · 2026
    Guideline
  2. Guideline
  3. Guideline
  4. Guideline
  5. Comparison of 7- and 14-Day Eradication Therapy forJournal of Korean medical science · 2020
    Trial
  6. Trial
  7. Review
  8. Sequential versus Standard Triple Therapy for First-LineAntibiotics (Basel, Switzerland) · 2024
    Review
  9. Comparison ofThe Korean journal of helicobacter and upper gastrointestinal research · 2023
    Article
  10. Review
  11. Article
  12. Article
  13. Rifabutin and Furazolidone Could Be the Candidates of the Rescue Regimen for Antibiotic-ResistantThe Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2019
    Article
  14. Article
  15. Update on the first-line treatment forBiomarker research · 2017
    Review
  16. Optimal First-Line Treatment forGastroenterology research and practice · 2016
    Review
  17. 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

10 authors.

Joon Sung KimDepartment of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
Byung-Wook KimDepartment of Internal Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea College of Medicine, Incheon, Korea.
Su Jin HongDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea.
Jin Il KimDepartment of Internal Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
Ki-Nam ShimDepartment of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University School of Medicine, Seoul, Korea.
Jie-Hyun KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Gwang Ho BaikDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Sang Wook KimDepartment of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
Hyun Joo SongDepartment of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea.
Ji Hyun KimDepartment of Internal Medicine, Inje University Busan Paik Hospital, Inje Univeristy College of Medicine, Busan, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsEradication of Helicobacter pylori infection with standard triple therapy (TT) has declined primarily because of increased antibiotic resistance. Sequential therapy (ST) has been suggested as an alternative to TT for the first-line treatment of H. pylori. The purpose of this study was to compare the efficacy of ST with TT.

methodsThis was a multicenter, randomized open-label trial performed at nine centers in Korea. Patients with H. pylori infection were randomly assigned to receive either 7 day TT or 10 day ST. Eradication rates, drug compliance, and adverse events were compared among the two regimens.

resultsA total of 601 patients were enrolled between March 2011 and September 2014. The intention-to-treat eradication rates were 70.8% for TT and 82.4% for ST (p=0.001). The corresponding per protocol eradication rates were 76.9% and 88.8% for TT and ST, respectively (p=0.000). There were no statistically significant differences between the two regimens with respect to drug compliance and adverse events.

conclusionsST achieved better eradication rates than TT as a first-line therapy for H. pylori eradication in Korea.

Indexed as

AdultAgedAmoxicillinAnti-Bacterial AgentsClarithromycinDrug Administration ScheduleDrug Therapy, CombinationFemaleHelicobacter InfectionsHelicobacter pyloriHumansIntention to Treat AnalysisMaleMedication AdherenceMetronidazoleMiddle AgedAmoxicillinAnti-Bacterial AgentsClarithromycinMetronidazoleProton Pump InhibitorsDisease eradicationDrug resistanceHelicobacter pylori

Identifiers

PMID27114421
PMCPMC4933415

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.