Evidence map›Paper›PMID 28817628›Full record

SynthesisPloS one2017

Effectiveness of Helicobacter pylori eradication in the prevention of primary gastric cancer in healthy asymptomatic people: A systematic review and meta-analysis comparing risk ratio with risk difference.

Takeshi Seta, Yoshimitsu Takahashi, Yoshinori Noguchi, Satoru Shikata, Tatsuya Sakai, Kyoko Sakai, Yukitaka Yamashita, Takeo Nakayama

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. BMJ open · 2019
    Pooled it
  3. Effect of Helicobacter pylori eradication on the incidence of gastric cancer: a systematic review and meta-analysis.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Pooled it
  4. Article
  5. Novel Mutations Conferring Amoxicillin Resistance inAntibiotics (Basel, Switzerland) · 2023
    Article
  6. Diagnostic and Therapeutic Management ofHealthcare (Basel, Switzerland) · 2023
    Review
  7. Epidemiology of Gastric Cancer: Global Trends, Risk Factors and Premalignant Conditions.Journal of community hospital internal medicine perspectives · 2023
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. JGH open : an open access journal of gastroenterology and hepatology · 2020
    Review
  13. The Potential Benefits of Vonoprazan asPharmaceuticals (Basel, Switzerland) · 2020
    Review
  14. Article
  15. Pathways of Gastric Carcinogenesis,International journal of molecular sciences · 2020
    Review
  16. Review
  17. Gut microbes · 2020
    Article
  18. Review
  19. Article
  20. 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

8 authors.

Takeshi SetaDepartment of Gastroenterology and Hepatology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.ORCID http://orcid.org/0000-0002-3057-6284
Yoshimitsu TakahashiDepartment of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.
Yoshinori NoguchiDivision of General Internal Medicine, Japanese Red Cross Nagoya Daini Hospital, Nagoya, Japan.
Satoru ShikataDepartment of Family Medicine, Mie Prefectural Ichishi Hospital, Tsu, Japan.
Tatsuya SakaiDepartment of Internal Medicine, Kyoto Katsura Hospital, Kyoto, Japan.
Kyoko SakaiDepartment of Laboratory Medicine, Suita Saiseikai Hospital, Suita, Japan.
Yukitaka YamashitaDepartment of Gastroenterology and Hepatology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
Takeo NakayamaDepartment of Health Informatics, Kyoto University School of Public Health, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelicobacter pylori infection is strongly associated with gastric cancer occurrence. However, it is unclear whether eradication therapy reduces the risk of gastric cancer occurrence. We evaluated whether H. pylori eradication reduces the risk of primary gastric cancer by using both risk ratio (RR) and risk difference (RD).

methodsSearches of PubMed, EMBASE, Google scholar, the Cochrane Library, and the Japan Medical Abstracts Society as well as those registered in databases of the Cochrane Central Register of Controlled Trials, metaRegister of Controlled Trials, ClinicalTrials.gov, controlled-trials.com, UMIN-CTR, JMACCT-CTR, and JAPIC-CTI between January 1965 and March 2017, supplemented with manual screening. Randomized controlled trials (RCTs) in which eradication therapy were implemented for the interventional group but not for the control group, and assessed the subsequent occurrence of primary gastric cancer as the main outcome. Two authors independently reviewed articles and extracted data. Integrated results for all data were presented as RR and RD.

resultsSeven studies met inclusion criteria. The reductions in risk of primary gastric cancer occurrence in terms of overall RR and RD were 0.67 (95% CI: 0.48 to 0.95) and -0.00 ([95% CI: -0.01 to 0.00]; number needed to treat: 125.5 [95% CI: 70.0 to 800.9]), respectively.

conclusionsThe effectiveness of H. pylori eradication therapy in suppressing the occurrence of primary gastric cancer was significant and comparable to that of previous studies in terms of the estimated RR. However, the estimated RD was slight and not statistically significant.

Indexed as

Helicobacter InfectionsHelicobacter pyloriHumansRisk FactorsStomach Neoplasms

Identifiers

PMID28817628
PMCPMC5560713

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.