Evidence map›Paper›PMID 31667586›Full record

ArticleJournal of gastroenterology2020

Risk of gastric cancer in the second decade of follow-up after Helicobacter pylori eradication.

Susumu Take, Motowo Mizuno, Kuniharu Ishiki, Chiaki Kusumoto, Takayuki Imada, Fumihiro Hamada, Tomowo Yoshida, Kenji Yokota, Toshiharu Mitsuhashi, Hiroyuki Okada

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 72 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 3 pooled it
12.6field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. From screening to surveillance: integrated prevention ofThe Lancet regional health. Western Pacific · 2026
    Review
  5. Article
  6. Metagenomic analysis of the intragastric and oral microbiome associated with gastric carcinogenesis after Helicobacter pylori eradication.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  7. Article
  8. Gastritis: Pathophysiology, Diagnosis, and Clinical Implications.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Endoscopic Diagnosis of Early Gastric Cancer and High-Risk Gastritis.The Korean journal of helicobacter and upper gastrointestinal research · 2024
    Review

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Susumu TakeDepartment of Internal Medicine, Fukuwatari Municipal Hospital, 1000 Fukuwatari, Takebe-cho, Kitaku, Okayama, 709-3111, Japan.
Motowo MizunoDepartment of Gastroenterology and Hepatology, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, Okayama, 710-8602, Japan. mmizuno@isis.ocn.ne.jp.ORCID 0000-0001-6974-4401
Kuniharu IshikiDepartment of Internal Medicine, Nippon Kokan Fukuyama Hospital, 1840 Tsunoshita, Daimon-cho, Fukuyama, 721-0927, Japan.
Chiaki KusumotoDepartment of Internal Medicine, Nippon Kokan Fukuyama Hospital, 1840 Tsunoshita, Daimon-cho, Fukuyama, 721-0927, Japan.
Takayuki ImadaDepartment of Internal Medicine, Nippon Kokan Fukuyama Hospital, 1840 Tsunoshita, Daimon-cho, Fukuyama, 721-0927, Japan.
Fumihiro HamadaDepartment of Surgery, Nippon Kokan Fukuyama Hospital, 1840 Tsunoshita, Daimon-cho, Fukuyama, 721-0927, Japan.
Tomowo YoshidaDepartment of Internal Medicine, Nippon Kokan Fukuyama Hospital, 1840 Tsunoshita, Daimon-cho, Fukuyama, 721-0927, Japan.
Kenji YokotaDepartment of Bacteriology, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan.
Toshiharu MitsuhashiCenter for Innovative Clinical Medicine, Okayama University Hospital, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan.
Hiroyuki OkadaDepartment of Medicine and Medical Science, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan.
Fukuyama Cardiovascular Hospital · JPOkayama University · JPKurashiki Central Hospital · JPOkayama University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsEradication of Helicobacter pylori reduces the risk of gastric cancer. In this study, we investigated the risk beyond 10 years after eradication of H. pylori.

methodsWe conducted a retrospective cohort study of 2737 patients who had yearly endoscopic follow-up after cure of H. pylori infection. For comparison of gastric cancer risk in the second decade of follow-up with that in the first decade, we calculated standardized incidence ratios (SIRs) by dividing the number of observed cases of gastric cancer in the second decade of follow-up by that of expected cases which was estimated using the incidence rate ratio of age in the first decade.

resultsDuring the follow-up for as long as 21.4 years (mean 7.1 years), gastric cancer developed in 68 patients (0.35% per year). The SIRs for diffuse-type gastric cancer was infinity (0 expected case and 4 observed cases) in patients with mild gastric mucosal atrophy and 10.9 (95% confidence interval 4.53-26.1) with moderate atrophy, whereas no significant increase of SIRs was observed in intestinal-type cancer regardless of the grade of baseline gastric atrophy or in diffuse-type cancer in patients with severe atrophy even though who had the highest risk.

conclusionsThe longer the follow-up, the greater the risk of developing diffuse-type gastric cancer becomes in patients with mild-to-moderate gastric atrophy at baseline. Endoscopic surveillance should be continued beyond 10 years after cure of H. pylori irrespective of the severity of gastric atrophy.

Indexed as

AdultAgedAged, 80 and overAtrophyCohort StudiesFemaleFollow-Up StudiesHelicobacter InfectionsHelicobacter pyloriHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsStomach NeoplasmsDiffuse-type gastric cancerEradication therapyGastric atrophyHelicobacter pylori

Identifiers

PMID31667586
PMCPMC7026240
OpenAlexW2982530532

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.