Evidence map›Paper›PMID 32962566›Full record

ArticleUnited European gastroenterology journal2021

Dose-dependent association of proton pump inhibitors use with gastric intestinal metaplasia among Helicobacter pylori-positive patients.

Yifat Snir, Haim Leibovitzh, Yaara Leibovici-Weissman, Alex Vilkin, Arnon D Cohen, Tzippy Shochat, Yaron Niv, Iris Dotan, Ilan Feldhamer, Doron Boltin and 1 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

11 authors.

Yifat SnirDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Haim LeibovitzhDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Yaara Leibovici-WeissmanSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Alex VilkinDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Arnon D CohenDepartment of Quality Measurements and Research, Clalit Health Services, Tel Aviv, Israel.
Tzippy ShochatDepartment of Biostatistics, Rabin Medical Center, Petach Tikva, Israel.
Yaron NivDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Iris DotanDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.
Ilan FeldhamerDepartment of Quality Measurements and Research, Clalit Health Services, Tel Aviv, Israel.
Doron BoltinDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.ORCID 0000-0003-3357-613X
Zohar LeviDivision of Gastroenterology, Rabin Medical Center, Petah Tikva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastric intestinal metaplasia is a pre-cancerous condition associated with multiple factors.

objectiveWe evaluated whether cumulative proton pump inhibitor dose is associated with the diagnosis of gastric intestinal metaplasia while controlling for multiple variables.

methodsWe retrospectively identified patients who underwent upper endoscopy with gastric biopsy between 2005 and 2014. Covariate data retrieved included age, sex, ethnicity, smoking status, Helicobacter pylori status (based on clarithromycin-amoxicillin-proton pump inhibitor issued), cumulative proton pump inhibitor issued within 10 years (quartiles [PPI-Q

resultsOf the 14,147 included patients (median age 63.4 years; women 54.4%; Helicobacter pylori-positive 29.0%), 1244 (8.8%) had gastric intestinal metaplasia. Increasing age, Helicobacter pylori infection, smoking, anti-parietal cell antibodies and proton pump inhibitor use were all associated with the diagnosis of gastric intestinal metaplasia. Upper quartiles of cumulative proton pump inhibitor doses (PPI-Q

conclusionsAmong Helicobacter pylori-positive patients, proton pump inhibitor use appears to be associated with a dose-dependent increased likelihood of gastric intestinal metaplasia.

Indexed as

AdultAgedAmoxicillinAnti-Bacterial AgentsAntibodiesBody Mass IndexClarithromycinConfidence IntervalsFemaleGastroscopyHelicobacter InfectionsHelicobacter pyloriHumansMaleMetaplasiaMiddle AgedAmoxicillinAnti-Bacterial AgentsAntibodiesClarithromycinProton Pump Inhibitorsgastric intestinal metaplasiaHelicobacter pyloriproton pump inhibitors

Identifiers

PMID32962566
PMCPMC8259238

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.