Evidence map›Paper›PMID 35786612›Full record

SynthesisThe Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology2022

High-Dose Dual Therapy Versus Bismuth-Containing Quadruple Therapy for the Treatment of Helicobacter pylori Infection: A Systematic Review with Meta-Analysis.

Zhikun Yin, Ji Li, Weifeng Huang, Xiaoyi Lei, Dong Xu, Guihua Xu, Hua Li, Jinyan Zhang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Comparative Efficacy of Triple Versus Quadruple Therapy for the Eradication ofJGH open : an open access journal of gastroenterology and hepatology · 2025
    Review
  6. High-dose amoxicillin and pantoprazole regimen forPrzeglad gastroenterologiczny · 2025
    Article
  7. Vonoprazan and amoxicillin dual therapy versus bismuth-based therapy forProceedings (Baylor University. Medical Center) · 2025
    Article
  8. Article
  9. Article
  10. Comment On: Vonoprazan on the Eradication of Helicobacter pylori Infection.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Article
  11. High-dose dual therapyTherapeutic advances in gastroenterology · 2023
    Article
  12. Efficacy and safety of vonoprazan-amoxicillin dual therapy forTherapeutic advances in gastroenterology · 2023
    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.

Zhikun YinFujian Medical University The Third Clinical Medical College, Fuzhou, Fujian, China; Department of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Ji LiDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Weifeng HuangDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Xiaoyi LeiFujian Medical University The Third Clinical Medical College, Fuzhou, Fujian, China; Department of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Dong XuDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Guihua XuDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Hua LiDepartment of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.
Jinyan ZhangFujian Medical University The Third Clinical Medical College, Fuzhou, Fujian, China; Department of Gastroenterology, The First Affiliated Hospital of Xiamen University Faculty of Medicine, Xiamen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to evaluate the efficacy and safety of high-dose dual therapy for Helicobacter pylori (H. pylori) eradication compared to bismuth-containing quadruple therapy.

methodsThe electronic database of PubMed, Embase, and Cochrane Library were searched from inception to March 18, 2021. Randomized, controlled trials that evaluated high-dose dual therapy versus bismuth-containing quadruple therapy for H. pylori infection were included.

resultsWe included 6 studies containing 1677 patients with H. pylori infection. This meta-analysis demonstrated that high-dose dual therapy achieved similar eradication rate compared with bismuth-containing quadruple therapy (intention-to-treat: 84.6% vs 83.7%, relative risk (RR) = 1.01, 95% CI: 0.97-1.06, P = .49; per-protocol = 88.4% vs 89.0%, RR = 1.00, 95% CI: 0.97-1.04, P = .99). However, highdose dual therapy showed fewer side effects (13.1% vs 32.0%, RR = 0.51, 95% CI: 0.34-0.78, P = .002) and better compliance (96.1% vs 93.3%, RR = 1.03, 95% CI: 1.00-1.05, P = .03) compared to bismuth-containing quadruple therapy.

conclusionThis meta-analysis demonstrated that high-dose dual therapy is equally effective with bismuth-containing quadruple therapy in eradicating H. pylori, with fewer side effects and better compliance.

Indexed as

Helicobacter InfectionsHelicobacter pyloriAnti-Bacterial AgentsBismuthDrug Therapy, CombinationHumansAnti-Bacterial AgentsBismuth

Identifiers

PMID35786612
PMCPMC9317580

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.