Evidence map›Paper›PMID 36755235›Full record

ArticleBMC gastroenterology2023

Eradication therapy may decrease the risk of immune thrombocytopenia after Helicobacter pylori infection: a retrospective cohort study in Taiwan.

Mitsuhiro Koseki, Ming-Jen Sheu, Kang-Ting Tsai, Chung-Han Ho, Hsiao-Hua Liu, Hung-Jung Lin, Chien-Liang Lin, Chien-Cheng Huang

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2023. 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
1.6field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Investigating the link betweenAnnals of medicine and surgery (2012) · 2026
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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 at 3 institutions in 1 country.

Mitsuhiro Koseki *Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Ming-Jen Sheu *Division of Gastroenterology and Hepatology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Kang-Ting TsaiDivision of Geriatrics and Gerontology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Chung-Han HoDepartment of Medical Research, Chi Mei Medical Center, Tainan, Taiwan.
Hsiao-Hua LiuDivision of Geriatrics and Gerontology, Department of Internal Medicine, Chi Mei Medical Center, Tainan, Taiwan.
Hung-Jung LinDepartment of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan.
Chien-Liang LinDivision of Hematology-Oncology, Department of Internal Medicine, Chi Mei Hospital, 201, Taikang, Liouying District, Tainan City, 736, Taiwan. kevin640209@yahoo.com.tw.
Chien-Cheng HuangDepartment of Emergency Medicine, Chi Mei Medical Center, 901 Zhonghua Road, Yongkang District, Tainan City, 710, Taiwan. chienchenghuang@yahoo.com.tw.
Chi Mei Medical Center · TWKaohsiung Medical University · TWSouthern Taiwan University of Science and Technology · TW

Funding

Chi Mei Medical Center CMFHR11135
6 · The paper itself

Abstract

backgroundHelicobacter pylori (HP) eradication therapy (HPE) is recommended for patients with unexplained immune thrombocytopenia (ITP); however, the role of HPE in preventing ITP in patients with HP infection remains unclear. Therefore, this study was designed to clarify it.

methodsThis study was conducted at a tertiary medical center and included all adult patients with HP infection between January 1, 2016 and December 31, 2018. We compared the risk of developing ITP between patients with and without HPE. All patients were followed up until December 31, 2020.

resultsAfter excluding patients with thrombocytopenia, 1995 adult patients with HP infection, including 1188 patients with HPE and 807 patients without HPE, were included in this study. The mean age of the patients with HPE was 57.9 years, whereas that of those without HPE was 61.6 years. The percentage of males was 56% in patients with HPE and 59% in those without HPE. Patients without HPE had a higher risk of ITP than those with HPE after adjusting for age, sex, the Charlson Comorbidity Index, and comorbidities [adjusted odds ratio (OR) 1.76; 95% confidence interval (CI) 1.16-2.68]. Stratified analyses showed that the higher risk was found only in males (adjusted OR: 1.70; 95% CI 1.03-2.80). In addition to HPE, male sex and anemia were independent predictors of ITP in patients with HP infection.

conclusionThis study showed that adult patients with HP infection not receiving HPE had a higher risk of developing ITP. We suggest that HPE should be considered, particularly in males and those who have anemia, to prevent ITP.

Indexed as

Helicobacter InfectionsHelicobacter pyloriPurpura, Thrombocytopenic, IdiopathicThrombocytopeniaAdultHumansMaleMiddle AgedRetrospective StudiesTaiwanAdultCohort studyEradication therapyHelicobacter pyloriImmune thrombocytopenia

Identifiers

PMID36755235
PMCPMC9907885
OpenAlexW4319592683

What OpenQuestion holds

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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.