Evidence map›Paper›PMID 38427927›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Impact of Helicobacter pylori Infection and Treatment on Colorectal Cancer in a Large, Nationwide Cohort.

Shailja C Shah, M Constanza Camargo, Mark Lamm, Ranier Bustamante, Christianne L Roumie, Otis Wilson, Alese E Halvorson, Robert Greevy, Lin Liu, Samir Gupta and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
18.9field-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

28 citing papers in PubMed, 33 citations in OpenAlex.

  1. Sex-Specific Associations ofThe world journal of men's health · 2026
    Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. [Helicobacter pylori].Innere Medizin (Heidelberg, Germany) · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. EClinicalMedicine · 2025
    Article
  14. Review
  15. Gut Microbiota and Colorectal Cancer: A Balance Between Risk and Protection.International journal of molecular sciences · 2025
    Review
  16. Article
  17. Effect ofImmunotherapy · 2025
    Review
  18. Beyond the stomach: the association betweenFrontiers in cellular and infection microbiology · 2025
    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

11 authors at 6 institutions in 1 country.

Shailja C ShahDivision of Gastroenterology, VA San Diego Healthcare System, San Diego, CA.ORCID 0000-0002-2049-9959
M Constanza CamargoDivision of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Rockville, MD.ORCID 0000-0002-1065-2198
Mark LammDivision of Gastroenterology, VA San Diego Healthcare System, San Diego, CA.
Ranier BustamanteDivision of Gastroenterology, VA San Diego Healthcare System, San Diego, CA.
Christianne L RoumieDepartment of Medicine, VA Tennessee Valley Healthcare System, Clinical Services Research and Development, Nashville, TN.
Otis WilsonDepartment of Medicine, VA Tennessee Valley Healthcare System, Clinical Services Research and Development, Nashville, TN.
Alese E HalvorsonDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-6909-4891
Robert GreevyDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-1821-3544
Lin LiuDivision of Biostatistics and Bioinformatics, Herbert Wertheim School of Public Health and Human Longevity Science, University of California, San Diego, San Diego, CA.
Samir GuptaDivision of Gastroenterology, VA San Diego Healthcare System, San Diego, CA.ORCID 0000-0003-4192-5002
Joshua DembDivision of Gastroenterology, University of California, San Diego, San Diego, CA.ORCID 0000-0002-3338-1730
University of California San Diego · USVanderbilt University Medical Center · USNational Institutes of Health · USValley Health System · USVA San Diego Healthcare System · USVA Tennessee Valley Healthcare System · US

Funding

Vanderbilt-Ingram Cancer Center SPORE in Gastrointestinal CancerP50CA236733 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STEPHEN W. FESIK · 2019 to 2026
$19.6M
San Diego Digestive Diseases Research CenterP30DK120515 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Bernd G. Schnabl · 2019 to 2026
$10.8M
Optimal early colorectal cancer screening initiationK99CA267181 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEMB, JOSHUA BRIAN · 2022 to 2023
$234k
Optimization of Helicobacter pylori-related Disease Outcomes in VeteransIK2CX002027 · VA · VETERANS HEALTH ADMINISTRATION · PI SHAILJA C SHAH · 2020 to 2026
–
CSRD VA IK2 CX002027NCI NIH HHS K99 CA267181NCI NIH HHS P50 CA236733NIDDK NIH HHS P30 DK120515
6 · The paper itself

Abstract

purposePATIENTS: US Veterans who completed H. pylori testing between 1999 and 2018.

methodsWe conducted a retrospective cohort analysis among adults within the Veterans Health Administration who completed testing for H. pylori. The primary exposures were (1) H. pylori test result (positive/negative) and (2) H. pylori treatment (untreated/treated) among H. pylori-positive individuals. The primary outcomes were CRC incidence and mortality. Follow-up started at the first H. pylori testing and continued until the earliest of incident or fatal CRC, non-CRC death, or December 31, 2019.

resultsAmong 812,736 individuals tested for H. pylori, 205,178 (25.2%) tested positive. Being H. pylori-positive versus H. pylori-negative was associated with higher CRC incidence and mortality. H. pylori treatment versus no treatment was associated with lower CRC incidence and mortality (absolute risk reduction 0.23%-0.35%) through 15-year follow-up. Being H. pylori-positive versus H. pylori-negative was associated with an 18% (adjusted hazard ratio [adjusted HR], 1.18 [95% CI, 1.12 to 1.24]) and 12% (adjusted HR, 1.12 [95% CI, 1.03 to 1.21]) higher incident and fatal CRC risk, respectively. Individuals with untreated versus treated H. pylori infection had 23% (adjusted HR, 1.23 [95% CI, 1.13 to 1.34]) and 40% (adjusted HR, 1.40 [95% CI, 1.24 to 1.58]) higher incident and fatal CRC risk, respectively. The results were more pronounced in the analysis restricted to individuals with nonserologic testing.

conclusionH. pylori positivity may be associated with small but statistically significant higher CRC incidence and mortality; untreated individuals, especially those with confirmed active infection, appear to be most at risk.

Indexed as

Colorectal NeoplasmsHelicobacter InfectionsHelicobacter pyloriAdultAgedAnti-Bacterial AgentsCohort StudiesFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesUnited StatesAnti-Bacterial Agents

Identifiers

PMID38427927
PMCPMC11588569
OpenAlexW4392364050

What OpenQuestion holds

Textmetadata
LicenceTDM
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.