Evidence map›Paper›PMID 38814335›Full record

SynthesisJournal of gastroenterology2024

Global H. pylori recurrence, recrudescence, and re-infection status after successful eradication in pediatric patients: a systematic review and meta-analysis.

Lu Xu, Xiao-Ting Li, Ishtiaq Ur-Rahman, Chen Zhang, Ya-Bin Qi, Ruo-Bing Hu, Kuan Li, Abdun Mohammed Awadh, Jing Ma, Wei Xiao and 7 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Journal of gastroenterology, 2024. 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. Predictors of Resistance in PediatricPathogens (Basel, Switzerland) · 2026
    Article
  2. Potassium-competitive acid blockers forFrontiers in cellular and infection microbiology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. International journal of molecular sciences · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Therapeutics and clinical risk management · 2025
    Review
  11. The role of probiotic supplementation in reducingFrontiers in pharmacology · 2025
    Article
  12. Review
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

17 authors.

Lu XuDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Xiao-Ting LiDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Ishtiaq Ur-RahmanDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Chen ZhangDepartment of Gastroenterology and Hepatology, Henan University People's Hospital, and Henan Provincial People's Hospital, Zhengzhou, 450003, Henan, China.
Ya-Bin QiDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Ruo-Bing HuDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Kuan LiDepartment of Gastroenterology and Hepatology, Henan University People's Hospital, and Henan Provincial People's Hospital, Zhengzhou, 450003, Henan, China.
Abdun Mohammed AwadhDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Jing MaDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
Wei XiaoDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China.
San-Jun GaoMicrobiom Laboratory, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, Zhengzhou, 450003, Henan, China.
Pei-Li YangDepartment of Gastroenterology and Hepatology, Huangchuan People's Hospital, No. 104 Yuejin Road, Huangchuan, 465150, Henan, China.
Yue WangDepartment of Gastroenterology and Hepatology, Huangchuan People's Hospital, No. 104 Yuejin Road, Huangchuan, 465150, Henan, China.
Qing-Song PengDepartment of Gastroenterology and Hepatology, Huangchuan People's Hospital, No. 104 Yuejin Road, Huangchuan, 465150, Henan, China.
Tao WangDepartment of Gastroenterology and Hepatology, Huangchuan People's Hospital, No. 104 Yuejin Road, Huangchuan, 465150, Henan, China.
Qing-Ming ZhengDepartment of Gastroenterology and Hepatology, Huangchuan People's Hospital, No. 104 Yuejin Road, Huangchuan, 465150, Henan, China.
Song-Ze DingDepartment of Gastroenterology and Hepatology, People's Hospital of Zhengzhou University, and Henan Provincial People's Hospital, No. 7 Wei Wu Road, Jin Shui District, Zhengzhou, 450003, Henan, China. dingsongze@hotmail.com.

Funding

Henan Provincial Government-Health and Family Planning Commission NO.20170123Henan Provincial Government-Health and Family Planning Commission NO. SBGJ202002023Henan Provincial Government-Health and Family Planning Commission Research Innovative Talents Project 51282National Natural Science Foundation of China U1604174
6 · The paper itself

Abstract

backgroundLittle information is available regarding global H. pylori recurrence, recrudescence, and re-infection in pediatric patients after successful eradication, nor are their influencing factors clear. We conducted a systematic review and meta-analysis to determine global H. pylori recurrence status and its influencing factors in children and adolescents to improve infection management and disease prevention.

methodsPublished studies on H. pylori recurrence in children and adolescents were collected from major public databases until January 2023. H. pylori recurrences were determined using randomized-effect and fixed-effect models. Stratified analysis was performed based on various regions, countries, publication time, human development indexes (HDIs), and ages.

resultsA total of 3310 relevant articles were screened, and 30 articles (1915 participants) were finally enrolled for analysis. The overall H. pylori recurrence rate was 19%, and the annual recurrence rate was 13%. In stratified analysis, H. pylori annual recurrence rate in Asian children was higher than that in Europe (17% vs. 6%) and higher in developing countries than in developed countries (18% vs. 5%). In children aged ≤ 5 years, ≤ 10 years, and 11-18 years, the H. pylori recurrence rates were 30%, 14%, and 8%, respectively. H. pylori recrudescence and re-infection rates were 6% and 10%, respectively, and its recurrence was inversely correlated with HDI.

conclusionsThese results provide insights into global H. pylori recurrence, annual recurrence, recrudescence, and re-infection status in pediatric population. The stratified analysis revealed the pattern and seriousness of infection, which requires further efforts to improve patient care.

Indexed as

Helicobacter InfectionsHelicobacter pyloriRecurrenceReinfectionAdolescentAnti-Bacterial AgentsChildChild, PreschoolGlobal HealthHumansAnti-Bacterial AgentsH. pyloriHuman development indexMeta-analysisPediatric patientsRecurrence recrudescence and re-infection rates

Identifiers

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.