Evidence map›Paper›PMID 38886657›Full record

ArticleBMC gastroenterology2024

Physician perspectives of Helicobacter pylori diagnostic and treatment practices in Canada: results of a Canadian survey.

Kianna Cadogan, Seth R Shaffer, Alexander Singer, Aleisha Reimer, Natalie Knox, Jillian Rumore, Sara Christianson, David C Alexander, Jessica D Forbes, Charles N Bernstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Kianna CadoganDepartment of Internal Medicine, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Seth R ShafferSection of Gastroenterology, Department of Internal Medicine, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, 804-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada.
Alexander SingerDepartment of Family Medicine, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Aleisha ReimerNational Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB, Canada.
Natalie KnoxNational Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB, Canada.
Jillian RumoreNational Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB, Canada.
Sara ChristiansonNational Microbiology Laboratory Branch, Public Health Agency of Canada, Winnipeg, MB, Canada.
David C AlexanderCadham Provincial Laboratory, Diagnostic Services, Shared Health, Winnipeg, MB, Canada.
Jessica D ForbesEastern Ontario Regional Laboratory Association, Ottawa, ON, Canada.
Charles N BernsteinSection of Gastroenterology, Department of Internal Medicine, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, 804-715 McDermot Avenue, Winnipeg, MB, R3E3P4, Canada. Charles.bernstein@umanitoba.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHelicobacter pylori infection is prevalent worldwide and can lead to peptic ulcer disease (PUD) and gastric cancer. Effective diagnosis and treatment of H. pylori infection by gastroenterologists and family physicians is crucial. However, there are differing views on optimal diagnosis and treatment. The objective of this study is to understand the impressions of Canadian physicians regarding H. pylori diagnosis and treatment and whether impressions differ between gastroenterologists and family physicians. A second objective is to understand physician perspectives on rising antibiotic resistance and how that guides empiric management.

methodsA survey facilitated via REDCap was administered to Canadian gastroenterologists and family physicians. A total of 105 participants completed the survey, including 43 gastroenterologists and 62 family physicians. Gastroenterologists were recruited from across the country and family physicians were recruited from Manitoba.

resultsFor diagnosis of H. pylori, 67% of gastroenterologists reported endoscopic biopsies for histology assessment as most common and 73% of family physicians reported serology as their main diagnostic test. While nearly all gastroenterologists believed antibiotic resistance to be a problem, nearly one quarter of family physicians did not believe it was a problem.

conclusionsThere is variability in practices among both gastroenterologists and family physicians regarding diagnosis of H. pylori infection. There was consensus that local antibiotic resistance patterns should guide management. If known, the degree and patterns of antibiotic resistance could bring a more uniform consensus to H. pylori management. Greater education of physicians, especially family physicians regarding management of H pylori is needed.

Indexed as

Anti-Bacterial AgentsHelicobacter InfectionsHelicobacter pyloriPractice Patterns, Physicians'AdultAttitude of Health PersonnelBiopsyCanadaDrug Resistance, BacterialFemaleGastroenterologistsHumansMaleMiddle AgedPhysicians, FamilySurveys and QuestionnairesAnti-Bacterial AgentsAntibiotic resistanceHelicobacter pyloriPeptic ulcer disease

Identifiers

PMID38886657
PMCPMC11184823

What OpenQuestion holds

Textmetadata
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.