Evidence map›Paper›PMID 39998769›Full record

SynthesisCurrent medical science2025

Impact of Helicobacter pylori Eradication on Clinical and Laboratory Parameters in Non-alcoholic Fatty Liver Disease Patients: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Fouad Jaber, Saqr Alsakarneh, Azizullah Beran, Tala Alsharaeh, Ahmed-Jordan Salahat, Abdelrahman Abdelshafi, Islam Mohamed, Willie Johnson, Khaled Elfert, Mohammad Jaber and 5 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Current medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Fouad JaberSection of Gastroenterology and Hepatology, Baylor College of Medicine, Houston, 77030, USA. fouad.jaber.md@gmail.com.
Saqr AlsakarnehDepartment of internal medicine, University of Missouri-Kansas City, Kansas City, USA.
Azizullah BeranDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, 46202, USA.
Tala AlsharaehDepartment of Medical Education, Faculty of Medicine, The University of Jordan, Amman, 999045, Jordan.
Ahmed-Jordan SalahatDepartment of Medical Education, Faculty of Medicine, The University of Jordan, Amman, 999045, Jordan.
Abdelrahman AbdelshafiDepartment of Medical Education, Faculty of Medicine, Assiut University, Assiut, 71515, Egypt.
Islam MohamedDepartment of Gastroenterology, University of Missouri-Columbia, Columbia, USA.
Willie JohnsonDepartment of Internal Medicine, University of Minnesota Medical Center, Minneapolis, 55454, USA.
Khaled ElfertDepartment of Gastroenterology, University of West Virginia, West Virginia, USA.
Mohammad JaberDepartment of Medical Education, Rawalpindi Medical University, Rawalpindi, Pakistan.
Mohammad AlmeqdadiDepartment of Transplant Hepatobiliary Disease, Lahey Hospital and Medical Center, Burlington, 01805, USA.
Mohamed AhmedDepartment of Gastroenterology and Hepatology, University of Missouri Kansas City, Kansas City, 64108, USA.
Hassan GhozDepartment of Gastroenterology, University of Maryland, Maryland, USA.
Wendell K ClarkstonDepartment of Gastroenterology and Hepatology, University of Missouri Kansas City, Kansas City, 64108, USA.
John H HelzbergDepartment of Gastroenterology and Hepatology, University of Missouri Kansas City, Kansas City, 64108, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHelicobacter pylori (HP) infection is associated with non-alcoholic fatty liver disease (NAFLD) and insulin resistance; however, the correlation between HP eradication and NAFLD remains controversial. This systematic review and meta-analysis examined the effect of HP treatment on clinical and laboratory parameters in NAFLD patients.

methodsWe conducted a literature search of the PubMed, Embase, Scopus, and Web of Science databases through September 2023 for randomized controlled trials (RCTs) examining the effect of HP treatment on NAFLD patients versus lifestyle changes alone. The primary outcome was the change in steatosis parameters. The secondary endpoints were changes in anthropometric parameters, inflammatory markers (TNF-α), and metabolic parameters (fasting blood glucose, homeostasis model assessment of insulin resistance, AST/ALT, and lipid profile). The random effects model was used to calculate the standardized mean difference (SMD) with associated 95% confidence intervals (CIs) for our desired outcome.

resultsFour RCTs met our inclusion criteria. A total of 453 patients were included (mean age 42.8 years, 58.5% males), 228 (50.3%) of whom were in the HP eradication group and 225 (49.7%) of whom were in the lifestyle modification group. Compared with lifestyle modification alone, HP eradication had a significant effect on reducing liver steatosis and TNF-α levels (SMD: - 0.9; 95% CI - 14.67, - 3.82, I

conclusionsHP eradication significantly reduced liver steatosis and TNF-α levels in NAFLD patients. However, HP eradication did not significantly affect other metabolic indices compared to lifestyle changes alone.

Indexed as

Anti-Bacterial AgentsHelicobacter InfectionsHelicobacter pyloriNon-alcoholic Fatty Liver DiseaseAdultHumansInsulin ResistanceMaleRandomized Controlled Trials as TopicTumor Necrosis Factor-alphaAnti-Bacterial AgentsTumor Necrosis Factor-alphaAnthropometric measurementsHelicobacter pyloriHepatic steatosisInsulin resistanceNon-alcoholic fatty liver diseaseRandomized controlled trials

Identifiers

What OpenQuestion holds

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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.