Evidence map›Paper›PMID 32170476›Full record

ReviewDigestive diseases and sciences2020

Helicobacter pylori: A Review of Current Diagnostic and Management Strategies.

Bernardo Guevara, Asha Gupta Cogdill

Abstract readReview
PubMed Publisher
In one paragraph

Review in Digestive diseases and sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
19.2field-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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Nanomechanical Hallmarks ofInternational journal of molecular sciences · 2021
    Trial
  6. Article
  7. Article
  8. Application value and performance of stool antigen detection in the diagnosis of Helicobacter pylori infection.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Review
  9. Current concepts of Helicobacter pylori infection.European journal of medical research · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Concordance ofMicroorganisms · 2025
    Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review

5 more citing papers are in PubMed but not listed here.

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

2 authors at 2 institutions in 1 country.

Bernardo GuevaraDepartment of Internal Medicine, University of California Davis School of Medicine, 4150 V Street, Suite 1100, Sacramento, CA, 95817, USA.
Asha Gupta CogdillDivision of Gastroenterology and Hepatology, UC Davis Medical Center, University of California Davis School of Medicine, 4150 V Street, Suite 3500, Sacramento, CA, 95817, USA. agupt@ucdavis.edu.
University of California, Davis · USUniversity of California Davis Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As one of the most prevalent infections globally, Helicobacter pylori (H. pylori) continues to present diagnostic and therapeutic challenges for clinicians worldwide. Diagnostically, the "test-and-treat" strategy is the recommended approach for healthcare practitioners when managing this potentially curable disease. The choice of testing method should be based on several factors including patient age, presenting symptoms, and medication use, as well as test reliability, availability, and cost. With rising antibiotic resistance, particularly of macrolides, care must be taken to ensure that therapy is selected based on regional resistance patterns and prior antibiotic exposure. In the USA, macrolide antibiotic resistance rates in some areas have reached or exceeded a generally accepted threshold, such that clarithromycin triple therapy may no longer be an appropriate first-line empiric treatment. Instead, bismuth quadruple therapy should be considered, while levofloxacin-based or alternative macrolide-containing therapies are also options. Once treated, it is essential to test for eradication as untreated H. pylori is associated with serious complications including peptic ulcer disease, mucosa-associated lymphoid tissue lymphoma, and gastric cancer. This review article aims to consolidate current knowledge of H. pylori infection with a particular emphasis on diagnostic and treatment strategies.

Indexed as

AmoxicillinAnti-Bacterial AgentsAntigens, BacterialAnti-Ulcer AgentsBiopsyBismuthBreath TestsClarithromycinCulture TechniquesDoxycyclineDrug Resistance, BacterialDrug Therapy, CombinationDyspepsiaFecesGastroscopyHelicobacter InfectionsAmoxicillinAnti-Bacterial AgentsAntigens, BacterialAnti-Ulcer AgentsBismuthbismuth subsalicylatebismuth tripotassium dicitrateClarithromycinDoxycyclineLevofloxacinMetronidazolenitazoxanideNitro CompoundsOrganometallic CompoundsProton Pump InhibitorsRifabutinSalicylatesTetracyclineThiazolesUreaDiagnosisGastric cancerGastritisHelicobacter pyloriPeptic ulcer diseaseTreatment

Identifiers

PMID32170476
OpenAlexW3011645765

What Socratic 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 Socratic graph.