Evidence map›Paper›PMID 34823481›Full record

ArticleBMC gastroenterology2021

Eradication of Helicobacter pylori may improve dyspepsia in the elderly for the long term.

Ikko Tanaka, Shoko Ono, Yoshihiko Shimoda, Masaki Inoue, Sayoko Kinowaki, Momoko Tsuda, Masayoshi Ono, Keiko Yamamoto, Yuichi Shimizu, Mototsugu Kato and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

11 authors at 4 institutions in 1 country.

Ikko TanakaDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Shoko OnoDepartment of Gastroenterology, Hokkaido University Hospital, Sapporo, Hokkaido, Japan. onosho@med.hokudai.ac.jp.
Yoshihiko ShimodaDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Masaki InoueDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Sayoko KinowakiDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Momoko TsudaDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Hokkaido, Japan.
Masayoshi OnoDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Keiko YamamotoDivision of Endoscopy, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Yuichi ShimizuDivision of Endoscopy, Hokkaido University Hospital, Sapporo, Hokkaido, Japan.
Mototsugu KatoDepartment of Gastroenterology, National Hospital Organization Hakodate National Hospital, Hakodate, Hokkaido, Japan.
Naoya SakamotoDepartment of Gastroenterology, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Hokkaido University · JPHokkaido University Hospital · JPHakodate National Hospital · JPNational Hospital Organization · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapy for eradication of Helicobacter pylori (H. pylori) improves symptoms of H. pylori-associated dyspepsia (HPD), but the effects of eradication in elderly patients are unclear. The aim of our study was to investigate dyspepsia symptoms and long-term effects of eradication in elderly patients.

methodsThis retrospective study included 496 patients who received H. pylori eradication therapy. The patients were divided into a group of elderly patients (group E: ≧ 65 years old) and a group of non-elderly patients (group N: < 65 years old). Abdominal symptoms were evaluated using a questionnaire about abdominal symptoms before eradication and after eradication (1-2 months and more than one year). Dyspepsia was defined as a score of 4 points or more for at least one of 4 items (postprandial fullness, early satiety, epigastric pain, and hunger pain). Improvement of symptoms was defined on the basis of changes in Global Overall Systems scores.

resultsThere were no differences in abdominal symptoms before eradication between the two groups. Successful eradication improved symptoms in patients with dyspepsia within 2 months (in 75.6% (56/74) of the patients in group N and in 64.5% (20/31) of the patients in group E). The questionnaire showed that 80% (32/40) of the patients in group N and 60% (12/20) of the patients in group E had long-term relief of dyspepsia. The scores for abdominal symptoms in group E continued to improve for a mean period of 54.8 months after eradication.

conclusionsEradication of H. pylori age-independently improved dyspepsia symptoms for the long term.

Indexed as

DyspepsiaHelicobacter InfectionsHelicobacter pyloriAgedAnti-Bacterial AgentsHumansMiddle AgedRetrospective StudiesAnti-Bacterial AgentsDyspepsiaEradication therapyHelicobacter pyloriThe elderly

Identifiers

PMID34823481
PMCPMC8620963
OpenAlexW3216990640

What Socratic 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 Socratic graph.