Evidence map›Paper›PMID 40593877›Full record

ArticleScientific reports2025

Helicobacter pylori eradication and gastric cancer prevention in a pooled analysis of large-scale cohort studies in Japan.

Ayami Ono, Shiori Tanaka, Norie Sawada, Atsushi Goto, Shoichiro Tsugane, Isao Muraki, Kazumasa Yamagishi, Yu Sasaki, Yasuhiko Abe, Takamasa Kayama and 5 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Prevention of Gastric Cancer.Medicina (Kaunas, Lithuania) · 2026
    Review
  2. Gastritis: Pathophysiology, Diagnosis, and Clinical Implications.The Korean journal of helicobacter and upper gastrointestinal research · 2026
    Review
  3. A single-center culture-based study ofFrontiers in microbiology · 2026
    Article
  4. Clinical and experimental gastroenterology · 2026
    Review
  5. Article
  6. Effect of Helicobacter pylori Treatment on Gastric Cancer Incidence and Mortality.The Korean journal of helicobacter and upper gastrointestinal research · 2025
    Article
  7. Article
  8. Article
  9. Comparative insights intoFrontiers in microbiology · 2025
    Review
  10. 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.

Ayami OnoDivision of Cohort Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Shiori TanakaDivision of Prevention, National Cancer Center Institute for Cancer Control, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan.
Norie SawadaDivision of Cohort Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Atsushi GotoDepartment of Health Data Science, Graduate School of Data Science, Yokohama City University, Yokohama, Japan.
Shoichiro TsuganeDivision of Cohort Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Isao MurakiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Kazumasa YamagishiDepartment of Public Health Medicine, Institute of Medicine, and Health Services Research and Development Center, University of Tsukuba, Ibaraki, Japan.
Yu SasakiDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Yasuhiko AbeDivision of Endoscopy, Yamagata University Hospital, Yamagata, Japan.
Takamasa KayamaInstitute for Promotion of Medical Science Research, Yamagata University, Yamagata, Japan.
Yoshiyuki UenoDepartment of Gastroenterology, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Eiko SaitoSustainable Society Design Center, Graduate School of Frontier Science, The University of Tokyo, Chiba, Japan.
Taiki YamajiDivision of Epidemiology, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Motoki IwasakiDivision of Cohort Research, National Cancer Center Institute for Cancer Control, Tokyo, Japan.
Manami InoueDivision of Prevention, National Cancer Center Institute for Cancer Control, 5-1-1 Tsukiji, Chuo-Ku, Tokyo, 104-0045, Japan. mnminoue@ncc.go.jp.

Funding

Japan Agency for Medical Research and Development(AMED) 17ck0106277h0001,18ck0106277h0002,19ck0106277h0003,20ck0106561h0001,20ck0106561h0001RR,21ck0106561h0002,21ck0106561h0002RR,22ck0106561h0003, 22ck0106561h0003RRNational Cancer Center Research and Development Fund 23-A-31(toku), 26-A-2, 29-A-4the Japan Society for the Promotion of Science KAKENHI JP20K08350
6 · The paper itself

Abstract

Helicobacter pylori (H. pylori) infection is an established cause of gastric cancer. Although H. pylori eradication is suggested to decrease gastric cancer risk, this has not been fully investigated in general populations. This analysis included 48,530 Japanese men and women aged 40-74 years from four cohort studies. At baseline, the participants provided a self-reported eradication history and serum anti-H. pylori IgG titers and the results of a pepsinogen (PG) test. We examined the association between eradication history and gastric cancer risk considering H. pylori positivity and PG testing using Cox proportional hazards regression models. From 2010 to 2018, 649 gastric cancer cases were diagnosed. Compared with those who were negative for both H. pylori and PG test as a reference, gastric cancer risk was 5.89 times higher (95%CI: 4.41-7.87) in those who were H. pylori-positive and/or PG test-positive and with no eradication at baseline. Gastric cancer risk among those who underwent eradication before baseline decreased after a temporal increase in risk following eradication (baseline to < 1y: HR 1.74, 95%CI 1.18-2.57; 1y to < 6y: HR 0.81, 95%CI 0.59-1.11; ≥ 6y: HR 0.44, 95%CI 0.28-0.68). In this large Japanese general population, H. pylori eradication was associated with a long-term reduction in gastric cancer incidence.

Indexed as

Helicobacter InfectionsHelicobacter pyloriStomach NeoplasmsAdultAgedAnti-Bacterial AgentsAntibodies, BacterialCohort StudiesFemaleHumansJapanMaleMiddle AgedPepsinogen ARisk FactorsAnti-Bacterial AgentsAntibodies, BacterialPepsinogen AAtrophic gastritisEradicationGastric cancerHelicobacter pyloriJapanProspective cohort study

Identifiers

PMID40593877
PMCPMC12215362

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.