دورية أكاديمية

Indications of Helicobacter pylori Eradication Treatment and Its Influence on Prescriptions and Effectiveness (Hp-EuReg).

التفاصيل البيبلوغرافية
العنوان: Indications of Helicobacter pylori Eradication Treatment and Its Influence on Prescriptions and Effectiveness (Hp-EuReg).
المؤلفون: Martínez-Domínguez SJ; Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.; Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Digestivas y Hepáticas (CIBERehd), Madrid, Spain., Nyssen OP; Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid (UAM), Madrid, Spain., Lanas Á; Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.; Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Digestivas y Hepáticas (CIBERehd), Madrid, Spain., Alfaro E; Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.; Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain.; Centro de Investigación Biomédica en Red en Enfermedades Digestivas y Hepáticas (CIBERehd), Madrid, Spain., Jonaitis L; Department of Gastroenterology, Lithuanian University of Health Sciences, Kaunas, Lithuania., Mahmudov U; Modern Hospital, Baku, Azerbaijan., Voynovan I; Department of Gastroenterology, A.S. Loginov Moscow Clinical Scientific Center, Moscow, Russia., Gülüstan B; Azerbaijan State Advanced Training Institute for Doctors Named by A.Aliyev, Baku, Azerbaijan., Rodrigo L; Department of Gastroenterology, University of Oviedo, Oviedo, Spain., Fiorini G; IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Perez-Aisa Á; Department of Gastroenterology, Redes de Investigación Cooperativa Orientada a Resultados en Salud (RICORS), Hospital Universitario Costa del Sol, Marbella, Spain., Tejedor-Tejada J; Department of Gastroenterology, Hospital Universitario de Cabueñes, Gijón, Asturias, Spain., Tepes B; Department of Gastroenterology, DC Rogaska, Rogaska Slatina, Slovenia., Vologzanina L; Gastrocenter, Perm, Russia., Mammadov E; Azerbaijan State Advanced Training Institute for Doctors Named by A.Aliyev, Baku, Azerbaijan., Lerang F; Østfold Hospital Trust, Grålum, Norway., Oğlu QFV; National Oncology Centre, Baku, Azerbaijan., Bakulina NV; I.I. Mechnikov North-Western State Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg, Russia., Abdulkhakov R; Department of Hospital Medicine, Kazan State Medical University, Kazan, Russia., Tatiana I; Department of Gastroenterology, SM-Clinic, Saint-Petersburg, Russia., Butler TJ; Department of Gastroenterology, Clinical Medicine, Trinity College Dublin, Tallaght University Hospital, Dublin, Ireland., Sarsenbaeva AS; Department of Gastroenterology, Chelyabinsk Regional Clinical Hospital, Chelyabinsk, Russia., Bumane R; Digestive Diseases Centre GASTRO, Riga, Latvia., Lucendo AJ; Department of Gastroenterology, Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital General de Tomelloso, Tomelloso, Spain., Romano M; Gastroenterology and Endoscopy Unit, Dipartimento di Medicina di Precisione, Università Vanvitelli, Naples, Italy., Bujanda L; Centro de Investigación Biomédica en Red en Enfermedades Digestivas y Hepáticas (CIBERehd), Madrid, Spain.; Department of Gastroenterology, Biodonostia Health Research Institute, San Sebastián, Spain.; Department of Medicine, Universidad del País Vasco (UPV/EHU), San Sebastián, Spain., Abdulkhakov SR; I.I. Mechnikov North-Western State Medical University of the Ministry of Health of the Russian Federation, Saint Petersburg, Russia., Zaytsev O; First Clinical Medical Centre, Kovrov, Russia., Pabón-Carrasco M; Department of Gastroenterology, Hospital Universitario de Valme, Sevilla, Spain., Keco-Huerga A; Department of Gastroenterology, Hospital Universitario de Valme, Sevilla, Spain., Denkovski M; Interni Oddelek, Diagnostic Centre, Bled, Slovenia., Huguet JM; Department of Gastroenterology, Hospital General Universitario de Valencia, Valencia, Spain., Perona M; Department of Gastroenterology, Hospital Quirón Marbella, Marbella, Spain., Núñez Ó; Department of Gastroenterology, Hospital Universitario Sanitas La Moraleja, Madrid, Spain., Pavoni M; IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy., Fadieienko G; Department the Division for the Study of the Digestive Diseases and its Comorbidity with Noncommunicable Diseases, Government Institution L.T. Malaya Therapy National Institute of NAMS of Ukraine, Kharkiv, Ukraine., Alekseenko S; Far Eastern State Medical University, Khabarovsk, Russia., Smith SM; School of Medicine, Trinity College Dublin, Dublin, Ireland., Hernández L; Gastroenterology Unit, Hospital Santos Reyes, Aranda de Duero, Spain., Kupcinskas J; Department of Gastroenterology, Institute for Digestive Research, Lithuanian University of Health Sciences, Kaunas, Lithuania., Bordin DS; Department of Pancreatic, Biliary and Upper Digestive Tract Disorders, A. S. Loginov Moscow Clinical Scientific Center, Moscow, Russia.; Department of Outpatient Therapy and Family Medicine, Tver State Medical University, Tver, Russia.; Department of Propaedeutic of Internal Diseases and Gastroenterology, Russian University of Medicine, Moscow, Russia., Leja M; Department of Gastroenterology, Digestive Diseases Centre, Institute of Clinical and Preventive Medicine, University of Latvia, Riga, Latvia., Gasbarrini A; Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Gridnyev O; Department the Division for the Study of the Digestive Diseases and its Comorbidity with Noncommunicable Diseases, Government Institution L.T. Malaya Therapy National Institute of NAMS of Ukraine, Kharkiv, Ukraine., Cano-Català A; Gastrointestinal Oncology, Endoscopy and Surgery (GOES) Research Group, Institut de Recerca i Innovació en Ciències de la Vida i de la Salut de la Catalunya Central (IRIS-CC), Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain., Parra P; Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid (UAM), Madrid, Spain., Moreira L; Department of Gastroenterology, Centro de Investigación Biomédica en red en Enfermedades Hepáticas y Digestivas (CIBERehd), Institut d'Investigacions Biomèdiques August pi i Sunyer (IDIBAPS), Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain., Mégraud F; INSERM U1312 Bric, Université de Bordeaux, Bordeaux, France., O'Morain C; Faculty of Health Sciences, Trinity College Dublin, Dublin, Ireland., Gisbert JP; Instituto de Investigación Sanitaria Princesa (IIS-Princesa), Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Hospital Universitario de La Princesa, Universidad Autónoma de Madrid (UAM), Madrid, Spain.
مؤلفون مشاركون: Hp‐EuReg Investigators
المصدر: Helicobacter [Helicobacter] 2024 Jul-Aug; Vol. 29 (4), pp. e13111.
نوع المنشور: Clinical Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 9605411 Publication Model: Print Cited Medium: Internet ISSN: 1523-5378 (Electronic) Linking ISSN: 10834389 NLM ISO Abbreviation: Helicobacter Subsets: MEDLINE
أسماء مطبوعة: Publication: Oxford : Wiley-Blackwell
Original Publication: Malden, MA : Wiley-Blackwell, c1996-
مواضيع طبية MeSH: Anti-Bacterial Agents*/therapeutic use , Helicobacter Infections*/drug therapy , Helicobacter pylori*/drug effects, Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Drug Therapy, Combination ; Europe ; Prospective Studies ; Treatment Outcome
مستخلص: Background: The influence of indications for Helicobacter pylori investigation on prescriptions and effectiveness is unknown. The aim of the study was to assess the impact of indications for H. pylori investigation on prescriptions, effectiveness, compliance, and tolerance.
Methods: International, prospective, non-interventional registry of the management of H. pylori infection by European gastroenterologists (Hp-EuReg). Treatment-näive patients registered from 2013 to 2023 at e-CRF AEG-REDCap were analyzed. The effectiveness was assessed by modified intention-to-treat analysis.
Results: Overall, 53,636 treatment-naïve cases from 34 countries were included. Most frequent indications were: dyspepsia with normal endoscopy (49%), non-investigated dyspepsia (20%), duodenal ulcer (11%), gastric ulcer (7.7%), and gastroesophageal reflux disease (GERD) (2.6%). Therapy effectiveness varied by indication: duodenal ulcer (91%), gastric ulcer (90%), preneoplastic lesions (90%), dyspepsia with normal endoscopy (89%), GERD (88%), and non-investigated dyspepsia (87%). Bismuth-metronidazole-tetracycline and clarithromycin-amoxicillin-bismuth quadruple therapies achieved 90% effectiveness in all indications except GERD. Concomitant clarithromycin-amoxicillin-tinidazole/metronidazole reached 90% cure rates except in patients with non-investigated dyspepsia; whereas sequential clarithromycin-amoxicillin-tinidazole/metronidazole proved optimal (≥90%) in patients with gastric ulcer only. Adverse events were higher in patients treated for dyspepsia with normal endoscopy and duodenal ulcer compared with the remaining indications (23% and 28%, p < 0.001). Therapeutic compliance was higher in patients with duodenal ulcer and preneoplastic lesions (98% and 99%, p < 0.001).
Conclusion: In Europe, patients with gastric or duodenal ulcers and preneoplastic lesions showed higher H. pylori treatment effectiveness. Bismuth and non-bismuth quadruple therapies achieved optimal results in almost all indications.
Trial Registration: ClinicalTrials.gov identifier: NCT02328131.
(© 2024 The Author(s). Helicobacter published by John Wiley & Sons Ltd.)
التعليقات: Erratum in: Helicobacter. 2024 Jul-Aug;29(4):e13124. doi: 10.1111/hel.13124. (PMID: 39108214)
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معلومات مُعتمدة: European Helicobacter and Microbiota Study Group (EHMSG); Spanish Association of Gastroenterology (AEG); Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd); 101095359 European Union Programme HORIZON; 10058099 UK Research and Innovation; 101101252 European Union Programme EU4Health; Diasorin; Translational Research in Digestive Diseases of Aragón Health Research Institute and the CIBERehd
فهرسة مساهمة: Keywords: Helicobacter pylori; compliance; effectiveness; indications; safety
سلسلة جزيئية: ClinicalTrials.gov NCT02328131
المشرفين على المادة: 0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20240713 Date Completed: 20240713 Latest Revision: 20240807
رمز التحديث: 20240807
DOI: 10.1111/hel.13111
PMID: 39001621
قاعدة البيانات: MEDLINE
الوصف
تدمد:1523-5378
DOI:10.1111/hel.13111