Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Ulcer prevention | |||||
RCT |
102 people with H pylori and taking NSAIDs, with a history of dyspepsia or peptic ulceration, but without active ulcers |
Cumulative 6-month risk of peptic ulcer
12% with 1-week quadruple eradication regimen 34% with omeprazole alone for 1 week Absolute numbers not reported |
P = 0.009 |
Effect size not calculated | quadruple eradication regimen |
RCT |
102 people with H pylori and taking NSAIDs, with a history of dyspepsia or peptic ulceration, but without active ulcers |
Cumulative 6-month risk of bleeding peptic ulcer
4% with 1-week quadruple eradication regimen 27% with omeprazole alone for 1 week Absolute numbers not reported |
P = 0.003 |
Effect size not calculated | quadruple eradication regimen |
RCT |
150 people taking naproxen with H pylori and a bleeding peptic ulcer that healed with omeprazole treatment Subgroup analysis |
Cumulative 6-month risk of developing a bleeding ulcer
19% with 1-week triple eradication regimen (bismuth subcitrate plus tetracycline plus metronidazole) 4% with 6 months' maintenance treatment with omeprazole Absolute numbers not reported |
ARI 14.4% 95% CI 4.4% to 24.4% |
Effect size not calculated | omeprazole |
RCT |
250 people taking low-dose aspirin with H pylori and a bleeding peptic ulcer that healed with omeprazole treatment Subgroup analysis |
Cumulative 6-month risk of developing a bleeding ulcer
1.9% with 1-week triple eradication regimen (bismuth subcitrate plus tetracycline plus metronidazole) 0.9% with 6 months' maintenance treatment with omeprazole Absolute numbers not reported |
Absolute difference +1.0% 95% CI –1.9% to +3.9% Given the much lower risk of bleeding with low-dose aspirin compared with naproxen, the RCT may have been underpowered with respect to aspirin, although a large absolute effect can be excluded |
Not significant |