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. 2009 Oct 1;2009:0406.
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