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. 2014 May 20;348:g3174. doi: 10.1136/bmj.g3174

Table 1.

 Characteristics of randomised controlled trials of H pylori eradication therapy versus placebo in the prevention of gastric cancer

Study Location Method to confirm H pylori infection Sample size (No receiving H pylori eradication therapy) Characteristics of participants % with pre-neoplastic lesions* at baseline H pylori eradication therapy regimen Eradication rate (%)† Last point of follow-up Method to detect gastric cancer cases Methodology
Correa 2000 22 and Correa 2001 35 2 communities in Narino Province, Colombia Histological examination‡ 852 (437) Mean (range) age 51.1 (29-69) years, 46.1% men 100 Bismuth subsalicylate 262 mg, amoxicillin 500 mg, metronidazole 375 mg thrice daily for 2 weeks 58.0 6 years Histological examination‡ at 6 years Method of randomisation and concealment of allocation stated. Unblinded
Leung 2004 28 and Zhou 2008 27 11 villages in Yantai County, Shandong Province, China Histological examination and rapid urease testing‡ Leung: 587 (295)
Zhou: 552 (276)
Mean (range) age 52.0 (35-75) years, 47.8% men 33.7 Omeprazole 20 mg, amoxicillin 1 g, clarithromycin 500 mg twice daily for 1 week 55.6 Leung: 5 years
Zhou: 10 years
Histological examination‡ at 2, 5, 8, and 10 years Method of randomisation and concealment of allocation stated. Double blind
Wong 2004 24 7 villages in Changle County, Fujian Province, China Histological examination and rapid urease testing‡ 1630 (817) Mean (range) age 42.2 (35-65) years, 54.0% men 37.7 Omeprazole 20 mg, co-amoxiclav 750 mg, metronidazole 400 mg twice daily for 2 weeks 83.7 7.5 years Histological examination‡ at 7.5 years or, if diagnosed before 7.5 years, review of clinical records and pathology specimens by three blinded clinicians Method of randomisation and concealment of allocation stated. Double-blind
Saito 2005 23 145 centres in Japan Not reported 692 (379) Mean age not reported (range 20-59 years), proportion men not reported Not reported Lansoprazole 30 mg, amoxicillin 1.5 g, clarithromycin 400 mg once daily for 1 week 74.4 ≥4 years Histological examination‡ at ≥4 years Method of randomisation, concealment of allocation, and blinding not stated
You 200632 and Ma 2012 26 13 villages in Linqu County, Shandong Province, China Serological testing 2258 (1130) Mean (range) age 46.8 (35-64) years, 50.0% men 64.0 Omeprazole 20 mg and amoxicillin 1 g twice daily for 2 weeks 73.2 14.7 years Histological examination‡, clinical, laboratory, or pathological data Method of randomisation and concealment of allocation stated. Double blind
Wong 2012 25 12 villages in Linqu County, Shandong Province, China 13Carbon-urea breath testing 513 (255) Mean (range) age 53.0 (35-64) years, 46.4% men 100 Omeprazole 20 mg, amoxicillin 1 g, clarithromycin 500 mg twice daily for 1 week 63.5 5 years Histological examination‡ at 5 years Method of randomisation and concealment of allocation stated. Double blind

*Defined as gastric atrophy, intestinal metaplasia, or dysplasia.

†True intention-to-treat analysis, with all drop-outs assumed to have failed eradication therapy.

‡Examination or testing of gastric biopsies obtained from upper gastrointestinal endoscopy.