Table 1.
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.