Does technology‐enhanced communication improve Helicobacter pylori eradication outcomes?—A meta‐analysis
Background Helicobacter pylori (H. pylori) is a highly prevalent organism that can induce an inflammatory state in the upper gastrointestinal tract and lead to complications such as peptic ulcer and gastric cancer. The treatment regime is complicated, and mild‐to‐moderate adverse effects are common,...
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| Veröffentlicht in: | Helicobacter (Cambridge, Mass.) Mass.), 2022-06, Vol.27 (3), p.e12890-n/a |
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| container_title | Helicobacter (Cambridge, Mass.) |
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| creator | Chua, Branden Qi Yu Chong, Vanessa Wei Shan Teng, Thomas Zheng Jie Chia, Christopher Tze Wei Aung, Myint Oo Shelat, Vishal G |
| description | Background
Helicobacter pylori (H. pylori) is a highly prevalent organism that can induce an inflammatory state in the upper gastrointestinal tract and lead to complications such as peptic ulcer and gastric cancer. The treatment regime is complicated, and mild‐to‐moderate adverse effects are common, making patient compliance a key determinant of successful eradication. One attractive strategy is to leverage on technology‐enhanced communication (TEC) strategies. However, the current data on the efficacy of TEC modalities in improving H. pylori eradication are limited. This is the first meta‐analysis evaluating its effectiveness to the best of our knowledge. Thus, it is essential to evaluate the current body of evidence to learn the impact of TEC initiatives.
Methods
A literature search was done on PubMed, World of Science, and Embase. A total of 9 studies variably reported on compliance rate, eradication rate, adverse effect rate, symptom relief, patient satisfaction, treatment cost, patient disease awareness, and follow‐up rates.
Results
This meta‐analysis showed that TEC initiatives significantly improve patient compliance (OR 4.52, 95% CI 2.09 – 9.77, p |
| doi_str_mv | 10.1111/hel.12890 |
| format | Article |
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Helicobacter pylori (H. pylori) is a highly prevalent organism that can induce an inflammatory state in the upper gastrointestinal tract and lead to complications such as peptic ulcer and gastric cancer. The treatment regime is complicated, and mild‐to‐moderate adverse effects are common, making patient compliance a key determinant of successful eradication. One attractive strategy is to leverage on technology‐enhanced communication (TEC) strategies. However, the current data on the efficacy of TEC modalities in improving H. pylori eradication are limited. This is the first meta‐analysis evaluating its effectiveness to the best of our knowledge. Thus, it is essential to evaluate the current body of evidence to learn the impact of TEC initiatives.
Methods
A literature search was done on PubMed, World of Science, and Embase. A total of 9 studies variably reported on compliance rate, eradication rate, adverse effect rate, symptom relief, patient satisfaction, treatment cost, patient disease awareness, and follow‐up rates.
Results
This meta‐analysis showed that TEC initiatives significantly improve patient compliance (OR 4.52, 95% CI 2.09 – 9.77, p < .01) and eradication rate (OR 1.98, 95% CI 1.34 – 2.93, p < .01) but not adverse effect rate (OR 0.65, 95% CI [0.27 – 1.57], p = .34). Due to the small number of studies and population sample, patient satisfaction, symptom relief, treatment costs, disease awareness, and follow‐up rates were assessed qualitatively.
Conclusion
TEC initiatives effectively improve compliance to the H. pylori eradication regime and increase the eradication rate.</description><identifier>ISSN: 1083-4389</identifier><identifier>EISSN: 1523-5378</identifier><identifier>DOI: 10.1111/hel.12890</identifier><identifier>PMID: 35363943</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>adverse effects ; antibiotic resistance ; compliance ; Complications ; Cost analysis ; Eradication ; Evaluation ; Gastric cancer ; Gastrointestinal system ; Gastrointestinal tract ; Helicobacter pylori ; Helicobacter pylori eradication ; Inflammation ; Medical treatment ; Meta-analysis ; Patient compliance ; Patient satisfaction ; Patients ; Peptic ulcers ; Population studies ; Side effects ; Technology ; technology‐enhanced communication ; Telemedicine ; triple therapy</subject><ispartof>Helicobacter (Cambridge, Mass.), 2022-06, Vol.27 (3), p.e12890-n/a</ispartof><rights>2022 John Wiley & Sons Ltd</rights><rights>2022 John Wiley & Sons Ltd.</rights><rights>Copyright © 2022 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-9c6c8f0c1c8be33a09b3a327aa3588500bbe68072bd7b59303af25af37bf0cdb3</citedby><cites>FETCH-LOGICAL-c3530-9c6c8f0c1c8be33a09b3a327aa3588500bbe68072bd7b59303af25af37bf0cdb3</cites><orcidid>0000-0003-4096-531X ; 0000-0001-7355-9591</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhel.12890$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhel.12890$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,27933,27934,45583,45584</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35363943$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chua, Branden Qi Yu</creatorcontrib><creatorcontrib>Chong, Vanessa Wei Shan</creatorcontrib><creatorcontrib>Teng, Thomas Zheng Jie</creatorcontrib><creatorcontrib>Chia, Christopher Tze Wei</creatorcontrib><creatorcontrib>Aung, Myint Oo</creatorcontrib><creatorcontrib>Shelat, Vishal G</creatorcontrib><title>Does technology‐enhanced communication improve Helicobacter pylori eradication outcomes?—A meta‐analysis</title><title>Helicobacter (Cambridge, Mass.)</title><addtitle>Helicobacter</addtitle><description>Background
Helicobacter pylori (H. pylori) is a highly prevalent organism that can induce an inflammatory state in the upper gastrointestinal tract and lead to complications such as peptic ulcer and gastric cancer. The treatment regime is complicated, and mild‐to‐moderate adverse effects are common, making patient compliance a key determinant of successful eradication. One attractive strategy is to leverage on technology‐enhanced communication (TEC) strategies. However, the current data on the efficacy of TEC modalities in improving H. pylori eradication are limited. This is the first meta‐analysis evaluating its effectiveness to the best of our knowledge. Thus, it is essential to evaluate the current body of evidence to learn the impact of TEC initiatives.
Methods
A literature search was done on PubMed, World of Science, and Embase. A total of 9 studies variably reported on compliance rate, eradication rate, adverse effect rate, symptom relief, patient satisfaction, treatment cost, patient disease awareness, and follow‐up rates.
Results
This meta‐analysis showed that TEC initiatives significantly improve patient compliance (OR 4.52, 95% CI 2.09 – 9.77, p < .01) and eradication rate (OR 1.98, 95% CI 1.34 – 2.93, p < .01) but not adverse effect rate (OR 0.65, 95% CI [0.27 – 1.57], p = .34). Due to the small number of studies and population sample, patient satisfaction, symptom relief, treatment costs, disease awareness, and follow‐up rates were assessed qualitatively.
Conclusion
TEC initiatives effectively improve compliance to the H. pylori eradication regime and increase the eradication rate.</description><subject>adverse effects</subject><subject>antibiotic resistance</subject><subject>compliance</subject><subject>Complications</subject><subject>Cost analysis</subject><subject>Eradication</subject><subject>Evaluation</subject><subject>Gastric cancer</subject><subject>Gastrointestinal system</subject><subject>Gastrointestinal tract</subject><subject>Helicobacter pylori</subject><subject>Helicobacter pylori eradication</subject><subject>Inflammation</subject><subject>Medical treatment</subject><subject>Meta-analysis</subject><subject>Patient compliance</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Peptic ulcers</subject><subject>Population studies</subject><subject>Side effects</subject><subject>Technology</subject><subject>technology‐enhanced communication</subject><subject>Telemedicine</subject><subject>triple therapy</subject><issn>1083-4389</issn><issn>1523-5378</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp1kbtOxDAQRS0E4l3wAygSDRQBO5OHU6EVr0VaiQbqyHYmrJETL3YCSscnUPCFfAmGBQokpvEUZ46ufAnZY_SYhTmZozlmCS_pCtlkWQJxBgVfDTvlEKfAyw2y5f0DpTSDtFwnG5BBDmUKm6Q7t-ijHtW8s8bej-8vr9jNRaewjpRt26HTSvTadpFuF84-YTRFo5WVQvXoosVorNMROlH_cHbowyH60_eXt0nUYi-CU3TCjF77HbLWCONx9_vdJneXF7dn03h2c3V9NpnFKkSjcalyxRuqmOISAQQtJQhICiEg4zyjVErMOS0SWRcyK4GCaJJMNFDIcFVL2CaHS2_I_Dig76tWe4XGiA7t4KskT_MiYSxPA3rwB32wgwt5P6mcpXlSAg_U0ZJSznrvsKkWTrfCjRWj1WcJVSih-iohsPvfxkG2WP-SP78egJMl8KwNjv-bqunFbKn8AApzlVE</recordid><startdate>202206</startdate><enddate>202206</enddate><creator>Chua, Branden Qi Yu</creator><creator>Chong, Vanessa Wei Shan</creator><creator>Teng, Thomas Zheng Jie</creator><creator>Chia, Christopher Tze Wei</creator><creator>Aung, Myint Oo</creator><creator>Shelat, Vishal G</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4096-531X</orcidid><orcidid>https://orcid.org/0000-0001-7355-9591</orcidid></search><sort><creationdate>202206</creationdate><title>Does technology‐enhanced communication improve Helicobacter pylori eradication outcomes?—A meta‐analysis</title><author>Chua, Branden Qi Yu ; Chong, Vanessa Wei Shan ; Teng, Thomas Zheng Jie ; Chia, Christopher Tze Wei ; Aung, Myint Oo ; Shelat, Vishal G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-9c6c8f0c1c8be33a09b3a327aa3588500bbe68072bd7b59303af25af37bf0cdb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>adverse effects</topic><topic>antibiotic resistance</topic><topic>compliance</topic><topic>Complications</topic><topic>Cost analysis</topic><topic>Eradication</topic><topic>Evaluation</topic><topic>Gastric cancer</topic><topic>Gastrointestinal system</topic><topic>Gastrointestinal tract</topic><topic>Helicobacter pylori</topic><topic>Helicobacter pylori eradication</topic><topic>Inflammation</topic><topic>Medical treatment</topic><topic>Meta-analysis</topic><topic>Patient compliance</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Peptic ulcers</topic><topic>Population studies</topic><topic>Side effects</topic><topic>Technology</topic><topic>technology‐enhanced communication</topic><topic>Telemedicine</topic><topic>triple therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chua, Branden Qi Yu</creatorcontrib><creatorcontrib>Chong, Vanessa Wei Shan</creatorcontrib><creatorcontrib>Teng, Thomas Zheng Jie</creatorcontrib><creatorcontrib>Chia, Christopher Tze Wei</creatorcontrib><creatorcontrib>Aung, Myint Oo</creatorcontrib><creatorcontrib>Shelat, Vishal G</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Helicobacter (Cambridge, Mass.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chua, Branden Qi Yu</au><au>Chong, Vanessa Wei Shan</au><au>Teng, Thomas Zheng Jie</au><au>Chia, Christopher Tze Wei</au><au>Aung, Myint Oo</au><au>Shelat, Vishal G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does technology‐enhanced communication improve Helicobacter pylori eradication outcomes?—A meta‐analysis</atitle><jtitle>Helicobacter (Cambridge, Mass.)</jtitle><addtitle>Helicobacter</addtitle><date>2022-06</date><risdate>2022</risdate><volume>27</volume><issue>3</issue><spage>e12890</spage><epage>n/a</epage><pages>e12890-n/a</pages><issn>1083-4389</issn><eissn>1523-5378</eissn><abstract>Background
Helicobacter pylori (H. pylori) is a highly prevalent organism that can induce an inflammatory state in the upper gastrointestinal tract and lead to complications such as peptic ulcer and gastric cancer. The treatment regime is complicated, and mild‐to‐moderate adverse effects are common, making patient compliance a key determinant of successful eradication. One attractive strategy is to leverage on technology‐enhanced communication (TEC) strategies. However, the current data on the efficacy of TEC modalities in improving H. pylori eradication are limited. This is the first meta‐analysis evaluating its effectiveness to the best of our knowledge. Thus, it is essential to evaluate the current body of evidence to learn the impact of TEC initiatives.
Methods
A literature search was done on PubMed, World of Science, and Embase. A total of 9 studies variably reported on compliance rate, eradication rate, adverse effect rate, symptom relief, patient satisfaction, treatment cost, patient disease awareness, and follow‐up rates.
Results
This meta‐analysis showed that TEC initiatives significantly improve patient compliance (OR 4.52, 95% CI 2.09 – 9.77, p < .01) and eradication rate (OR 1.98, 95% CI 1.34 – 2.93, p < .01) but not adverse effect rate (OR 0.65, 95% CI [0.27 – 1.57], p = .34). Due to the small number of studies and population sample, patient satisfaction, symptom relief, treatment costs, disease awareness, and follow‐up rates were assessed qualitatively.
Conclusion
TEC initiatives effectively improve compliance to the H. pylori eradication regime and increase the eradication rate.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>35363943</pmid><doi>10.1111/hel.12890</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-4096-531X</orcidid><orcidid>https://orcid.org/0000-0001-7355-9591</orcidid></addata></record> |
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| subjects | adverse effects antibiotic resistance compliance Complications Cost analysis Eradication Evaluation Gastric cancer Gastrointestinal system Gastrointestinal tract Helicobacter pylori Helicobacter pylori eradication Inflammation Medical treatment Meta-analysis Patient compliance Patient satisfaction Patients Peptic ulcers Population studies Side effects Technology technology‐enhanced communication Telemedicine triple therapy |
| title | Does technology‐enhanced communication improve Helicobacter pylori eradication outcomes?—A meta‐analysis |
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