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Cited by 393

The DOI matches its Crossref record; 13 of the 13 references it cites were found in a registry or an index.

A Report Card to Grade Helicobacter pylori Therapy

Graham, David Y., Lu, Hong, Yamaoka, Yoshio·2007·Helicobacter

Abstract

Helicobacter pylori causes a serious bacterial infectious disease, and the expectations of therapy should reflect this fact. Increasing antibiotic resistance, especially to clarithromycin, has significantly undermined the effectiveness of legacy triple therapy consisting of a proton pump inhibitor, clarithromycin, and amoxicillin. Current cure rates are consistently below 80% intention‐to‐treat, the accepted threshold separating acceptable from unacceptable treatment results. Grading clinical studies into effectiveness categories using prespecified criteria would allow clinicians to objectively identify and compare regimens. We offer a therapy report card similar to that used to grade the performance of school children. The intention‐to‐treat cure rate categories are: F or unacceptable ( 80%), D or poor (81–84%), C or fair (85–89%), B or good (90–95%), and A or excellent (95–100%). The category of “excellent” is based on the cure rates expected with other prevalent bacterial infectious diseases. We propose that only therapies that score “excellent” (grade = A) should be prescribed. Regimens scoring as B or “good” can be used if “excellent” results are not obtainable. In most regions legacy triple therapy should be abandoned as unacceptable. Quadruple therapy and sequential therapy are reasonable alternatives for initial therapy.

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Crossref · 10.1111/j.1523-5378.2007.00518.x

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Metadata

Authors
Graham, D. Y., Lu, H., & Yamaoka, Y.
Venue
Helicobacter
Publisher
Wiley
Published
2007-07-30
Volume
12
Issue
4
Pages
275-278
ISSN
  • 1083-4389 (ISSN-L)
  • 1523-5378
OpenAlex
W2017178544
Cited by
393
References
13
FWCI
10.40
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: A Report Card to Grade Helicobacter pylori Therapy. https://app.cochat.ai/papers/10.1111/j.1523-5378.2007.00518.x
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Graham, D. Y., Lu, H., & Yamaoka, Y. (2007). A Report Card to Grade Helicobacter pylori Therapy. Helicobacter. https://doi.org/10.1111/j.1523-5378.2007.00518.x

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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