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Table 1 Characteristics of included studies

From: Alcohol increases treatment failure for Helicobacter pylori eradication in Asian populations

Author (year)

Study design

Country

Men/women

% of patients with peptic ulcer

(No.)

Number of

participants

Odd ratios

(95% CI)

Treatment options

Method for

assessing HP

eradication

Interval for assessing HP eradication

after therapy

Alcohol consumption

NOS

Age (years)

Drinker

Non–drinker

Cutler et al. (1993) [14] l

P

US

57/39

54.1 ± 1.5

71 (68/96)

33

63

1.62 (0.54–4.82)

BMT-14d

Endoscopy/UBT

4 weeks

clinic records

7

Labenz et al

(1994) [19]

P

Germany

183/222

20–90

94.6 (383/405)

94

311

1.68 (1.01–2.79)

PPI, AMO-7/14d

RUT, histology, UBT

at least 4 weeks

NM

6

Hazell et al. (1997) [20]

P

UK

56/45

21–71

27.7(28/101)

41

60

0.83 (0.25–2.73)

PPI, placebo -14d + PPI, AMO-14d

PPI, placebo -14d + PPI, placebo-14d

Endoscopy

4 weeks

NM

5

Olafsson et al. (1999) [21]

P

Norway

108/75

21–85

57

(104/184)

113

52

5.5 (0.69–43.78)

RBC400OM-10d

RBC400SM + 10d

RBC200OM-10d

RBC200SM-10d

UBT

8 weeks

4L/year

7

Kamada et al. (1999) [22]

P

Japan

95/42

22–75

58 (79/137)

61

76

1.27 (0.60–2.67)

PCA-7d

UBT

At least 4 weeks

patient interview

7

Fallone et al. (2000) [23]

P

Canada

65/22

16–90

100 (98/98)

45

42

0.57 (0.22–1.48)

BIS, MET, AMO,

BIS, MET + 1 placebo,

MET + 2 placebos

Gastric biopsies

Every 3 months for 1 year

 > 2 g/day

5

Perri et al

(2001) [24]

P

Italy

NM

26–75

35 (46/132)

NM

NM

0.94 (0.58–1.53)

PCA-7d

UBT

4–6 weeks

patient interview

5

Maconi et al. (2001) [25]

P

Italy

7/59

47.05/48.05

50 (71/142)

34

95

0.45 (0.12–1.76)

PCA-7d/14d

UBT

1 month + 3 month

outpatient clinic records

7

Silva et al. (2001) [15]

P

Brazil

68/132

16–80

100 (200/200)

29

161

0.66 (0.27–1.58)

PPI, CLA, TIN -7d

Histology/RUT

10–12 weeks

standard questionnaire

6

Mantzaris et al. (2002) [26]

P

Greece

139/138

16–70

100 (149/149)

58

91

1.10 (0.25–4.80)

PAC-10d

PBMT-10d

Histology, IMM, CLO

10–12 weeks + 12 month

/21–24 months

social alcohol

5

Queiroz et al. (2002) [27]

P

Brazil

39/58

40.5/45.1

60 (58/97)

43

54

0.77 (0.23–2.59)

PPI, CLA, FUR-14d

UBT

3 months

In- and outpatient clinic records

7

Baena et al. (2002) [28]

P

Spain

79/77

47.2 years

56.4

(88/156)

49

107

0.33 (0.13–0.84)

PCA-7d

UBT

4–8 weeks

18.2 g of pure alcohol per day

6

Lin et al. (2002) [43]

P

Taiwan, China

48/30

53.4 years

NM

10

68

1.30 (0.24–6.94)

PBCA-7d

RUT, histology

8 weeks

 > 80 g/day

6

Broutet et al. (2003) [29]

RE

France

1726/761

18–87

67 (1838/2751)

782

1364

0.91 (0.75–1.12)

PPI, AMO, ROX-10d/7d

PPI, AMO, AZI-10d/7d

UBT

4–6 weeks

Currently

6

Hsu et al. (2005) [44]

P

Taiwan, China

133/67

 ≥ 18 years

46 (91/200)

23

177

3.86 (1.40–10.64)

PCA-7d

Endoscopy/UBT

8 weeks

 ≥ 80 g/day

6

Manes et al. (2005) [8]

P

Italy

171/148

19–79

NM

16

307

1.67 (0.52–5.4)

PPI, CLA, TIN-7d

UBT

4–6 weeks

Outpatient clinic records

5

Ishioka et al. (2007) [30]

RE

Japan

510/91

51.5 ± 9.3

50.7 ± 10.2

100 (601/601)

334

267

0.9 (0.6–1.5)

PCA-7d

UBT

1–2 months

Standard questionnaire

7

Namiot et al. (2008) [31]

P

Poland

155/82

52.2 ± 14.6

47.9 ± 13.9

50.4 ± 15.4

100 (237/237)

103

134

0.48 (0.25–0.93)

OAT/OAC/OCT-7d

Endoscopy

4 weeks

25 g or more alcohol

per week

6

Singh et al. (2008) [32]

CC

India

60/7

39.9 + 13.6

100 (67/67)

26

41

2.19 (0.79–6.03)

PPI, AMO, TIN-7d

Endoscopy

4 weeks

More than 30 g in a week

6

Gatta et al. (2010) [33]

P

Italy

110/118

29–53

41.7 (95/228)

175

53

2.01 (0.85–4.70)

PCA-7d

UBT

4 weeks

NM

6

Lee et al. (2014) [45]

P

Korea

1153/1049

52.9 ± 12.8

34.5 (758/2202)

37

2165

0.36 (0.11–1.19)

PCA-7d

UBT

4 weeks

More than 100 g of alcohol a week

5

Lim et al. (2015) [34]

P

Korea

51/47

15.3 (15/98)

17

81

1.33 (0.45–3.86)

PPI, AMO, MOX-7/14d

UBT

4 weeks

NM

5

Kim et al. (2015) [35]

RE

Korea

901/512

14–86

74 (1041/1413)

513

608

1.12 (0.74–1.69)

PCA-7d

UBT/RUT

4 weeks

Clinic records

5

Pan et al. (2015) [11]

P

China

76,485/89787

25–54

NM

8866

34,976

1.16 (1.08–1.23)

PBMT-10d

UBT

45 days

Standard questionnaire

8

Tsai et al. (2016) [36]

RE

Taiwan, China

68/68

57.1 ± 11.3

35.3 (48/136)

90

502

3.786 (1.126–12.690)

0.59 (0.27–1.29)

PCA-7d

Endoscopy/UBT

4-8 weeks

 > 80 g/day in men

 > 40 g/day in women

8

Huh et al. (2016) [37]

RE

Korea

343/171

100 (514/514)

228

286

0.94 (0.59–1.47)

PCA-7-14d

UBT/RUT

At least 4 weeks

 ≥ 40 g/day in men

 ≥ 20 g/day in women

7

Noda et al. (2016) [17]

P

Japan

85/61

52–73

14.4 (21/146)

79

62

1.65 (0.53–5.11)

VPZ, AMO, CLA-7d

PCA-7d

UBT

1–2 months

Questionnaire

6

Ahn et al. (2017) [38]

P

Korea

34/50

41–73

25 (21/84)

18

66

0.98 (0.19–5.20)

PCA-10d

UBT

6-8 weeks

NM

5

Zhang YW (2018) [12]

RE

China

501/491

46.7 ± 12.4

26.1 (259/992)

231

628

2.52 (1.43–4.41)

FUR, AMO, BIS, PPI—10-14d

UBT or gastric biopsy

 > 4 weeks

Clinical

Data

5

Chang et al. (2019) [39]

P

Korea

89/101

55.4 ± 10.2

0 (0/190)

65

125

0.53 (0.27–1.06)

PCA-7d

UBT

4 weeks

Collected data

7

Song et al. (2019) [1]

RE

China

273/311

48.8

(285/584)

83

501

0.2 (0.0‐1.8)

PBAF-10d/14d

PBTF-10d/14d

PBLF -10d/14d

UBT/RUT/histology/FAT

at least 4 weeks

Medical records and telephone interviews

5

Jin et al. (2019) [40]

P

China

128/162

49.32 ± 12.56

0 (0/290)

76

214

1.56 (0.67–3.64)

PBCA-14d

NM

at least 4 weeks

Heavy drinker

Social drinker

7

Yi et al. (2019) [13]

P

China

98/87

18–70

16.8

(31/185)

49

136

3.15 (0.59–16.86)

0.99 (0.24–4.07)

PBAF-14d

PBCA-14d

NM

4 weeks

Outpatient clinics

and inpatient wards

7

Ozeki et al. (2019) [41]

P

Japan

51/158

NM

131

209

0.94 (0.43–2.09)

3.75 (1.57–8.94)

PCA-7d

UBT/Endoscopy + RUT

2 months

 + 1 year

More than once a week

7

Yao et al. (2019) [7]

RE

Taiwan China

357/362

64.1 ± 9.0 58.3 ± 12.2

19.5

(140/719)

106

613

1.202 (0.663–2.177)

PCA-7d

UBT

6-8 weeks

Medical records

7

Takara et al. (2019)[2]

RE

Japan

261/359

61.03 ± 12.47 62.17 ± 12.01

NM

174

466

1.41 (0.49–4.02)

0.89 (0.55–1.47)

VPZ, AMO, CLA-7d

PCA-7d

UBT

at least 5 weeks

Clinic records

7

Okubo et al. (2020) [16]

P

Japan

60/86

22–85

NM

61

85

3.13 (0.98–20.12)

VPZ, AMO, CLA-7d

UBT

at least 4 (4–16 weeks)

 > 20 g of pure alcohol daily

6

Eto et al. (2021) [3]

RE

Japan

103/60

20–79

NM

25

138

1.91 (0.63–5.78)

VPZ, AMO-7d

UBT

4 weeks

Clinic records

6

Nkuize et al. (2021) [42]

RE

Belgium

183/279

43.4 ± 10.9

39.1 ± 12.1

NM

114

340

0.570 (0.321–1.011)

PPI, CLA, MET—7-14d;

PPI, AMO-5d + PPI CLA, AMO-5d;

PBMT-10d;

PPI, AMO, CLA, MET-14d;

UBT

At least 6 weeks

Current drinker

7

Kasai et al. (2021) [46]

RE

Japan

NM

34–79

NM

6

27

0.88 (0.08–9.29)

VPA, AMO, MET-7d

UBT

4 weeks

Databases

6

  1. Abbreviations: P Prospective study, CC Cross-sectional study, RE Retrospective study, HP Helicobacter pylori, 95% CI 95% confidence interval, NM Not mentioned, US The United States, UK The United Kingdom, BIS Bismuth citrate, AZI Azithromycin, PPI Proton pump inhibitor, ROX Roxithromycin, MET Metronidazole, VPZ Vonoprazan, AMO Amoxicillin, CLA Clarithromycin, TIN Tinidazole, FUR Furazolidone, NIT Nitroimidazole, MOX Moxifloxacin, PBMT Proton pump inhibitor, bismuth citrate, metronidazole and tetracycline, PBCA Proton pump inhibitor, bismuth citrate clarithromycin, and amoxicillin, BMT Bismuth citrate, metronidazole and tetracycline, OAC Omeprazole, amoxicillin and clarithromycin, OAT Omeprazole, amoxicillin and tetracycline, OCT Omeprazole, clarithromycin, and tetracycline, PCA Proton pump inhibitor, clarithromycin, and amoxicillin, PBAF Proton pump inhibitors, bismuth, amoxicillin, furazolidone, PBTF Proton pump inhibitors, bismuth, tetracycline, furazolidone, PBLF Proton pump inhibitors, bismuth, levofloxacin, furazolidone, RBC Ranitidine bismuth citrate, OM Oxytetracycline, metronidazole, SM Spiramycin, metronidazole, UBT Urea breath test, RUT Rapid urease test, CLO Campylobacter-like organisms, FAT Fecal antigen testing, IMM Immunohistochemistry, NOS Newcastle Ottawa quality assessment scale
  2. Odds ratios and 95% confidence intervals were used if they were reported in the literature and were calculated if they were not reported