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| 1 | Effectiveness of Helicobacter pylori eradication in the treatment of early-stage gastric mucosa-associated lymphoid tissue lymphoma:An up-to-date meta-analysis显示文摘BACKGROUND Gastric mucosa-associated lymphoid tissue(MALT)lymphoma(GML)is usually a low-grade B-cell neoplasia strongly associated with Helicobacter pylori(H.pylori)-induced chronic gastritis.Clinical practice guidelines currently recommend H.pylori eradication as the preferred initial treatment for early-stage GML.To determine the practical effect of bacterial eradication as the sole initial therapy for early-stage GML,an updated analysis and review of available evidence is imperative.AIM To perform a meta-analysis to assess the rate of complete remission(CR)of H.pylori-positive early-stage GML following bacterial eradication.METHODS We performed independent,computer-assisted literature searches using the PubMed/MEDLINE,Embase,and Cochrane Central databases through September 2022.Prospective and retrospective observational studies evaluating the CR of early-stage GML following bacterial eradication in H.pylori-positive patients.The risk of bias was assessed using Joanna Briggs Institute(JBI)Critical Appraisal Tools.The pooled estimate of the complete histopathological remission rate and respective confidence intervals(95%CI)were calculated following the random-effects model.Heterogeneity and inconsistency were assessed using Cochran’s Q test and I2 statistic,and heterogeneity was defined as P<0.01 and I²>50%,respectively.Subgroup and meta-regression analyses were conducted to explore potential sources of heterogeneity.RESULTS The titles and abstracts of 1576 studies were screened;96 articles were retrieved and selected for full-text reading.Finally,61 studies were included in the proportional meta-analysis(P-MA).Forty-six were prospective and fifteen were retrospective uncontrolled,single-arm,observational studies.The overall risk of bias was low to moderate in all but a single report,with an average critical appraisal score across all studies of 79.02%.A total of 2936 H.pylori-positive early-stage GML patients,in whom H.pylori was successfully eradicated,were included in the analysis.The pooled CR of H.pylori-positive early-stage GML after bacterial eradication was 75.18%(95%CI:70.45%-79.91%).P-MA indicated the substantial heterogeneity in CR reported across studies(I2=92%;P<0.01).Meta-regression analysis identified statistically significant effect modifiers,including the proportion of patients with t(11;18)(q21;q21)-positive GML and the risk of bias in each study.CONCLUSION Comprehensive synthesis of available evidence suggests that H.pylori eradication is effective as the sole initial therapy for early-stage GML.Although the substantial heterogeneity observed across studies limits the interpretation of the pooled overall CR,the present study is a relevant to informing clinical practice. | Fabian Fellipe Bueno Lemos Caroline Tianeze de Castro Mariana Santos Calmon Marcel Silva Luz Samuel Luca Rocha Pinheiro Clara Faria Souza Mendes dos Santos Gabriel Lima Correa Santos Hanna Santos Marques Henrique Affonso Delgado Kádima Nayara Teixeira Cláudio Lima Souza Márcio Vasconcelos Oliveira Fabrício Freire de Melo | 2023 | World Journal of Gastroenterology2023，29，14： | 2 |
| 2 | New oxidation catalysts based on iron(III) porphyrins immobilized on Mg-Al layered double hydroxides modified with triethanolamine 显示文摘 | CASTRO K A D F BAIL A GROSZEWICZ P B MACHADO G S SCHREINER W H WYPYCH F NAKAGAKI S | 2010 | Appl Catal A: Gen2010，386，： | 1 |
| 3 | Sensitization of human melanoma cells to the cytotoxic effect of melphalan by the glutathione transferase inhibitor ethacrynic acid显示文摘 | HANSSON J BERHANE K CASTRO V M | 1991 | Cancer Res1991，51，： | 1 |
| 4 | Gene Therapy and Targeted Toxins for Glioma 显示文摘 | Castro MG Candolfi M Kroeger K | 2011 | Curr Gene Ther2011，11，3： | 1 |
| 5 | Updated guidelines for using interferon gamma release assays to detect Mycobacterium turculosis infectiorUnited States, 2010 显示文摘 | Mazurek GH Jereb J Vernon A LoBue P Goldberg S Castro K IGRA Expert Committee Centers for Disease Control and Prevention (CDC) | 2010 | MMWR Recomm Rep2010，59，5： | 1 |
| 6 | Dyslipi- demia in obesity: mechanisms and potential targets 显示文摘 | Boudewijn K Elte JWF Manuel Castro C | 2013 | Nutrients2013，5，4： | 1 |
| 7 | A problem-solving educa- tion intervention in caregivers and patients during allogeneic hem- atopoietic stem cell transplantation 显示文摘 | Bevans M Wehrlen L Castro K | 2014 | J Health Psychol2014，19，5： | 1 |
| 8 | Laparoscopic gastric bypass is superior to adjustable gastric band in super morbidly obese patients:a prospective,comparative analysis显示文摘 | Bowne WB Julliard K Castro AE | | 0，，： | 1 |
| 9 | Current and Future Strategies for the Treatment of Malignant Brain Tumors 显示文摘 | Castro M G Cowen R Williamson I K | 2003 | Phamacol-Ther2003，98，71： | 1 |
| 10 | On- line FT - Raman and dispersive Raman spectra database of artists materials ( e - VISART database ) 显示文摘 | Castro K Pe'rez - Alonso M Rodri'guez - Laso M D | 2005 | Anal Bioanal Chem2005，382，： | 1 |
| 11 | Single-molecule detection of specific nucleic acid sequences in unamplified genornic DNA显示文摘 | Castro A wmiams J G K | 1997 | Anal Chem1997，69，： | 1 |
| 12 | Development of po- ly(isobutylene-co-isoprene)/reduced graphene oxide nano- composites for barrier, dielectric and sensing applications 显示文摘 | Kumar S K Castro M Saiter A | 2013 | Materials Letters2013，96，： | 1 |
| 13 | 显示文摘 | Williams-Daryn S Thomas R K Castro M A | 2002 | Journal of Colloid and Interface Science2002，256，： | 1 |
| 14 | The electronic properties of graphene显示文摘 | Castro NetoA H Peres N M R Novoselov K S | 2009 | Rev ModPhys2009，81，1： | 1 |
| 15 | Emergence, longevity and fecundity of Trissolcus basalis and Telenomus podisi atter cold storage in the pupal stage显示文摘 | Foerster L A Doetzer A K de Castro L C F | 2004 | Pesquisa Agropecuaxia Brasileira2004，39，9： | 1 |
| 16 | Surface Modification of Polymeric Materials by Cold Atmospheric Plasma Jet 显示文摘 | Kostov K G Nishime T M C Castro A H R | 2014 | Applied Surface Science2014，314，： | 1 |
| 17 | Vascular anomalies of the head and neck:a review of genetics显示文摘 | Yadav P De Castro D K Waner M | 2013 | Semin Ophthal- mol2013，28，56： | 1 |
| 18 | 显示文摘 | Williams-Daryn S Thomas R K Castro M A | 2003 | Journal of Colloid and Interface Science2003，267，： | 1 |
| 19 | Skin and softtissue infection after injury in the ocean: culture methods and antibiotic therapy for marine bacteria 显示文摘 | REED K C CROWELL M C CASTRO M D | 1999 | Mil Med1999，164，3： | 1 |
| 20 | Evidence of early involvement of matrix metalloproteinase-2 in lead-induced hypertension显示文摘 | RIZZI E CASTRO MM FERNANDES K | 2009 | Arch Toxicol2009，83，5： | 1 |
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