Optimizing Helicobacter pylori therapy through gastroenterologist education: A prospective interventional study
Abstract
BACKGROUND Enhancing the professionalism of physicians in diagnosing and treating Helicobacter pylori (H. pylori ) infection is crucial, given their pivotal role in the eradication therapy. AIM To explore the effectiveness of a single training course on H. pylori eradication therapy in gastroenterologists. METHODS This was a prospective, before-and-after, non-randomized interventional study based on real-world data. From March 2022 to December 2023, each physician enrolled 25 patients and acquired review outcomes, before they underwent professional training. Following this educational intervention, each physician proceeded to enroll an additional cohort of 25 patients and obtained subsequent review results for comparison. The primary outcome was a comparison of H. pylori eradication rate among gastroenterologists before and after training. RESULTS In total, 20 physicians and 1000 patients were finally analyzed. After training, the eradication rates improved significantly in both intention-to-treat analysis [58.6% vs 71.6%, odds ratio (OR) = 1.785, 95% confidence interval (CI): 1.370-2.325, P < 0.001] and per-protocol analysis (81.2% vs 88.6%, OR = 1.788, 95%CI: 1.191-2.684, P = 0.005). The therapy standardization rates (71.0% vs 89.6%, OR = 3.519, 95%CI: 2.490-4.974, P < 0.001) and patient review rates (71.4% vs 80.4%, OR = 1.643, 95%CI: 1.225-2.204, P = 0.001) also improved significantly. However, no improvement was found in adverse reaction documentation rates (21.0% vs…
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Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 1,000 participants or records.
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