Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study

Poor adherence to treatment instructions may play an important role in the failure of Helicobacter pylori eradication. The aim of this study was to evaluate the effects of telephone-based reeducation on 14-day quadruple H. pylori eradication therapy. In total, 162 patients were randomly assigned (1 ...

Full description

Saved in:
Bibliographic Details
Main Authors: Yan Zhao, Mudan Ren, Xin Wang, Guifang Lu, Xinlan Lu, Dan Zhang, Shuixiang He
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2020/8972473
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832556910947074048
author Yan Zhao
Mudan Ren
Xin Wang
Guifang Lu
Xinlan Lu
Dan Zhang
Shuixiang He
author_facet Yan Zhao
Mudan Ren
Xin Wang
Guifang Lu
Xinlan Lu
Dan Zhang
Shuixiang He
author_sort Yan Zhao
collection DOAJ
description Poor adherence to treatment instructions may play an important role in the failure of Helicobacter pylori eradication. The aim of this study was to evaluate the effects of telephone-based reeducation on 14-day quadruple H. pylori eradication therapy. In total, 162 patients were randomly assigned (1 : 1) to either the intervention group (patients received telephone-based reeducation on the 4th, 7th, and 10th days of the course) or the control group (patients received instructions only at the time of getting the prescriptions). All patients received a 14-day quadruple H. pylori eradication therapy. The primary outcome was the H. pylori eradication rate. The secondary outcomes included the symptom relief rates and the incidence rates of adverse events. Seventy-five patients in the reeducation group and 74 patients in the control group completed the follow-up. The H. pylori eradication rate in the reeducation group was statistically higher than that in the control group (intention-to-treat: 72.8% vs. 50.6%, P=0.006; per-protocol: 78.7% vs. 55.4%, P=0.003). However, the symptom relief rates and the adverse event rates in these two groups were not significantly different. Overall, the results from this study suggest that telephone-based reeducation can be potentially applied to improve the H. pylori eradication rate in clinical practice, without significantly increasing the adverse effects.
format Article
id doaj-art-b1d43f8423e04d9ba65128f04cd565bf
institution Kabale University
issn 1687-6121
1687-630X
language English
publishDate 2020-01-01
publisher Wiley
record_format Article
series Gastroenterology Research and Practice
spelling doaj-art-b1d43f8423e04d9ba65128f04cd565bf2025-02-03T05:44:12ZengWileyGastroenterology Research and Practice1687-61211687-630X2020-01-01202010.1155/2020/89724738972473Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled StudyYan Zhao0Mudan Ren1Xin Wang2Guifang Lu3Xinlan Lu4Dan Zhang5Shuixiang He6Department of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaDepartment of Gastroenterology, First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, ChinaPoor adherence to treatment instructions may play an important role in the failure of Helicobacter pylori eradication. The aim of this study was to evaluate the effects of telephone-based reeducation on 14-day quadruple H. pylori eradication therapy. In total, 162 patients were randomly assigned (1 : 1) to either the intervention group (patients received telephone-based reeducation on the 4th, 7th, and 10th days of the course) or the control group (patients received instructions only at the time of getting the prescriptions). All patients received a 14-day quadruple H. pylori eradication therapy. The primary outcome was the H. pylori eradication rate. The secondary outcomes included the symptom relief rates and the incidence rates of adverse events. Seventy-five patients in the reeducation group and 74 patients in the control group completed the follow-up. The H. pylori eradication rate in the reeducation group was statistically higher than that in the control group (intention-to-treat: 72.8% vs. 50.6%, P=0.006; per-protocol: 78.7% vs. 55.4%, P=0.003). However, the symptom relief rates and the adverse event rates in these two groups were not significantly different. Overall, the results from this study suggest that telephone-based reeducation can be potentially applied to improve the H. pylori eradication rate in clinical practice, without significantly increasing the adverse effects.http://dx.doi.org/10.1155/2020/8972473
spellingShingle Yan Zhao
Mudan Ren
Xin Wang
Guifang Lu
Xinlan Lu
Dan Zhang
Shuixiang He
Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
Gastroenterology Research and Practice
title Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
title_full Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
title_fullStr Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
title_full_unstemmed Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
title_short Telephone-Based Reeducation of Drug Administration for Helicobacterpylori Eradication: A Multicenter Randomized Controlled Study
title_sort telephone based reeducation of drug administration for helicobacterpylori eradication a multicenter randomized controlled study
url http://dx.doi.org/10.1155/2020/8972473
work_keys_str_mv AT yanzhao telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT mudanren telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT xinwang telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT guifanglu telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT xinlanlu telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT danzhang telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy
AT shuixianghe telephonebasedreeducationofdrugadministrationforhelicobacterpylorieradicationamulticenterrandomizedcontrolledstudy