{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:11:48Z","timestamp":1791922308514,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014013","name":"UK Research and Innovation","doi-asserted-by":"publisher","award":["10058099"],"award-info":[{"award-number":["10058099"]}],"id":[{"id":"10.13039\/100014013","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018703","name":"HORIZON EUROPE European Innovation Council","doi-asserted-by":"publisher","award":["101095359"],"award-info":[{"award-number":["101095359"]}],"id":[{"id":"10.13039\/100018703","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Adherence to <jats:italic>Helicobacter pylori (H. pylori)<\/jats:italic> eradication treatment is a cornerstone for achieving adequate treatment efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine which factors influence compliance with treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic prospective non\u2010interventional registry (Hp\u2010EuReg) of the\u00a0clinical practice of European gastroenterologists. Compliance was considered adequate if \u226590% drug intake. Data were collected until September 2021 using\u00a0the\u00a0AEG\u2010REDCap e\u2010CRF and were subjected to quality control. Modified intention\u2010to\u2010treat analyses were performed. Multivariate analysis carried out the factors associated with the effectiveness of treatment and compliance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compliance was inadequate in 646 (1.7%) of 38,698 patients. The non\u2010compliance rate was higher in patients prescribed longer regimens (10\u2010, 14\u2010days) and rescue treatments, patients with uninvestigated dyspepsia\/functional dyspepsia, and patients reporting adverse effects. Prevalence of non\u2010adherence was lower for first\u2010line treatment than for rescue treatment (1.5% vs. 2.2%; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). Differences in non\u2010adherence in the three most frequent first\u2010line treatments were shown: 1.1% with proton pump inhibitor\u00a0+\u00a0clarithromycin\u00a0+\u00a0amoxicillin; 2.3% with proton pump inhibitor clarithromycin amoxicillin metronidazole; and 1.8% with bismuth quadruple therapy. These treatments were significantly more effective in compliant than in non\u2010compliant patients: 86% versus 44%, 90% versus 71%, and 93% versus 64%, respectively (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001). In the multivariate analysis, the variable most significantly associated with higher effectiveness was adequate compliance (odds ratio, 6.3 [95%CI, 5.2\u20137.7]; <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Compliance with <jats:italic>Helicobacter pylori<\/jats:italic> eradication treatment is very good. Factors associated with poor compliance include uninvestigated\/functional dyspepsia, rescue\u2010treatment, prolonged treatment regimens, the presence of adverse events, and the use of non\u2010bismuth sequential and concomitant treatment. Adequate treatment compliance was the variable most closely associated with successful eradication.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12569","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T04:45:25Z","timestamp":1714452325000},"page":"691-704","source":"Crossref","is-referenced-by-count":51,"title":["Role of compliance in <i>Helicobacter pylori<\/i> eradication treatment: Results of the European Registry on <i>H. pylori<\/i> management"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6486-1262","authenticated-orcid":false,"given":"Jose M.","family":"Huguet","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Hospital General Universitario de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8372-1572","authenticated-orcid":false,"given":"Luis","family":"Ferrer\u2010Barcel\u00f3","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hospital General Universitario de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9306-8378","authenticated-orcid":false,"given":"Patr\u00edcia","family":"Su\u00e1rez","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hospital General Universitario de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5110-6698","authenticated-orcid":false,"given":"Susana","family":"Barcelo\u2010Cerda","sequence":"additional","affiliation":[{"name":"Department of Applied Statistics and Operational Research, and Quality Universitat Polit\u00e8cnica de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6893-2512","authenticated-orcid":false,"given":"Javier","family":"Sempere","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Hospital General Universitario de Valencia  Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria Maria","family":"Saracino","sequence":"additional","affiliation":[{"name":"IRCCS S. 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